{"id":33241,"date":"2015-01-29T11:47:46","date_gmt":"2015-01-29T10:47:46","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=33241"},"modified":"2015-01-29T15:29:47","modified_gmt":"2015-01-29T14:29:47","slug":"how-much-do-you-know-about-mind-altering-drugs","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2015\/01\/29\/how-much-do-you-know-about-mind-altering-drugs\/","title":{"rendered":"The BMJ Today: How much do you know about mind altering drugs?"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/06\/tiago_villanueva.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-31867\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/06\/tiago_villanueva-150x110.jpg\" alt=\"tiago_villanueva\" width=\"150\" height=\"110\" \/><\/a>Martin Mckee, <a href=\"http:\/\/en.wikipedia.org\/wiki\/Martin_McKee\">a prominent public health academic<\/a> and a prolific writer for\u00a0<em>The BMJ<\/em>, is <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h421\">featured this week in the always entertaining BMJ Confidential<\/a>. As professor of European public health at the London School of Hygiene and Tropical Medicine, his work has had worldwide impact. He is constantly travelling around the world because of his work, and admits that he has always had an interest in foreign countries since he was a child. After doing the Interrail when he was 15 and visiting Greece and the Balkans, he never stopped travelling.<!--more--><\/p>\n<p>Actually, many of our readers, particularly in Greece, may relate to his pet hate: \u201cPoliticians who treat us like idiots, closely followed by sycophantic interviewers who fail to hold them to account.\u201d If he was invisible for a day, he would love to peek into the decision making processes of the UK\u2019s security services to \u201cexclude the possibility that they are under the influence of mind altering drugs.\u201d<\/p>\n<p>In fact, <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h299\">we recently published an endgames case report<\/a>, which looks at a 17 year old male who presented to the emergency department with severe headache, vomiting, and an altered state of mind. The attending doctors suspected an acute intoxication by a substance of misuse. Unfortunately, conventional immunoassay drug screening tests are not able to detect many psychoactive substances, which include some emerging drugs of misuse unfamiliar to most doctors, such as synthetic cannabinoids, synthetic cathinones, piperazines, phenethylamines, tryptamines, phencyclidine derivatives, as well as various plant derived psychoactive substances.<\/p>\n<p>A blood specimen was eventually sent for gas chromatography and revealed the presence of two synthetic cannabinoids, which alongside cathinones, are the emerging drugs of misuse most commonly seen in clinical practice\u2014and also possibly the most dangerous.<\/p>\n<p>I\u2019d also like to point out that we\u2019re currently accepting submissions for a new series of endgames case reports and picture quizzes, which will be aimed at the educational needs of doctors working in primary care. So if you\u2019re interested in writing one, please do get in touch with me.<\/p>\n<p>In India, the trend of\u00a0<a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h397\">injecting synthetic opioid analgesics has been growing fast<\/a> over the past 20 years, with moderately potent opioids\u2014such as buprenorphine, nalbuphine, dextropropoxyphene, and dicycloverine\u2014being diverted and trafficked for misuse.<\/p>\n<p>It doesn\u2019t help that access to opioid substitution therapy and government support is poor, and that there is a harrowing stigma attached to injecting drug users.\u00a0Doctors also lack training in this area, so we hope that raising awareness in a new feature article will be a good starting point to help change the status quo.<\/p>\n<p>I\u2019ve been talking until now mostly about mind altering drugs, but as a doctor, have you ever felt the need to engage in a \u201cmind altering\u201d experience, be it learning a new language, travelling the world, doing voluntary work, or pursuing a long lasting passion\u00a0such as\u00a0dance or music? <a href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/01\/28\/rebecca-stout-to-apply-or-not-to-apply-why-some-junior-doctors-are-taking-years-out-instead-of-going-straight-into-training\/\">Rebecca Stout thinks that there are many reasons<\/a> to take a break for one or more years early on in your medical career. She describes her reasons in <a href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/01\/28\/rebecca-stout-to-apply-or-not-to-apply-why-some-junior-doctors-are-taking-years-out-instead-of-going-straight-into-training\/\">a new BMJ blog<\/a>, and boy, they seem pretty convincing to me.<\/p>\n<p><em>Tiago Villanueva is assistant editor, <\/em>The BMJ<em>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Martin Mckee, a prominent public health academic and a prolific writer for\u00a0The BMJ, is featured this week in the always entertaining BMJ Confidential. As professor of European public health at [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/01\/29\/how-much-do-you-know-about-mind-altering-drugs\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5750,2246],"tags":[],"class_list":["post-33241","post","type-post","status-publish","format-standard","hentry","category-the-bmj-today","category-tiago-villanueva"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The BMJ Today: How much do you know about mind altering drugs? - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/01\/29\/how-much-do-you-know-about-mind-altering-drugs\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The BMJ Today: How much do you know about mind altering drugs? - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Martin Mckee, a prominent public health academic and a prolific writer for\u00a0The BMJ, is featured this week in the always entertaining BMJ Confidential. As professor of European public health at [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2015\/01\/29\/how-much-do-you-know-about-mind-altering-drugs\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2015-01-29T10:47:46+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2015-01-29T14:29:47+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/06\/tiago_villanueva-150x110.jpg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/01\\\/29\\\/how-much-do-you-know-about-mind-altering-drugs\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/01\\\/29\\\/how-much-do-you-know-about-mind-altering-drugs\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"The BMJ Today: How much do you know about mind altering drugs?\",\"datePublished\":\"2015-01-29T10:47:46+00:00\",\"dateModified\":\"2015-01-29T14:29:47+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/01\\\/29\\\/how-much-do-you-know-about-mind-altering-drugs\\\/\"},\"wordCount\":539,\"commentCount\":1,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/01\\\/29\\\/how-much-do-you-know-about-mind-altering-drugs\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2014\\\/06\\\/tiago_villanueva-150x110.jpg\",\"articleSection\":[\"The BMJ today\",\"Tiago Villanueva\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/01\\\/29\\\/how-much-do-you-know-about-mind-altering-drugs\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/01\\\/29\\\/how-much-do-you-know-about-mind-altering-drugs\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/01\\\/29\\\/how-much-do-you-know-about-mind-altering-drugs\\\/\",\"name\":\"The BMJ Today: How much do you know about mind altering drugs? 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