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June 22,
2004 NRC REPORT:
ETHICS OF NEW DRUG TREATMENTS A report from the National
Research Council and the Institute of Medicine says a new generation
of drug addiction treatments will have widespread social, ethical and
behavioral implications that should be studied before these therapies
become part of standard medical treatment. The new treatments
are immunotherapies and sustained-release medications. Still
in the
theoretical and testing stages, these new therapies
would last longer than current anti-addiction medications and interact
with drugs before they have a chance to reach the brain. In some
cases, the effect might be similar to an anti-drug “vaccination” or
a way to treat addiction as a long-term, manageable illness. At the very
least, the therapies “will require the historically
separate systems of medical care and addiction treatment to forge
new partnerships to ensure that both medication and integrated
psychosocial services are available to those in need,” according
to report editors Henrick J. Harwood and Tracy G. Myers, Ph.D. But could
these new treatments find an off-label use by parents who want
to inoculate
their children against drug addiction? Would
they be prescribed to pregnant women as a preventive medicine?
Could they be administered to incarcerated individuals? The report, “New
Treatments for Addiction: Behavioral, Ethical, Legal, and Social
Questions,” recommends that the National Institute of Drug
Abuse begin immediate funding of research to study these and other
issues. For instance, the treatments may leave long-term markers in the
blood that could be used to identify people who may have received
the treatment in the past but are now drug-free. The markers could
make addicts reluctant to seek the treatment out of fear of future
employment and health insurance discrimination. The report also suggests the possibility that drug use might become
more common once these treatments are available, since they could
make the effects of drugs seem more manageable and less life-threatening.
The treatments could also reduce the number of current abusers
so drastically that drug dealers would aggressively pursue new
clients, the report notes. To read the
report, “New Treatments for Addiction: Behavioral,
Ethical, Legal and Social Questions,” go here. |
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