Citation

Ratelle AE. Proc. Am. Assoc. Automot. Med. Annu. Conf. 1969; 13: 360.

Copyright

(Copyright © 1969, Association for the Advancement of Automotive Medicine)

DOI

unavailable

PMID

unavailable

Abstract

The emotional structure of the alcoholic makes him a prime candidate for drug use and abuse. Some of these drugs are used initially by the classic alcoholic, with medical supervision, for the purpose of making him socially acceptable. The amphetamines, barbiturates, and tranquilizers are among the most common prescription drugs used.

Much the same as the alcoholic has difficulty in measuring or monitoring his alcoholic intake, he has difficulty controlling his capsule-pill schedule.

The absorption of any drug when taken in combination with alcohol is unpredictable, but usually accelerated. Effect on judgement and motor performance is also unpredictable, but always to a negative degree. Since many of these drugs are useful in the medical management of the alcoholic, the physician is confronted with a therapeutic paradox. Medications which are intended to tranquilize the patient may very well decrease motor performance and judgement. Drugs that make it easier for an alcoholic not to drink may, in terms of motor performance mimic his conduct while drinking. Sensory input and analysis in judgement formation are also influenced.

Awareness of this interplay of clinical and toxic effects places the physician in an active role in accident prevention.