The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
It is evident therefore, that upon the intelligent and competent
estimation, measure and control of physical narcotic drug balance and
inhibition of function depend the reaction, well being and therapeutic
progress of the man who has narcotic drug addiction-disease. These
factors also markedly influence the action of all medication,
including the drug of addiction, upon the body of the opiate addict.
They influence the reaction of the addict’s body to all medication.
Medication cannot be intelligently administered to the opiate addict
unless those who administer it have understanding and clinical
appreciation of the widely varying reaction of the addict under
different conditions of drug balance and inhibition of function.
Failure to recognize and appreciate this fact explains a considerable
portion of the past failures and the past mortality attending specific
and special methods and treatments, and so-called “cures.” The dosage
of medication administered and the time of its administration should
therefore be determined upon with watchful eye to the reaction of the
patient, and with intelligent comprehension of the possibilities in
reactionary change.
The actions and the dosage of therapeutic agents have been largely
determined by experimentation on individuals and animals of average
normal reaction. The toxic, the inhibited and the narcotic addicted
do not display the normal reaction to therapeutic agents. Under some
conditions they over-react both physically and nervously, and under
other conditions they under-react. Detailed consideration of this
matter is not possible in this book. It offers for investigation a
field well worthy of exploration both clinical and laboratory. It
will only state that as the manifestations and influences of toxemia,
functional exhaustion, inhibition, and, in the addicted, of varying
physical drug balance, have become increasingly definite and tangible
and capable of clinical measure and determination, my medication of the
toxic and the exhausted and the inhibited individual, as well as of
the narcotic addicted, has become progressively more effective. These
observations apply to conditions other than opiate drug addiction, and
are worthy of consideration in all toxic, and exhaustion and depression
states.
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