By R.H.F. Manske (Eds.)
Listed below are a couple of bankruptcy titles; Narcotices and Anagesics; Cardoactive Alkaloids; breathing Stimulants andd Antimalarials
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Insomnia, changes in pulse rate, changes in temperature, and changes in blood red cell percentage can be detected for as long as 3 t o 4 months after withdrawal. The intensity of abstinence phenomena is dependent more on the dose of morphine the addict has been receiving than on any other single factor (53). 3 kg. ) 32 HUGO KRUEGER For assaying the intensity of abstinence on a day-to-day or hour-to-hour basis, Himmelsbach and Andrew (54) assigned the numerical values given in Table 2. The intensity of the abstinence syndrome is given by the sum of the points scored.
This condition has prevailed for some time because it is becoming increasingly difficult to secure undiluted drugs illegally and physicians are growing more and more reluctant t o furnish narcotics to addicts even when they might consider the cases to he worthy. Withdrawal schemes which involve purgation, hyoscine, belladonna, lecithin, blisters, auto-hemotherapy, and hypnosis are valueless and some are dangerous. Insulin was valueless in preventing or ameliorating abstinence signs and it increased the discomfort of addicts undergoing withdrawal.
After 25 days of addiction at the level of 60 mg. of heroin daily, 2 mg. of N-allylnormorphine sufficed to precipitate an abstinence syndrome comparable in intensity t o that produced by 15 mg. of iialline after 2 days of addiction. Following an increase in the daily dose of heroin, the abstinence syndrome evoked by a given dose of N-allylnormorphine diminished in severity; later, the same dose of N-allylnormorphine evoked more intense abstinence syndromes than a t previous heroin stabilization dose levels.