The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
I do not use or endorse, a “belladonna” treatment, a “hyoscine”
treatment, nor any other description of specific or routine treatment
in addiction-disease. I regard the drugs of the belladonna and
hyoscyamus groups, pilocarpine, etc., as extremely dangerous drugs to
be routinely or carelessly used in the treatment of addiction-disease.
They are rendered safe only after personal experience and study into
their action and appreciation of the factors and influences which
control their action in the functional, toxic, and narcotic drug
conditions. The routine and unintelligent use of the products of these
groups of drugs in the treatment of narcotic addiction--under the
mistaken impression that they somehow or other have direct curative
action upon the disease condition--has been the cause of a considerable
mortality and an easily understood opposition among intelligent
addicts. Hyoscine or scopolamine and the other members of this group,
ezerine, pilocarpine, the coal tar products, etc., are at times useful
drugs to meet indications in the treatment of a case of addiction.
Increasing intelligence in the handling of the addiction mechanism
itself, however, renders the necessity of their use less and less
frequent and the dosage of them required for therapeutic action smaller
and smaller. They should simply be classed as of use among other
things, peristaltic and circulatory stimulation and support, indicated
eliminants, kindness and consideration, understanding and intelligence
or any of the other therapeutic weapons in our possession.
Elimination and the securing of it in the narcotic addicted has
been referred to in this chapter. The chapter should not be closed
however, without a word of warning against the excessive purgation
with drastic and over irritating agents employed by some in this
condition. Drastic purgation is not at all synonymous with competent
elimination. Competent elimination is not to be measured in terms of
bowel-movements; but in terms of clinical symptomatology of toxemia,
circulation and measure of functional efficiency. Excessive purgation
means over-irritation and over-stimulation of eliminative mechanism,
results in the interference with and exhaustion of function and defeats
true elimination.
Presence of good circulatory tone and absence of congestion in the
eliminative organs is to me one of the most important factors in true
elimination. The addict who is in good functional tone, has competent
circulation, is in narcotic drug balance, and is noninhibited, needs
no more drastic eliminative measures than belong to ordinary rational
therapeutics in the nonaddicted.
As to final withdrawal of the drug, and ultimate arrest of the disease,
I shall say but little in this book.
Public-domain text, read in full here on John Shaqi.
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