This paper is formulated to discuss the issues of prescription drug control and dispensing, particularly as it relates to the problem of drug abuse in general, which is the purview of the Committee on Drugs, The issues are several: 1. The large morbidity and mortality associated with the use of prescription and nonprescription drugs in this country. 2. The issue of recreational use of drugs, most important numerically being alcohol, and the many other drugs which are both licit and illicit, primarily illicit. 3. The issue of drug addition and how to prevent and treat it. 4. The issue of law enforcement with regard to both illicit drugs and the diversion of licit drugs and the increasing mortality associated with the trafficking and law enforcement of drug abuse. 5. The issue of restricting the rational use of medicines. The question of whether a governmental system which totally proscribes certain drugs and provides extreme restrictions on the prescription of others will reduce deaths and morbidity is an open one. There seems little doubt that our country has extremely prohibitive and restrictive laws and yet has a huge mortality associated with distribution networks of illicit drugs and also more than ten thousand deaths a year from drug overdose.
本文旨在讨论处方药管控与配药问题,尤其是与一般药物滥用问题相关的方面,这属于药物委员会的职权范围。问题有以下几个:1. 在本国,使用处方药和非处方药会导致大量发病和死亡。2. 药物的娱乐性使用问题,从数量上来说最重要的是酒精,以及许多其他合法和非法药物,主要是非法药物。3. 药物成瘾问题以及如何预防和治疗。4. 关于非法药物和合法药物滥用的执法问题,以及与药物贩运和药物滥用执法相关的死亡率上升问题。5. 限制药物合理使用的问题。一个完全禁止某些药物并对其他药物的处方设置极端限制的政府系统是否会降低死亡率和发病率,这是一个有待探讨的问题。毫无疑问,我国拥有极其严格和限制性的法律,但非法药物分销网络仍导致大量死亡,每年还有一万多人死于药物过量。