Drug Impairment Reviews: Anesthetics and Foreign Tranquilizers

STUDY: Doenicke, A., J. Kugler, M. Laub. Evaluation of Recovery “Street Fitness” by E.E.G. and Psychodiagnostic Tests After Anaesthesia. Can. Anaes. Soc. J., 14:567-583. 1967. (This study has been conducted in West Germany, but the address of the authors is not indicated in the reference.) Subjects: The total number of subjects is not evident but it must be above 200. Eighty-one subjects completed the psychomotor test battery. Demographic data on the subjects and descriptions of their health or drug use prior to the study are not given. They are, however, described as healthy volunteers. Method: This is an experimental study conducted in a clinical laboratory. The drugs administered as a single dose were thiobutabarbital (500 mg), methohexital (150 mg), and propanidid and C1-581 in doses which are not reported. Some subjects received repeated anesthesia but their number is not reported, nor is the order of or the interval between the anesthesias. Some subjects also received halothane, diethylether, or nitrous oxide after propanidid. Halothane was administered for 15 minutes. None of the concentrations of the inhalation anesthetics are reported in the text. EEG was continuously recorded for 12 or 24 hours Read more […]

Substance-Related Disorders

The ability to recognize and treat substance use disorders (SUDs) is a core competence in psychosomatic medicine. SUDs are common in both inpatient and outpatient medical settings. Alcohol and tobacco use alone contribute to a host of medical illnesses. Illegal drug use taxes the health care system. Drug and alcohol dependence disorders are best characterized as chronic medical illnesses. Hepatitis C is an example of a potential long-term complication of even brief drug use, injection drug users being at increased risk. Emergency departments have seen a steady increase in overdoses of drugs, including “club drugs” not prevalent until recently. The long-term effects of perinatal drug abuse are becoming known. Devastating complications result from the internal concealment of illicit drugs (e.g., body packing). Core competence in addiction medicine includes the ability to make accurate diagnoses, initiate treatment, and plan and coordinate services. Some hospitals have specialized addiction consultation services, but there is a shortage of board-certified addiction psychiatry specialists. All psychiatrists working in general medical settings are on the front lines of substance abuse and must be sufficiendy knowledgeable. The Read more […]

PMA and PMMA: Reactions with other drugs or substances

PMA and PMMA: Composition, Therapeutic use, Usage trends. Treatment and rehabilitation. PMA and PMMA effects. Reactions with other drugs.

PCP (Phencyclidine): Reactions with other drugs or substances

PCP (Phencyclidine): Composition, Therapeutic use, Usage trends. Treatment and rehabilitation. PCP effects. Reactions with other drugs.

Nitrous Oxide: History notes

Nitrous Oxide: Composition, Therapeutic use, Usage trends. Treatment and rehabilitation. Nitrous Oxide effects. Reactions with other drugs.

Nitrous Oxide: In the news

Nitrous Oxide: Composition, Therapeutic use, Usage trends. Treatment and rehabilitation. Nitrous Oxide effects. Reactions with other drugs.

Nitrous Oxide: Legal consequences

Nitrous Oxide: Composition, Therapeutic use, Usage trends. Treatment and rehabilitation. Nitrous Oxide effects. Reactions with other drugs.

Nitrous Oxide: Personal and social consequences

Nitrous Oxide: Composition, Therapeutic use, Usage trends. Treatment and rehabilitation. Nitrous Oxide effects. Reactions with other drugs.

Nitrous Oxide: Treatment and rehabilitation

Nitrous Oxide: Composition, Therapeutic use, Usage trends. Treatment and rehabilitation. Nitrous Oxide effects. Reactions with other drugs.

Nitrous Oxide: Reactions with other drugs or substances

Nitrous Oxide: Composition, Therapeutic use, Usage trends. Treatment and rehabilitation. Nitrous Oxide effects. Reactions with other drugs.