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Drug control governance involves the oversight and regulation of pharmaceuticals to ensure their safety and efficacy while preventing illegal drug use and trafficking. Regulatory bodies, including the US Food and Drug Administration (FDA) and the European Union's European Medicines Agency (EMA), play a central role in this process. These agencies evaluate the safety and efficacy of drugs before they can be marketed. They fund clinical trials and assess the benefits and risks associated with...
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Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
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Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
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Drug Regulation01:25

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Drug regulation encompasses the management of drug usage by evaluating its safety and efficacy through assessments conducted by regulatory authorities. Regrettably, the history of drug regulation is marred by several catastrophic events. One such incident is the Elixir Sulfanilamide tragedy, in which the toxic compound diethyl glycol was included in a sweet-tasting medication, leading to numerous fatalities. This event prompted the enactment of the Food, Drug, and Cosmetic Act in 1938. Under...
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Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
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Updated: Jul 5, 2025

A General Method for Evaluating Deep Brain Stimulation Effects on Intravenous Methamphetamine Self-Administration
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Managing Addiction and Overdose Deaths: The Debate Over America's Safe Injection Spaces.

Farhaad Rasool1, Arthur A Klein2, Joerg R Leheste1

  • 1Biomedical Sciences, New York Institute of Technology (NYIT) College of Osteopathic Medicine, Old Westbury, USA.

Cureus
|January 12, 2024
PubMed
Summary

Supervised drug injection sites (SDISs) offer a vital solution to the escalating opioid crisis, significantly reducing overdose deaths and disease transmission. These safe spaces provide critical support, complementing existing public health strategies.

Keywords:
blood-borne diseasescovid-19 pandemicdrug addictionhepatitis and hivopioid crisisopioid overdosesoverdose risk reductionsaving livessupervised injection sitesunited states congress

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Area of Science:

  • Public Health
  • Epidemiology
  • Addiction Medicine

Background:

  • Opioid overdose deaths tripled between 2010-2020, reaching 68,630.
  • Hepatitis B and C rates are increasing among young adult drug users.
  • Existing strategies to combat the opioid crisis are failing.

Purpose of the Study:

  • To examine the perception and impact of supervised drug injection sites (SDISs).
  • To analyze the effectiveness of SDISs as an adjunct to current opioid crisis strategies.
  • To investigate stakeholder perspectives and the consequences of SDIS implementation.

Main Methods:

  • Analysis of overdose reversals and facility usage data from New York City's SDISs.
  • Review of US Congressional efforts (H.R. 7029, H.R. 6159) regarding SDIS prevention.
  • Examination of stakeholder viewpoints (residents, business owners, drug users, legislators, public).
  • Assessment of short- and long-term consequences using crime statistics and public health data.

Main Results:

  • NYC's two SDISs reversed 114 overdoses in two months with 4,974 visits from 585 individuals.
  • SDISs provide sterile environments and medical professionals, reducing overdose risk and saving lives.
  • SDISs show potential in mitigating opioid crisis impacts, including disease transmission.

Conclusions:

  • Supervised drug injection sites are a promising intervention for the opioid crisis.
  • SDISs can reduce overdose fatalities and the spread of blood-borne diseases.
  • Further research into stakeholder perspectives and long-term impacts is crucial for policy development.