The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
In regulating the administration of drug as to size and intervals
of dosage--amounts should be sufficient to allow the patient long
intervals between doses. In the determination of this, it is necessary
to study and experiment with the reactions in the individual case. The
effort, however, should be to have the drug administered the smallest
possible number of times in the twenty-four hours compatible with the
patient’s well-being. For example--if a given patient’s daily need is
three grains a day, it is much wiser to administer this amount of drug
in doses of one grain three times a day or a grain and a half twice
a day as soon as practicable, than it is to have it administered in
larger numbers of smaller doses at more frequent intervals. The reason
is, that, apparently after a dose of narcotic drug is administered
function is inhibited for a length of time which is not in proportion
to the size of the dose administered. On the other hand, as has been
stated, within limits, the length of time over which a dose of narcotic
drug will hold a patient in drug balance and free from the physical
manifestations of drug need is in proportion to the size of the dose.
Therefore large doses at wide intervals permit greatest freedom from
functional inhibition and as well, if not better, supply the demands of
physical drug need.
I have briefly referred to the elements of intestinal and
autointoxication and autotoxicosis. Intestinal and autointoxication,
combined with worry, fear, and anxiety, constitute very
important causative and controlling factors in whatever mental
and physical deterioration has taken place in a case of
narcotic-drug-addiction-disease. Physical, mental and moral
deterioration are to a very small extent direct results of narcotic
drug action _per se_. As long as a narcotic drug addict is maintained
non-toxic, uninhibited and unworried, he is practically at his
individual normal, plus an added physical need. It should not be
necessary to recall to memory many cases of upright, honorable and
competent and apparently healthy men and women who have been narcotic
addicts over very many years, unknown to but very few or none of
their relatives or friends or even physicians. As has been stated
before, their apparent immunity to the supposed stigmata of narcotic
drug action was not due to the fact that they were on a higher mental
or moral plane than their less fortunate fellows, or that they were
possessed of sufficient will-power to resist temptation in the
over-indulgence of their so-called appetite. The facts are that by
experience they found out that if they used narcotic drug in amounts
indicated by the manifestations of their disease, and did not take it
too often and kept their bowels open and did not worry, they were as
normal as anybody else except for the fact that they had to take a dose
of a certain medicine two or three times a day. In other words they
simply learned to manage their disease in a way to avoid complications.
Public-domain text, read in full here on John Shaqi.
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