http://www.youtube.com/watch?v=W1mX19q7RWE&feature=player_embedded
大家可以先看看這個連結,這則新聞報導,指出了現在還是有部份不肖藥局持續販售管制藥品(安眠藥),來源不明,藥名也不敢講,閃爍其詞,請問這樣的藥物,你敢買嗎?就算藥物品質沒有問題,吃進妳的身體裡面妳就放心嗎?藥房的老闆會願意為你的身體健康負責嗎?他們這些無良商人真的會替你擔心未來長期藥物成癮,藥物依賴嗎?
但我會,所以不管是初診從未接觸過安眠藥,或是因為長期由不當管道取得安眠藥而不幸藥物成癮的受害者,來到診間只要開立這些藥物,我一定會強調長期服用的成癮性和依賴性,需要謹慎使用,並且根據病情擬定治療計畫,在一次次的回診過程裡不斷檢視這些問題。
"幹嘛這麼麻煩,不過就是個安眠藥嘛..."
一定有人會這樣講,也就是這種輕忽的心態讓這樣的不肖業者依然有利可圖。以不合理的價位售出牟取暴利,等待患者成癮無法自拔後,就可以持續吸血,這樣的行為,不就是販毒嗎?
當然,安眠藥物和毒品是不同的,新聞報導裡也常常誤用 "第三四級毒品" 這個名稱,在專業者看來,雖然知道他們是指 "第三四級管制藥物" ,但這種錯誤使用,不管是來自於新聞業者專業性不足或是蓄意的危言聳聽譁眾取寵,會導致不了解民眾過度的恐慌,諱疾忌醫。以下簡單解釋一下管制藥物與毒品的差別。
管制藥物,我們來看看法條的規定
本條例所稱管制藥品,係指下列藥品:
一、 成癮性麻醉藥品。 二、 影響精神藥品。 三、 其他認為有加強管理必要之藥品。
前項管制藥品限供醫藥及科學上之需用,依其習慣性、依賴性、濫用性 及社會危害性之程度,分四級管理;其分級及品項,由中央衛生主管機關 設置管制藥品審議委員會審議後,報請行政院核定公告之。
意思就是,不只會成癮的藥物,只要是需要加強管理的藥物,就會被納入管制藥物而可以監督其使用,而管理的重點在於-不是不能使用,而是需要謹慎使用。那甚麼是毒品,毒品和管制藥物有何不同呢?簡單說來,毒品的前提是必須有成癮性,且可以分為兩類,第一種是"毫無治療用途",意思就是,醫師不可能會處方這種化學物質(根本連藥品都稱不上),如LSD,Cocaine。而第二種是 "雖有治療用途,卻不當使用" 。當安眠藥被開來治療失眠,就不是毒品,是一種需要謹慎使用的治療用藥物。甚至嗎啡對於癌末病人的止痛,可以維持他們臨終時的生活品質,只要不是不當使用,就不是毒品。
所以,管制藥物,若不當使用,就可以稱為毒品。
當我們在回頭來看這個新聞所爆出來的違法行徑,藥局的老闆並沒有開立管制藥物的權利 ,甚至連醫師若沒有管制藥品使用憑證,診所沒有聲請管制藥品使用執照,都不能開例管制藥物。當然這個藥局老闆違法,買到的藥物就是毒品,那,你真的想買嗎?

*****
說到藥局 我想到一件事 之前曾經聽過有人說 開藥局如果做良心的就沒錢賺 想要賺錢那就沒良心吧!! 希望我可以乖乖等到回診時間才去找你唷~
妳可以的。
洪凱駖藥師~ Solving a long-standing mystery about the desert’s rock art canvas Petroglyphs are carved in a material called rock varnish, the origins of which have been debated for years. Now, scientists argue it’s the result of bacteria and an adaptation that protects them from the desert sun’s harsh rays. By Nathan Collins 5923141600_1bc3f25867_k.jpg Rock art featuring human and animal forms and handprints Petroglyphs at Mesa Verde National Park, Colorado (Christine Fry & Peter Russo) Wander around a desert most anywhere in the world, and eventually you’ll notice dark-stained rocks, especially where the sun shines most brightly and water trickles down or dew gathers. In some spots, if you’re lucky, you might stumble upon ancient art – petroglyphs – carved into the stain. For years, however, researchers have understood more about the petroglyphs than the mysterious dark stain, called rock varnish, in which they were drawn. In particular, science has yet to come to a conclusion about where rock varnish, which is unusually rich in manganese, comes from. Now, scientists at the California Institute of Technology, the Department of Energy’s SLAC National Accelerator Laboratory and elsewhere think they have an answer. According to a recent paper in Proceedings of the National Academy of Sciences, rock varnish is left behind by microbial communities that use manganese to defend against the punishing desert sun. The mystery of rock varnish is old, said Usha Lingappa, a graduate student at Caltech and the study’s lead author. “Charles Darwin wrote about it, Alexander von Humboldt wrote about it,” she said, and there is a long-standing debate about whether it has a biological or inorganic origin. But, Lingappa said, she and her colleagues didn’t actually set out to understand where rock varnish comes from. Instead, they were interested in how microbial ecosystems in the desert interact with rock varnish. To do so, they deployed as many techniques as they could come up with: DNA sequencing, mineralogical analyses, electron microscopy, and – aided by Stanford Synchroton Radiation Lightsource (SSRL) scientist Samuel Webb – advanced X-ray spectroscopy methods that could map different kinds of manganese and other elements within samples of rock varnish. “By combining these different perspectives, maybe we could draw a picture of this ecosystem and understand it in new ways,” Lingappa said. “That’s where we started, and then we just stumbled into this hypothesis” for rock varnish formation. Among the team’s key observations was that, while manganese in desert dust is usually in particle form, it was deposited in more continuous layers in varnish, a fact revealed by X-ray spectroscopy methods at SSRL that can tell not only what chemical compounds make up a sample but also how they are distributed, on a microscopic scale, throughout the sample. That same analysis showed that the kinds of manganese compounds in varnish were the result of ongoing chemical cycles, rather than being left out in the sun for millennia. That information, combined with the prevalence of bacteria called Chroococcidiopsis that use manganese to combat the oxidative effects of the harsh desert sun, led Lingappa and her team to conclude that rock varnish was left behind by those bacteria. For his part, Webb said that he always enjoys a manganese project – “I’ve been a mangaphile for a while now” – and that this project arrived at the perfect time, given advances in X-ray spectroscopy at SSRL. Improvements in X-ray beam size allowed the researchers to get a finer-grained picture of rock varnish, he said, and other improvements ensured that they could get a good look at their samples without the risk of damaging them. “We’re always tinkering and fine-tuning things, and I think it was the right time for a project that maybe 5 or 10 years ago wouldn’t really have been feasible.” The research was supported by the National Science Foundation, the National Institutes of Health and the National Aeronautics and Space Administration. SSRL is a DOE Office of Science user facility. Citation: Usha F. Lingappa et al., Proceedings of the National Academy of Sciences, 22 June 2021 (10.1073/pnas.2025188118) For questions or comments, contact the SLAC Office of Communications at communications@slac.stanford.edu. SLAC is a vibrant multiprogram laboratory that explores how the universe works at the biggest, smallest and fastest scales and invents powerful tools used by scientists around the globe. With research spanning particle physics, astrophysics and cosmology, materials, chemistry, bio- and energy sciences and scientific computing, we help solve real-world problems and advance the interests of the nation. SLAC is operated by Stanford University for the U.S. Department of Energy’s Office of Science. The Office of Science is the single largest supporter of basic research in the physical sciences in the United States and is working to address some of the most pressing challenges of our time. X-ray Science X-ray Spectroscopy Stanford Synchrotron Radiation Lightsource (SSRL)
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