Drugs
How
much do you know about drugs? I recently shadowed a junior doctor on a
busy medical ward. Several patients were users, but the doctor seemed
at a loss to know how to deal with these patients' problems.
Everyone was relieved when the drug team worker arrived and suggested
how best to manage them.
People who
use drugs need to be aware of the risks that they take, but health
professionals too need access to independent, high quality, and up to
date information to be able to advise
patients.
"Drugs are illegal;
talking about them isn't," says
www.talktofrank.com-and the approach is brutally frank. Although
this site is primarily designed to offer advice to young people, it is
a good starting point for health professionals. The A to Z of drugs is
both comprehensive and informative; did you know amyl
nitrate-"poppers"-burn the skin? The site also
has a confidential email service (ask Frank); you are guaranteed a
response to any question related to drugs within 24
hours.
Drugscope
(www.drugscope.org.uk) claims to be the United Kingdom's leading
independent centre of expertise on drugs. This site is different but
equally impressive, aimed at professionals working in the field of
drugs. The homepage is a little overwhelming, but the site provides
comprehensive resources, including details of numerous publications and
policy papers on issues related to
drugs.
The colours at
www.elisad.uni-bremen.de/startpage.php may make
your head spin, but this pan-European project is superb. It has
reviewed hundreds of drugs advice websites from 32 countries and given
each a rating. You can search by country or category (for
example-research, services, or policy). The site is a little
difficult to navigate but well worth the
effort.
If you are interested in
sport, take a look at www.drugsinsport.net, which covers worldwide
stories relating to doping scandals. This site is clear and unfussy
site with links to newspaper articles and heavyweight reports, such as
those about detection of the banded steroid
nandrolone.
The World
Health Organization's substance dependence site
(www.who.int/substance_abuse) offers the sort of
authoritative resource that you would expect from this international
body. Accessible in English, French, and Spanish, the site gives
details of the organisation's global activities in this area. The
site covers alcohol and smoking as well as other drugs because the
organization is not concerned with legal status, but with the
negative impact of drugs on health. The site has everything from
detailed epidemiological data to publications on the neuroscience
behind
dependence.
Bruno Rushforth, final year medical student, University of Manchester
Email: b.j.rushforth@stud.man.ac.uk
studentBMJ 2004;12:89-132 March ISSN 0966-6494