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• The drug or other substance has a high potential for abuse. • The drug or other substance has no currently accepted medical use in treatment in the United States. • There is a lack of accepted safety for use of the drug or other substance under medical supervision. • Examples of Schedule I substances include heroin, gamma
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BREAKING FREE OF ADDICTION Introduc0on Breaking free of drug and alcohol addic0on is one of the bravest things you’ll ever do. While some experts might claim to know “the answer,” there is no right answer. In other words, one size does not fit all. Some people who follow a rigid model end up relapsing. Some who try on their own do just ...
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- DISCUSSION PAPER
- Acknowledgements
- Ariadna M. Viglione
- Antonio Calabrese
- Malcolm Dobbin
- Jose Manoel Bertoloti
- Wang Qianrong
- Wang Xiangdong
- Li Weihua
- Shan Xiaojing
- Emilia Ramírez Alfaro
- Timea Kahlesz
- Hedvig Zajzon-Boruzs
- Rajat Ray
- Salim Baddoura
- Audronė Astrauskienė
- Fayzal Sulliman
- Elvis Shiweda
- Elmer Punzalan
- Lubomir Okruhlica
- David Bayever
- Mohamed Al Kharkhi
- Volodymyr Beznogykh
- Adam Bisaga
- Wilson Compton
- Sidney Schnoll
- Ziggie Malyniwsky
- Gisela Wieser-Herbeck
- Hanifa Rebbani
- Giovanna Campello
- Katri Tala
- Elizabeth Saenz
- Anja Busse
- Beate Hammond
- Nicolas Clark
- Chris van der Burgh
- 1. Introduction
- International Narcotics Control Board
- 6. The role of the medical and pharmaceutical sectors
- Supervised daily dosing
- Preventing diversion whilst ensuring that prescription drugs are available to those who need them
- Recognition and diagnosis
- Addressing co-morbidity
- Pharmacological treatments
- Non-medical use of prescription drugs and the treatment of pain
- 9. Conclusions and recommendations
- Benzodiazepine
- Controlled substances
- DEA number
- Dependence
- INCB—International Narcotics Control Board
- Non-medical use (of prescription drugs)
- Over-the-counter drug
- Self-medication
- Stimulant
- Tranquilizer
- Dihydrocodeine,
Photo credits Front cover photographs: left ©iStockphoto.com/Marcela Barsse, centre ©iStockphoto.com/oonal, right ©iStockphoto.com/aurumarcus UNITED NATIONS OFFICE ON DRUGS AND CRIME Vienna
Many individuals contributed to the preparation of the present publication, The non- medical use of prescription drugs: policy direction issues. UNODC extends its deep apprecia-tion to the following experts who participated in the technical consultation meeting and provided substantive comments to the draft document. Participants:
Secretaria de programación para la Prevención de la Drogadicción y la Lucha contra el Narcotráfico Argentina
Comisión Nacional Coordinadora de Políticas Públicas en materia de Prevención y Control del Tráfico Ilícito de Estupefacientes Argentina
Senior Medical Advisor on Alcohol and Drugs to the Mental Health and Drugs Division of the Victorian Department of Human Services Australia
Brazil’s National Secretariat on Drug Policies Brazil
Deputy Secretary-General, China National Narcotics Control Commission China
Director, Precursor Chemicals Control Division, Ofice of China National Narcotics Control Commission China
Oficer, Department of Drug Safety and Inspection, China State Food and Drug Administration China
Oficer, International Cooperation Division, Ofice of China National Narcotics Control Commission China
Instituto Costarricense sobre Drogas: Jefe Unidad de Control y Fiscalización de Precursores y coordinadora del Ámbito de Control y Fiscalización del Plan Nacional sobre Drogas Costa Rica
Deputy Head of Department of the Ministry of National Resources (former Ministry of Health), Department for Pharmaceuticals and Medical Devices Hungary
Head of the Narcotic Department of the Ofice for Health Authorization and Administrative Procedures Hungary
Head of the Department of Psychatry of AIIMS India
First Secretary, Alternate Permanent Representative to UNOV Lebanon
Director of the Drug Control Department under the Government of the Republic of Lithuania Lithuania
Public Health Specialist, Methadone Programme Manager, Ministry of Health Mauritius
First Secretary, Permanent Mission of Namibia to the United Nations Namibia
Assistant Secretary of the Department of Health of the Philippines Philippines
Director of the Centre for Drugs Abuse Treatment Slovak Republic
Head of Division, Pharmacotherapy and Pharmacy Practice, Department of Pharmacy and Pharmacology, Faculty of Health Sciences, University of Witwatersrand Medical School South Africa
Psychiatrist, National Rehabilitation Centre United Arab Emirates
Chief of section Ukrainian Medical and Monitoring Centre for Alcohol and Drugs Ministry of Health of Ukraine
Associate Professor of Clinical Psychiatry in the Department of Psychiatry at the College of Physicians and Surgeons of Columbia University Research Scientist at the New York State Psychiatric Institute United States
Director of the Division of Epidemiology, Services and Prevention Research at the National Institute on Drug Abuse (NIDA) United States
Vice President, Pharmaceutical Risk Management Services Pinney Associates. United States
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Drugs act on the brain’s reward system in a similar way, producing a release of dopamine that leads to feelings of pleasure. People often use drugs for these feelings of pleasure and repeat the behaviour that leads to these rewards. In this way, the reward system reinforces behaviours that support drug use.
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the chart below for drugs where there is enough scientific evidence to connect the drug use to specific negative effects. For information about treatment options for drug addiction, see NIDA’s Treatment pages. For drug use trends, see our Trends and Statistics page. The following drugs are included in this resource: Alcohol Ayahuasca
ever, and we also know that drug addiction can be successfully treated to help people stop abusing drugs and lead productive lives. Drug abuse and addiction have negative consequences for individuals and for society. Estimates of the total overall costs of substance abuse in the United States, including productivity and health- and
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about the distinctions between “drug use”, “drug misuse” and “drug abuse”, the neutral term “drug use” is used in the World Drug Report. The term “misuse” is used only to denote the non-medical use of prescription drugs. All uses of the word “drug” and the term “drug use” in the World Drug Report refer to substances con-