Drug

{{Short description|Substance having effect(s) on the body of an individual}}

{{About|drugs in general|illegal drugs|Illegal drug trade|other uses}}

{{pp-semi-indef|small=yes}}

File:Aspirine macro shot.jpg tablets, consisting of about 90% acetylsalicylic acid, along with a minor amount of inert fillers and binders. Aspirin is a pharmaceutical drug often used to treat pain, fever, and inflammation.]]

A drug is any chemical substance other than a nutrient or an essential dietary ingredient, which, when administered to a living organism, produces a biological effect.{{cite book |last1=Ritter |first1=James M. |last2=MacEwan |first2=David |last3=Flower |first3=Rod |last4=Robinson |first4=Emma |last5=Henderson |first5=Graeme |last6=Fullerton |first6=James |last7=Loke |first7=Yoon Kong |title=Rang and Dale's pharmacology |date=2024 |publisher=Elsevier |location=London New York Oxford |isbn=978-0323873956 |edition=Tenth |chapter=What is pharmacology?}} Consumption of drugs can be via inhalation, injection, smoking, ingestion, absorption via a patch on the skin, suppository, or dissolution under the tongue.

In pharmacology, a drug is a chemical substance, typically of known structure, which, when administered to a living organism, produces a biological effect.{{cite book|last1=H.P.|first1=Rang|last2=M.M|first2=Dale|last3=J.M.|first3=Ritter|last4=R.J.|first4=Flower|last5=G.|first5=Henderson|title=Rang & Dale's pharmacology| year= 2011|publisher=Churchill Livingstone |location=Edinburgh |isbn=978-0-7020-3471-8|page=1|edition=7|chapter=What is Pharmacology|quote=a drug can be defined as a chemical substance of known structure, other than a nutrient of an essential dietary ingredient, which, when administered to a living organism, produces a biological effect}} A pharmaceutical drug, also called a medication or medicine, is a chemical substance used to treat, cure, prevent, or diagnose a disease or to promote well-being. Traditionally drugs were obtained through extraction from medicinal plants, but more recently also by organic synthesis.{{cite journal |vauthors=Atanasov AG, Waltenberger B, Pferschy-Wenzig EM, Linder T, Wawrosch C, Uhrin P, Temml V, Wang L, Schwaiger S, Heiss EH, Rollinger JM, Schuster D, Breuss JM, Bochkov V, Mihovilovic MD, Kopp B, Bauer R, Dirsch VM, Stuppner H |title=Discovery and resupply of pharmacologically active plant-derived natural products: A review |journal=Biotechnol Adv |date=December 2015 |volume=33 |issue=8 |pages=1582–614 |doi=10.1016/j.biotechadv.2015.08.001 |pmid=26281720 |pmc=4748402 }} Pharmaceutical drugs may be used for a limited duration, or on a regular basis for chronic disorders.{{cite encyclopedia |url=http://dictionary.reference.com/browse/drug |entry=Drug |dictionary= The American Heritage Science Dictionary |publisher=Houghton Mifflin Company |via=dictionary.com |access-date=20 September 2007 |url-status=live |archive-url=https://web.archive.org/web/20070914072701/http://dictionary.reference.com/browse/drug |archive-date=14 September 2007 |title=Drug Definition & Meaning }}

Classification

Pharmaceutical drugs are often classified into drug classes—groups of related drugs that have similar chemical structures, the same mechanism of action (binding to the same biological target), a related mode of action, and that are used to treat the same disease.{{cite journal | vauthors = Mahoney A, Evans J | title = Comparing drug classification systems | journal = AMIA Annual Symposium Proceedings |date=6 November 2008 |page= 1039 | pmid = 18999016 }}{{cite book | author = World Health Organization | title = Introduction to drug utilization research | date = 2003 | publisher = World Health Organization | location = Geneva | isbn = 978-92-4-156234-8 | page = 33 | url = http://apps.who.int/medicinedocs/pdf/s4876e/s4876e.pdf | url-status=dead | archive-url = https://web.archive.org/web/20160122115651/http://apps.who.int/medicinedocs/pdf/s4876e/s4876e.pdf | archive-date = 2016-01-22 }} The Anatomical Therapeutic Chemical Classification System (ATC), the most widely used drug classification system, assigns drugs a unique ATC code, which is an alphanumeric code that assigns it to specific drug classes within the ATC system. Another major classification system is the Biopharmaceutics Classification System. This classifies drugs according to their solubility and permeability or absorption properties.{{cite journal| last1=Bergström |first1=CA| last2= Andersson |first2=SB|last3=Fagerberg|first3=JH|last4=Ragnarsson|first4=G|last5=Lindahl|first5=A|title=Is the full potential of the biopharmaceutics classification system reached?|journal=European Journal of Pharmaceutical Sciences|date=16 June 2014|volume=57|pages=224–31|pmid=24075971|doi=10.1016/j.ejps.2013.09.010}}

Psychoactive drugs are substances that affect the function of the central nervous system, altering perception, mood or consciousness.{{cite web |url= http://www.nt.gov.au/health/healthdev/health_promotion/bushbook/volume2/chap1/sect1.htm |title=An overview of alcohol and other drug issues |access-date= 2015-03-16 |url-status=dead |archive-url= https://web.archive.org/web/20150328060739/http://www.nt.gov.au/health/healthdev/health_promotion/bushbook/volume2/chap1/sect1.htm |archive-date=2015-03-28 }} These drugs are divided into different groups such as: stimulants, depressants, antidepressants, anxiolytics, antipsychotics, and hallucinogens. These psychoactive drugs have been proven useful in treating a wide range of medical conditions including mental disorders around the world. The most widely used drugs in the world include caffeine, nicotine and alcohol,{{cite journal |author=Crocq MA |title=Alcohol, nicotine, caffeine, and mental disorders |journal=Dialogues Clin. Neurosci. |date=June 2003 |volume=5 |issue=2 |pages=175–185 |doi=10.31887/DCNS.2003.5.2/macrocq |pmc=3181622 |pmid=22033899}} which are also considered recreational drugs, since they are used for pleasure rather than medicinal purposes.{{cite web|title=Recreational Drug|url=http://medical-dictionary.thefreedictionary.com/Recreational+drug+use|website=The Free Dictionary |access-date=16 March 2015|archive-date=15 September 2015|archive-url=https://web.archive.org/web/20150915065208/http://medical-dictionary.thefreedictionary.com/Recreational+drug+use|url-status=live}} All drugs can have potential side effects.[http://www.mhra.gov.uk/Safetyinformation/Generalsafetyinformationandadvice/Adviceandinformationforconsumers/Sideeffectsofmedicines/ "MHRA Side Effects of Medicines."] {{webarchive|url=https://web.archive.org/web/20140502083323/http://www.mhra.gov.uk/Safetyinformation/Generalsafetyinformationandadvice/Adviceandinformationforconsumers/Sideeffectsofmedicines/ |date=2014-05-02 }} MHRA Side Effects of Medicines, Abuse of several psychoactive drugs can cause addiction or physical dependence.{{cite journal| last1=Fox| first1= Thomas Peter| last2=Oliver| first2=Govind| last3=Ellis| first3= Sophie Marie|title=The Destructive Capacity of Drug Abuse: An Overview Exploring the Harmful Potential of Drug Abuse Both to the Individual and to Society|journal=ISRN Addiction |year =2013|volume=2013|doi=10.1155/2013/450348|pmid=25938116|pmc=4392977|pages=450348|doi-access=free}} Excessive use of stimulants can promote stimulant psychosis. Many recreational drugs are illicit; international treaties such as the Single Convention on Narcotic Drugs exist for the purpose of their prohibition.

Etymology

In English, the noun "drug" is thought to originate from Old French "{{lang|fro|drogue}}", possibly deriving from "{{lang|dum|droge}} ({{lang|dum|vate}})" from Middle Dutch meaning "dry (barrels)", referring to medicinal plants preserved as dry matter in barrels.{{OEtymD|drug}}{{cite journal |author=Tupper KW |date=2012 |title=Psychoactive substances and the English language: "Drugs," discourses, and public policy. |journal=Contemporary Drug Problems |volume=39 |issue=3 |pages=461–492 |doi=10.1177/009145091203900306|s2cid=55498558 }}

In the 1990s however, Spanish lexicographer Federico Corriente Córdoba documented the possible origin of the word in {ḥṭr}{{Cite book |last=Corriente Córdoba |first=Federico |title=Dictionary of Andalusi Arabic |publisher=Brill Publishers |year=1997 |isbn=978-90-04-09846-6 |location=Leiden |pages=130 |language=en-UK}} an early romanized form of the Al-Andalus language from the northwestern part of the Iberian peninsula.{{Cite journal |date=1993 |title=Reflejos iberorromances del Andalusí (ḥṭr) |trans-title=Ibero-Romance reflections of the Andalusí (ḥṭr) |url=https://revistas.uca.es/index.php/aam/article/view/7710/7646 |journal=Al-Andalus Magreb |volume=I |pages=77–87}} The term could approximately be transcribed as حطروكة or hatruka.{{Cite web |last=Anders |first=V |display-authors=etal |date=2001–2020 |title=Droga |url=http://etimologias.dechile.net/?droga |access-date=2023-02-17 |website=Etimologías de Chile |language=es}}

The term "drug" has become a skunked term with negative connotation, being used as a synonym for illegal substances like cocaine or heroin or for drugs used recreationally. In other contexts the terms "drug" and "medicine" are used interchangeably.{{cite book |pmc=7120710 |date=2011 |title=The Science and Business of Drug Discovery |pages=11–27 |doi=10.1007/978-1-4419-9902-3_2 | vauthors = Zanders ED |chapter=Introduction to Drugs and Drug Targets |isbn=978-1-4419-9901-6 }}

Efficacy

Drug action is highly specific and their effects may only be detected in certain individuals. For instance, the 10 highest-grossing drugs in the US may help only 4-25% of people.{{Cite journal |last=Schork |first=Nicholas J. |date=April 2015 |title=Personalized medicine: Time for one-person trials |url=https://www.nature.com/articles/520609a |journal=Nature |language=en |volume=520 |issue=7549 |pages=609–611 |doi=10.1038/520609a |issn=1476-4687}} Often, the activity of a drug depends on the genotype of a patient. For example, Erbitux (cetuximab) increases the survival rate of colorectal cancer patients if they carry a particular mutation in the EGFR gene. Some drugs are specifically approved for certain genotypes. Vemurafenib is such a case which is used for melanoma patients who carry a mutation in the BRAF gene. The number of people who benefit from a drug determines if drug trials are worth carrying out, given that phase III trials may cost between $100 million and $700 million per drug. This is the motivation behind personalized medicine, that is, to develop drugs that are adapted to individual patients.

Medication

{{Main|Medication|Drug class}}

File:Nexium (esomeprazole magnesium) pills.JPG (Esomeprazole) is a proton-pump inhibitor. It is used to reduce the production of stomach acid.]]

A medication or medicine is a drug taken to cure or ameliorate any symptoms of an illness or medical condition. The use may also be 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 medications, which are available in pharmacies and supermarkets without special restrictions; behind-the-counter medicines, which are dispensed by a pharmacist without needing a doctor's prescription, and prescription only medicines, which must be prescribed by a licensed medical professional, usually a physician.{{cite web | url = http://www.hpc-uk.org/aboutregistration/medicinesandprescribing/ | title = About Registration: Medicines and Prescribing | publisher = Health and Care Professions Council | access-date = 22 January 2016 | url-status=live | archive-url = https://web.archive.org/web/20160113121019/http://www.hpc-uk.org/aboutregistration/medicinesandprescribing/ | archive-date = 2016-01-13 }}

In the United Kingdom, behind-the-counter 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.{{cite web| url = http://www.mhra.gov.uk/SearchHelp/Glossary/GlossaryP| title = Glossary of MHRA terms – P| publisher = U.K. Medicines and Healthcare products Regulatory Agency| access-date = 2008-11-05| url-status=live| archive-url = https://web.archive.org/web/20081114160603/http://www.mhra.gov.uk/SearchHelp/Glossary/GlossaryP| archive-date = 2008-11-14}} The range of medicines available without a prescription varies from country to country. Medications are typically produced by pharmaceutical companies and are often patented to give the developer exclusive rights to produce them. 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.{{cite web|url=https://www.fda.gov/downloads/Drugs/DevelopmentApprovalProcess/SmallBusinessAssistance/ucm127615.pdf|title="Generic Drugs", Center for Drug Evaluation and Research, U.S. Food and Drug Administration|website=Fda.gov|access-date=11 October 2017|url-status=dead|archive-url=https://web.archive.org/web/20170829011611/https://www.fda.gov/downloads/Drugs/DevelopmentApprovalProcess/SmallBusinessAssistance/ucm127615.pdf|archive-date=29 August 2017}}

Pharmaceutical drugs are usually categorised into drug classes. A group of drugs will share a similar chemical structure, have the same mechanism of action or the same related mode of action, or target the same illness or related illnesses. The Anatomical Therapeutic Chemical Classification System (ATC), the most widely used drug classification system, assigns drugs a unique ATC code, which is an alphanumeric code that assigns it to specific drug classes within the ATC system. Another major classification system is the Biopharmaceutics Classification System. This groups drugs according to their solubility and permeability or absorption properties.

Spiritual and religious use

{{Main|Entheogen|Psychonaut}}

File: Chaman Amazonie 5 06.jpg]]

File:Flowering San Pedro cactus.jpg, a psychoactive cactus]]

Some religions, particularly ethnic religions, are based completely on the use of certain drugs, known as entheogens, which are mostly hallucinogens—psychedelics, dissociatives, or deliriants. Some entheogens include kava which can act as a stimulant, a sedative, a euphoriant and an anesthetic. The roots of the kava plant are used to produce a drink consumed throughout the cultures of the Pacific Ocean.

Some shamans from different cultures use entheogens, defined as "generating the divine within,"{{citation | url=http://dictionary.reference.com/browse/entheogen | title=Entheogen | publisher=[dictionary.com] | access-date=2012-03-13 | url-status=live | archive-url=https://web.archive.org/web/20120213200629/http://dictionary.reference.com/browse/entheogen | archive-date=2012-02-13 }} to achieve religious ecstasy. Amazonian shamans use ayahuasca (yagé), a hallucinogenic brew, for this purpose. Mazatec shamans have a long and continuous tradition of religious use of Salvia divinorum, a psychoactive plant. Its use is to facilitate visionary states of consciousness during spiritual healing sessions.Valdés, Díaz & Paul 1983, p. 287.

Silene undulata is regarded by the Xhosa people as a sacred plant and used as an entheogen. Its roots are traditionally used to induce vivid (and according to the Xhosa, prophetic) lucid dreams during the initiation process of shamans, classifying it a naturally occurring oneirogen similar to the more well-known dream herb Calea ternifolia.{{cite journal|last1=Sobiecki|first1=Jean-Francois|title=Psychoactive Spiritual Medicines and Healing Dynamics in the Initiation Process of Southern Bantu Diviners|journal=Journal of Psychoactive Drugs|date=July 2012|volume=44|issue=3|pages=216–223|doi=10.1080/02791072.2012.703101|pmid=23061321|s2cid=32876088}}

Peyote, a small spineless cactus, has been a major source of psychedelic mescaline and has probably been used by Native Americans for at least five thousand years.{{cite journal |vauthors=El-Seedi HR, De Smet PA, Beck O, Possnert G, Bruhn JG |title=Prehistoric peyote use: alkaloid analysis and radiocarbon dating of archaeological specimens of Lophophora from Texas |journal=J Ethnopharmacol |volume=101 |issue=1–3 |pages=238–42 |date=October 2005 |pmid=15990261 |doi=10.1016/j.jep.2005.04.022 }}{{cite web|url=http://www.mescaline.com/sanpedro/|title=A Brief History of the San Pedro Cactus|website=Mescaline.com|access-date=11 October 2017|url-status=live|archive-url=https://web.archive.org/web/20160928090832/http://www.mescaline.com/sanpedro/|archive-date=28 September 2016}} Most mescaline is now obtained from a few species of columnar cacti in particular from San Pedro and not from the vulnerable peyote.{{cite iucn |author=Terry M |date=2013 |title=Lophophora williamsii |doi=10.2305/IUCN.UK.2013-1.RLTS.T151962A581420.en |access-date=2018-10-29 }}

The entheogenic use of cannabis has also been widely practised{{cite journal |last1=Souza |first1=Rafael Sampaio Octaviano de |last2=Albuquerque |first2=Ulysses Paulino de |last3=Monteiro |first3=Júlio Marcelino |last4=Amorim |first4=Elba Lúcia Cavalcanti de |title=Jurema-Preta (Mimosa tenuiflora [Willd.] Poir.): a review of its traditional use, phytochemistry and pharmacology |journal=Brazilian Archives of Biology and Technology |date=October 2008 |volume=51 |issue=5 |pages=937–947 |doi=10.1590/S1516-89132008000500010 |doi-access=free }} for centuries.{{cite book|last=Bloomquist|first=Edward|title=Marijuana: The Second Trip|year=1971|publisher=Glencoe|location=California}} Rastafari use marijuana (ganja) as a sacrament in their religious ceremonies.

Psychedelic mushrooms (psilocybin mushrooms), commonly called magic mushrooms or shrooms have also long been used as entheogens.

Smart drugs and designer drugs

{{Main|Nootropic|Designer drug|Psychoactive drug}}

{{See also|Modafinil}}

Nootropics, also commonly referred to as "smart drugs", are drugs that are claimed to improve human cognitive abilities. Nootropics are used to improve memory, concentration, thought, mood, and learning. An increasingly used nootropic among students, also known as a study drug, is methylphenidate branded commonly as Ritalin and used for the treatment of attention deficit hyperactivity disorder (ADHD) and narcolepsy.{{Cite journal|last=Abelman|first=D|date=6 October 2017|title=Mitigating risks of students use of study drugs through understanding motivations for use and applying harm reduction theory: a literature review|journal=Harm Reduct J|volume=14|issue=1|pages=68|pmid=28985738|pmc=5639593|doi=10.1186/s12954-017-0194-6|doi-access=free}} At high doses methylphenidate can become highly addictive.{{Cite journal|last1=Smith|first1=M|last2=Farah|first2=M|date=September 2011|title=Are prescription stimulants "smart pills"? The epidemiology and cognitive neuroscience of prescription stimulant use by normal healthy individuals.|journal=Psychol. Bull.|volume=137|issue=5|pages=717–41|doi=10.1037/a0023825|pmid=21859174|pmc=3591814}} Serious addiction can lead to psychosis, anxiety and heart problems, and the use of this drug is related to a rise in suicides, and overdoses. Evidence for use outside of student settings is limited but suggests that it is commonplace. Intravenous use of methylphenidate can lead to emphysematous damage to the lungs, known as Ritalin lung.{{Cite web|url=https://radiopaedia.org/articles/ritalin-lung?lang=gb|title=Ritalin lung|last=Sharma|first=R|website=Radiopedia.org|access-date=1 July 2019|archive-date=30 July 2020|archive-url=https://web.archive.org/web/20200730042833/https://radiopaedia.org/articles/ritalin-lung?lang=gb|url-status=live}}

Other drugs known as designer drugs are produced. An early example of what today would be labelled a 'designer drug' was LSD, which was synthesised from ergot.{{Cite web|url=http://chemistryhall.com/probably-not-know-discovery-synthesis-lsd/|title=Discovery And Synthesis Of LSD: What You Probably Did Not Know About It - Chemistry Hall|date=2017-06-13|access-date=2017-06-13|url-status= dead|archive-url=https://web.archive.org/web/20170613040001/http://chemistryhall.com/probably-not-know-discovery-synthesis-lsd/|archive-date=2017-06-13}} Other examples include analogs of performance-enhancing drugs such as designer steroids taken to improve physical capabilities; these are sometimes used (legally or not) for this purpose, often by professional athletes.{{cite journal | vauthors = Teale P, Scarth J, Hudson S | title = Impact of the emergence of designer drugs upon sports doping testing | journal = Bioanalysis | volume = 4 | issue = 1 | pages = 71–88 | year = 2012 | pmid = 22191595 | doi = 10.4155/bio.11.291 }} Other designer drugs mimic the effects of psychoactive drugs. Since the late 1990s there has been the identification of many of these synthesised drugs. In Japan and the United Kingdom this has spurred the addition of many designer drugs into a newer class of controlled substances known as a temporary class drug.

Synthetic cannabinoids have been produced for a longer period of time and are used in the designer drug synthetic cannabis.

Recreational drug use

{{Main|Recreational drug use}}

{{Further|Prohibition of drugs}}

File:Macro cannabis bud.jpg is a commonly used recreational drug.{{cite book |author=Lingeman |title=Drugs from A–Z: A Dictionary |year=1970 |publisher=Penguin |isbn=978-0-7139-0136-8 }}]]

Recreational drug use is the use of a drug (legal, controlled, or illegal) with the primary intention of altering the state of consciousness through alteration of the central nervous system in order to create positive emotions and feelings. The hallucinogen LSD is a psychoactive drug commonly used as a recreational drug.{{cite web|title=DrugFacts: Hallucinogens - LSD, Peyote, Psilocybin, and PCP|url=http://www.drugabuse.gov/publications/drugfacts/hallucinogens-lsd-peyote-psilocybin-pcp|publisher=National Institute on Drug Abuse|access-date=February 17, 2015|date=December 2014|url-status=live|archive-url=https://web.archive.org/web/20150216030833/http://www.drugabuse.gov/publications/drugfacts/hallucinogens-lsd-peyote-psilocybin-pcp|archive-date=February 16, 2015}}

Ketamine is a drug used for anesthesia, and is also used as a recreational drug, both in powder and liquid form, for its hallucinogenic and dissociative effects.{{cite journal |last1=Morgan |first1=CJ |last2=Curran |first2=HV |last3=Independent Scientific Committee on |first3=Drugs. |title=Ketamine use: a review. |journal=Addiction |date=January 2012 |volume=107 |issue=1 |pages=27–38 |doi=10.1111/j.1360-0443.2011.03576.x |pmid=21777321|s2cid=11064759 }}

Some national laws prohibit the use of different recreational drugs; medicinal drugs that have the potential for recreational use are often heavily regulated. However, there are many recreational drugs that are legal in many jurisdictions and widely culturally accepted.

Cannabis is the most commonly consumed controlled recreational drug in the world (as of 2012).{{cite web | url=http://www.unodc.org/documents/data-and-analysis/WDR2012/WDR_2012_web_small.pdf | title=World Drug Report 2012 | publisher=UNODC | date=2012 | access-date=9 December 2016 | pages=69 | url-status=live | archive-url=https://web.archive.org/web/20120713201545/http://www.unodc.org/documents/data-and-analysis/WDR2012/WDR_2012_web_small.pdf | archive-date=13 July 2012 }} Its use in many countries is illegal but is legally used in several countries usually with the proviso that it can only be used for personal use. It can be used in the leaf form of marijuana (grass), or in the resin form of hashish. Marijuana is a more mild form of cannabis than hashish.

There may be an age restriction on the consumption and purchase of legal recreational drugs. Some recreational drugs that are legal and accepted in many places include alcohol, tobacco, betel nut, and caffeine products, and in some areas of the world the legal use of drugs such as khat is common.{{cite journal |last=Al-Mugahed |first=Leen |title=Khat Chewing in Yemen: Turning over a New Leaf: Khat Chewing Is on the Rise in Yemen, Raising Concerns about the Health and Social Consequences |journal=Bulletin of the World Health Organization |volume=86 |issue=10 |url=https://www.questia.com/library/journal/1G1-188738635/khat-chewing-in-yemen-turning-over-a-new-leaf-khat |access-date=22 January 2016 |pages=741–2 |pmid=18949206 |year=2008 |pmc=2649518 |doi=10.2471/BLT.08.011008 |url-status=live |archive-url=https://web.archive.org/web/20160310045753/https://www.questia.com/library/journal/1G1-188738635/khat-chewing-in-yemen-turning-over-a-new-leaf-khat |archive-date=10 March 2016 }}

There are a number of legal intoxicants commonly called legal highs that are used recreationally. The most widely used of these is alcohol.

Administration of drugs

{{main|Route of administration}}

All drugs have a route of administration, and many can be administered by more than one.

{{Columns-list|

  • Inhaled (breathed into the lungs) as an aerosol, inhaler, vape or dry powder (this includes smoking or vaping a substance).
  • Injection as a solution, suspension or emulsion either: intramuscular, intravenous, intraperitoneal, intraosseous.
  • Insufflation, as a nasal spray or snorting into the nose.
  • Orally, as a liquid or solid, that is absorbed through the intestines.
  • Rectally as a suppository, that is absorbed by the rectum or colon.
  • Sublingually, diffusing into the blood through tissues under the tongue.
  • Topically, usually as a cream or ointment. A drug administered in this manner may be given to act locally or systemically.{{cite web |url=http://www.nursingtimes.net/nursing-practice-clinical-research/the-administration-of-medicine/288560.article |title=The administration of medicines |date=19 November 2007 |work=Nursing Times |publisher=EMAP Publishing Limited |access-date=11 January 2016 |url-status=live |archive-url=https://web.archive.org/web/20100617174030/http://www.nursingtimes.net/nursing-practice-clinical-research/the-administration-of-medicine/288560.article |archive-date=17 June 2010 }}
  • Vaginally as a pessary, primarily to treat vaginal infections.

}}

A bolus is the administration of a medication, drug or other compound that is given to raise its concentration in blood rapidly to an effective level, regardless of the route of administration.

Control of drugs

{{Main|Prohibition of drugs|Drug policy}}

Numerous governmental offices in many countries deal with the control and supervision of drug manufacture and use, and the implementation of various drug laws. The Single Convention on Narcotic Drugs is an international treaty brought about in 1961 to prohibit the use of narcotics save for those used in medical research and treatment. In 1971, a second treaty the Convention on Psychotropic Substances had to be introduced to deal with newer recreational psychoactive and psychedelic drugs.

The legal status of Salvia divinorum varies in many countries and even in states within the United States. Where it is legislated against, the degree of prohibition also varies.

The Food and Drug Administration (FDA) in the United States is a federal agency responsible for protecting and promoting public health through the regulation and supervision of food safety, tobacco products, dietary supplements, prescription and over-the-counter medications, vaccines, biopharmaceuticals, blood transfusions, medical devices, electromagnetic radiation emitting devices, cosmetics, animal foods{{cite web|url=https://www.fda.gov/AnimalVeterinary/Products/AnimalFoodFeeds/default.htm|title=Animal Food & Feeds|website=Fda.gov|access-date=14 March 2015|url-status=dead|archive-url=https://web.archive.org/web/20150322105837/https://www.fda.gov/AnimalVeterinary/Products/AnimalFoodFeeds/default.htm|archive-date=22 March 2015}} and veterinary drugs.

In India, the Narcotics Control Bureau (NCB), an Indian federal law enforcement and intelligence agency under the Ministry of Home Affairs, is tasked with combating drug trafficking and assisting international use of illegal substances under the provisions of Narcotic Drugs and Psychotropic Substances Act.{{Cite web|date=2009-04-10|title=Narcotics Control Bureau|url=http://narcoticsindia.nic.in/Aboutus.htm|access-date=2020-09-12|archive-url=https://web.archive.org/web/20090410074217/http://narcoticsindia.nic.in/Aboutus.htm|archive-date=2009-04-10}}

See also

=Lists of drugs=

References

{{Reflist}}

Further reading

  • {{cite book |author=Richard J. Miller |title=Drugged: the science and culture behind psychotropic drugs |publisher=Oxford University Press |date=2014 |isbn=978-0-19-995797-2}}