Miyerkules, Hulyo 5, 2017

R.A. 9165 Comprehensive Dangerous Drugs Act of 2002 For Students in Dentistry

R.A. 9165 Comprehensive Dangerous Drugs Act of 2002

For Students in Dentistry

§  The Comprehensive Dangerous Drugs Act of 2002 or Republic Act No. 9165 is a consolidation of Senate Bill No. 1858 and House Bill No. 4433. It was signed into law by President Gloria Macapagal-Arroyo on January 23, 2002.
§  Unlawful Acts and Penalties
o   Section 5 The penalty of life imprisonment to death and a fine ranging from Five hundred thousand pesos (P500,000.00) to Ten million pesos (P10,000,000.00) shall be imposed upon any person, who, unless authorized by law, shall sell, trade, administer, dispense, deliver, give away to another, distribute dispatch in transit or transport any dangerous drug.
o   Section 8. The penalty of life imprisonment to death and a fine ranging Five hundred thousand pesos (P500,000.00) to Ten million pesos (P10,000,000.00) shall be imposed upon any person, who, unless authorized by law, shall engage in the manufacture of any dangerous drug.
o   Section 11. Possession of Dangerous Drugs. - The penalty of life imprisonment to death and a fine ranging from Five hundred thousand pesos to Ten million pesos shall be imposed upon any person, who, unless authorized by law, shall possess any dangerous drug
§  The following sections are list of most Common illegal drugs in the Philippines
o   Cannabis is the dried (marijuana) or processed (hashish) plant of Cannabis sativa, C. indica and C. ruderalis. It is a mild hallucinogen and relaxant and has been used for its medicinal and psychoactive effects for thousands of years (Section 11 RA 9165)
o   SHABU or Crystal methamphetamine hydrochloride is a synthetic amphetamine and potent central nervous system (CNS) stimulant. It is produced from ephedrine and pseudoephedrine by chemical reduction.
o   Ecstasy is a synthetic hallucinogenic amphetamine. Medically it is used by psychotherapists to treat post-traumatic stress disorder.
o   Mescaline is a psychedelic hallucinogenic drug of the phenethylamine family.
o   Cocaine is a crystalline tropane alkaloid obtained from the leaves of the coca plant.
o   Heroin or diacetylmorphine (Known as Opium Poppies) is a semi-synthetic opioid. It is synthesized from morphine by acetylation.
o   Gamma-hydroxybutryrate has been used as a general anesthetic agent and CNS depressant in the treatment of insomnia.

DENTAL EFFECTS OF illegal Drugs
There are some oral signs that although not unique, may provide clues to a history of substance use.
Ø  Many heroin users exhibit multiple carious teeth, particularly class V lesions. This is due to the drug induced xerostomia, poor diet and lack of oral hygiene.
Ø  Bruxism appears to be associated with both methamphetamine and ecstasy.
Ø  Crystal methamphetamine also increases caries rates and tooth loss as a crystalline cariogenic residue is left on the teeth after smoking, nasal or oral intake.
Ø  Ecstasy users jaw clenching and teeth grinding may lead to severe dental attrition.
Ø  Marijuana is the most likely illicit drug to be taken when attending the dental office. However, unlike alcohol, it does not produce any detectable odor on the breath or signs of intoxication.
Ø  Cocaine presents a potentially life threatening situation in the dental practice. The combination of cocaine use and a local anesthetic with vasoconstrictor may exacerbate a sympathetic response and the development of a hypertensive crisis or cardiac dysrhythmia. Twelve hours after cocaine use if the patient has no tachycardia, hypertension or agitation dental treatment or sedation may proceed.
Ø  Heroin and opiate users often complain that analgesics do not work. Nonsteroidal anti-inflammatory drugs should be used to manage discomfort as narcotics may cause relapse in recovering addicts.

References:
*      R.A. 9165 Comprehensive Dangerous Drugs Act of 2002

*      http://www.oralhealthgroup.com/features/recreational-illicit-drug-use/

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