Drugs
DRUGDANSUKANA drug, broadly speaking, is any chemical substance that, when absorbed into the body of a living organism, alters normal bodily function.There is no single, precise definition, as there are different meanings in drug control law, government regulations, medicine, and colloquial usage.
In pharmacology, Dictionary.com defines a drug as “a chemical substance used in the treatment, cure, prevention, or diagnosis of disease or used to otherwise enhance physical or mental well-being.” Drugs may be prescribed for a limited duration, or on a regular basis for chronic disorders.
Recreational drugs are chemical substances that affect the central nervous system, such as opioids or hallucinogens. They may be used for perceived beneficial effects on perception, consciousness, personality, and behavior. Some drugs can cause addiction and habituation.
Drugs are usually distinguished from endogenous biochemicals by being introduced from outside the organism. For example, insulin is a hormone that is synthesized in the body; it is called a hormone when it is synthesized by the pancreas inside the body, but if it is introduced into the body from outside, it is called a drug.
Many natural substances such as beers, wines, and some mushrooms, blur the line between food and drugs, as when ingested they affect the functioning of both mind and body.
Medication
A medication or medicine is a drug taken to cure and/or ameliorate any symptoms of an illness or medical condition, or may be used as preventive medicine that has future benefits but does not treat any existing or pre-existing diseases or symptoms.
Dispensing of medication is often regulated by governments into three categories — over-the-counter (OTC) medications, which are available in pharmacies and supermarkets without special restrictions, behind-the-counter (BTC), which are dispensed by a pharmacist without needing a doctor’s prescription, and Prescription only medicines (POM), which must be prescribed by a licensed medical professional, usually a physician.
In the UK, BTC medicines are called pharmacy medicines which can only be sold in registered pharmacies, by or under the supervision of a pharmacist, these medications are designated by the letter P on the label, the precise distinction between OTC and prescription drugs depends on the legal jurisdiction.
Medications are typically produced by pharmaceutical companies and are often patented to give the developer exclusive rights to produce them, but they can also be derived from naturally occurring substance in plants called herbal medicine. Those that are not patented (or with expired patents) are called generic drugs since they can be produced by other companies without restrictions or licenses from the patent holder.
Drugs, both medicinal and recreational, can be administered in a number of ways:
• Orally, as a liquid or solid, that is absorbed through the stomach.
• Inhaled, (breathed into the lungs), as a vapor.
• Injected as a liquid either: intramuscular, intravenous, intraperitoneal, intraosseous.
• Rectally as a suppository, that is absorbed by the colon.
• Vaginally as a suppository, primarily to treat vaginal infections.
• Bolus, a substance into the stomach to dissolve slowly.
• Insufflation, or snorted into the nose.
Many drugs can be administered in a variety of ways
Spiritual and religious use
The spiritual and religious use of drugs has been occurring since the dawn of our species. Drugs that are considered to have spiritual or religious use are called entheogens. Some religions are based completely on the use of certain drugs. Entheogens are mostly hallucinogens, being either psychedelics or deliriants, but some are also stimulants and sedatives
Drug abuse
Drug abuse has a wide range of definitions related to taking a psychoactive drug or performance enhancing drug for a non-therapeutic or non-medical effect. All of these definitions imply a negative judgement of the drug use in question (compare with the term responsible drug use for alternative views). Some of the drugs most often associated with this term include alcohol, amphetamines, barbiturates, benzodiazepines, cocaine, methaqualone, and opium alkaloids. Use of these drugs may lead to criminal penalty in addition to possible physical, social, and psychological harm, both strongly depending on local jurisdiction. Other definitions of drug abuse fall into four main categories: public health definitions, mass communication and vernacular usage, medical definitions, and political and criminal justice definitions.
An estimated 5.6% of the global population aged 15 to 64, or 185 million people, consume illicit drugs annually
Public health definitions
Public health practitioners have attempted to look at drug abuse from a broader perspective than the individual, emphasising the role of society, culture and availability. Rather than accepting the loaded terms alcohol or drug “abuse,” many public health professionals have adopted phrases such as “alcohol and drug problems” or “harmful/problematic use” of drugs.
The Health Officers Council of British Columbia — in their 2005 policy discussion paper, A Public Health Approach to Drug Control in Canada — has adopted a public health model of psychoactive substance use that challenges the simplistic black-and-white construction of the binary (or complementary) antonyms “use” vs. “abuse”.
Medical definitions
In the modern medical profession, the two most used diagnostic tools in the world, the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM) and the World Health Organization’s International Statistical Classification of Diseases and Related Health Problems (ICD), no longer recognise ‘drug abuse’ as a current medical diagnosis. Instead, they have adopted substance abuse as a blanket term to include drug abuse and other things. Physical dependence, abuse of, and withdrawal from drugs and other miscellaneous substances is outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) ). It’s section Substance dependence begin with:
“Substance dependence When an individual persists in use of alcohol or other drugs despite problems related to use of the substance, substance dependence may be diagnosed. Compulsive and repetitive use may result in tolerance to the effect of the drug and withdrawal symptoms when use is reduced or stopped. This, along with Substance Abuse are considered Substance Use Disorders….”
However, other definitions differ; they may entail psychological or physical dependence , and may focus on treatment and prevention in terms of the social consequences of substance uses.
Potential for harm
Depending on the actual compound, drug use may lead to health problems, social problems, physical dependence, or psychological addiction.
Drug abuse makes central nervous system (CNS) effects, which produce changes in mood, levels of awareness or perceptions and sensations. Most of these drugs also alter systems other than the CNS. Some of these are often thought of as being abused. Some drugs appear to be more likely to lead to uncontrolled use than others.
Traditionally, new pharmacotherapies are quickly adopted in primary care settings, however, drugs for substance abuse treatment have faced many barriers. Naltrexone, a drug originally marketed under the name “ReVia,” and now marketed in intramuscular formulation as “Vivitrol” or in oral formulation as a generic, is a medication approved for the treatment of alcohol dependence. This drug has reached very few patients. This may be due to a number of factors, including resistance by Addiction Medicine specialists and lack of resources.
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