The science of using drugs to treat behavioral disorders is
described here in perfect detail. From the beginning, the author is clear that
the drugs effect the brain differently, and while you’ll be impulse to say “well
duh!” listen to this; a low dose of Epinephrine will make your blood pressure
drop, but a higher dose will increase it. This is one of the tricky factors in
prescribing medications to a patient. The dosage has to be carefully monitored,
because not all drugs have the “greater dose, greater effect.”
The chapter on hallucinogens was interesting because it
discusses the notion of “absorption” in the effects of the drugs. Mescaline,
for instance, doesn’t get digested by the liver, so the effects last longer.
Others, like PCP, have few problems with absorption, but create more delirium than anesthesia,
which is why it was taken off the market. Then again, there have been many
drugs that didn’t work. Anybody remember Thalidomide?
Though I think this is a wonderful book, I would like to
have seen some photos of how patients are effected by the drugs. While this
book is a serious piece of medical literature, it could also be formatted for
the less “educated” crowd, and become a rather entertaining book on drugs. I
can just see a version of this book titled Meds
and full of stylish illustrations of all the medications described in this
book.
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