[Cocaine, in The Affair at the Victory Ball].

The Affair at the Victory Ball is a short story that depicts a murder case involving cocaine use and also portrays the symptoms of cocaine addiction. Cocaine was once used as an anesthetic for surgeries involving the eyes and nose and was even an ingredient in Coca-Cola in the late 19th century in the United States. As concerns about drug contamination increase in Japan, it is important to examine the content of the work and address the current scenario and risks associated with cocaine addiction. Furthermore, it is crucial to discuss the necessity of collaboration between medical institutions and government authorities in addressing this issue.

Burnett's "Cocaine" for dandruff.

Joseph Burnett manufactured the diethyl ether used for William T.G. Morton's public demonstration of inhaled surgical anesthesia on October 16, 1846 (Ether Day). A later Burnett product was a hairdressing oil claimed to prevent baldness and dandruff. It contained cocoa-nut oil and was called Cocoaine. In 1902 and 1903, it was sometimes advertised as Burnett's Cocaine (rather than Cocoaine), possibly to emulate the economic success of coca-based beverages such as Vin Mariani and Coca-Cola. Coca leaves are now decocainized before use in preparation of Coca-Cola, and the recovered cocaine is used for scientific and dwindling medical purposes.

Intravenous Regional Anesthesia: A Historical Overview and Clinical Review.

Intravenous regional anesthesia (IVRA) is an established, safe and simple technique, being applicable for various surgeries on the upper and lower limbs. In 1908, IVRA was first described by the Berlin surgeon August Bier, hence the name "Bier's Block". Although his technique was effective, it was cumbersome and fell into disuse when neuroaxial and percutaneous plexus blockades gained widespread popularity in the early 20th century. In the 1960s, it became widespread, when the New Zealand anesthesiologist Charles McKinnon Holmes praised its use by means of new available local anesthetics. Today, IVRA is still popular in many countries being used in the emergency room, for outpatients and for high-risk patients with contraindications for general anesthesia. IVRA offers a favorable risk-benefit ratio, cost-effectiveness, sufficient muscle relaxation and a fast on- and offset. New upcoming methods for monitoring, specialized personnel and improved emergency equipment made IVRA even safer. Moreover, IVRA may be applied to treat complex regional pain syndromes. Prilocaine and lidocaine are considered as first-choice local anesthetics for IVRA. Also, various adjuvant drugs have been tested to augment the effect of IVRA, and to reduce post-deflation tourniquet pain. Since major adverse events are rare in IVRA, it is regarded as a very safe technique. Nevertheless, systemic neuro- and cardiotoxic side effects may be linked to an uncontrolled systemic flush-in of local anesthetics and must be avoided. This review gives a historical overview of more than 100 years of experience with IVRA and provides a current view of IVRA with relevant key facts for the daily clinical routine.

The disease of Sigmund Freud: oral cancer or cocaine-induced lesion?

PURPOSE: Sigmund Freud, the father of modern psychoanalysis, suffered from what was considered to be a malignant tumour spreading from the back of his palate. He underwent numerous surgical interventions and radiation therapy over the course of 16 years. Such a long survival casts a shadow of doubt on the diagnosis of oral cancer that was given to Freud. METHODS: The book "Freud: Living and Dying", in which the personal physician of Freud described in detail his patient's fight with oral cancer, was reviewed. Current and past evidence, as well as epidemiological data, on oral cancer and cocaine-induced midline destructive lesions were also reviewed. RESULTS: Tobacco and cocaine are both responsible for oral lesions and Freud was a dedicated cigar smoker as well as a user and defender of cocaine. Freud's medical records indicate that the main cause of Freud's oral disease was excessive smoking. On the other hand, the diagnosis of oral cancer does not seem to be entirely consistent with the 16-year-long survival of Freud. Freud used cocaine regularly in the 1890s, as reported by his personal physician, and it is possible that he continued taking it beyond that time period without feeling the need to inform his doctor. CONCLUSIONS: It is possible that the lesion that progressively and very slowly eroded the splanchnocranial structures of Freud was not a bona-fide cancerous malignancy, but rather, the necrotizing effect of cocaine use that has been previously reported to be responsible for some massive facial destructive lesions.

Cocaine and Achieving Rapid Pulpal Anesthesia Prior to Extirpation.

Prior to the effective use of local anesthetics to achieve profound pulpal anesthesia before extirpation, whether in the form of a nerve block or infiltration, or in some cases the use of intrapulpal injections,1, 2 the clinician was faced with a challenge to ensure that the patient would be pain free during the procedure. In these cases the use of nitrous oxide and oxygen was common. Not so common was the use of cocaine or a solution of cocaine hydrochloride that was advocated to penetrate the dentinal tubules and create pulpal insensibility in the late 1800s.3, 4.

DARK Classics in Chemical Neuroscience: Cocaine.

In this Review, we consider the story of cocaine from its humble origins in South America to its status as one of the most abused substances in 21st century society. The synthesis and biosynthesis of cocaine are discussed, as well as its pharmacokinetics, metabolism, pharmacology, and importance in modern neuroscience and molecular imaging.

The DARK Side of Total Synthesis: Strategies and Tactics in Psychoactive Drug Production.

Humankind has used and abused psychoactive drugs for millennia. Formally, a psychoactive drug is any agent that alters cognition and mood. The term "psychotropic drug" is neutral and describes the entire class of substrates, licit and illicit, of interest to governmental drug policy. While these drugs are prescribed for issues ranging from pain management to anxiety, they are also used recreationally. In fact, the current opioid epidemic is the deadliest drug crisis in American history. While the topic is highly politicized with racial, gender, and socioeconomic elements, there is no denying the toll drug mis- and overuse is taking on this country. Overdose, fueled by opioids, is the leading cause of death for Americans under 50 years of age, killing ca. 64,000 people in 2016. From a chemistry standpoint, the question is in what ways, if any, did organic chemists contribute to this problem? In this targeted review, we provide brief historical accounts of the main classes of psychoactive drugs and discuss several foundational total syntheses that ultimately provide the groundwork for producing these molecules in academic, industrial, and clandestine settings.

Miracle or Menace?: The Arrival of Cocaine 1860-1900.

The arrival of cocaine was the formative episode in the modern understanding of the benefits and dangers of neurostimulants. European culture and medicine had historically been poor in stimulant plants and drugs. When coca and cocaine appeared in nineteenth-century Europe, doctors, pharmacists, and the public struggled to understand their benefits and risks, and to formulate a distinction between use and abuse.

[From the legacy of Carl Koller. Notations on his experiments with cocaine]. / Aus dem Nachlass von Carl Koller: Aufzeichnungen zu seinen Experimenten mit Kokain.

The history of local anesthesia began with the discovery of the anesthetic properties of cocaine by the physician Carl Koller from Vienna 130 years ago. After he had realized the options for painless surgery using this substance, he analyzed cocaine in detail from this point of view and evaluated the drug's significance in animal experiments, in self-experiments and in colleagues. The findings of his experiments were accurately recorded by Koller and after his death remained in the possession of the family for a long time until his daughter Hortense Becker-Koller handed these documents over to the Library of Congress in Washington. These recordings were recently studied and will now be presented to the public for the first time ever.

Local anaesthesia through the action of cocaine, the oral mucosa and the Vienna group.

Local anaesthesia through the action of cocaine was introduced in Europe by the Vienna group, which includeed Freud, Koller and Königstein. Before using the alkaloid in animal or human experimentation all these scientists tested it on their oral mucosa - so-called self-experimentation. Some of them with different pathologies (that is, in the case of Freud), eventually became addicted to the alkaloid. Here we attempt to describe the people forming the so-called 'Vienna group', their social milieu, their experiences and internal disputes within the setting of a revolutionary discovery of the times.

O problema do crack: emergência, respostas e invenções sobre o uso do crack no Brasil / The problem of crack: emergency responses and inventions about crack use in Brazil

Esta pesquisa pretende analisar o problema do uso de crack atual no Brasil, a partir de uma fundamentação histórica sobre a emergência das diferentes formas de uso da cocaína e posteriormente do crack e de outros tipos de cocaínas fumáveis. O uso da folha de coca na região andina remonta há mais de 4500 anos, enquanto a cocaína refinada começou a ser utilizada logo após a segunda metade do século XIX em países europeus e americanos. As cocaínas fumáveis começam a ser consumidas na década de 70, com o freebase nos Estados Unidos e a pasta base de cocaína nos países andinos produtores. O crack surge no início da década de 80 nos EUA. No Brasil, os primeiros relatos sobre o uso do crack são de 1989 em bairros da zona leste de São Paulo. Houve um aumento do consumo ao longo da década de 90 na cidade e no estado de São Paulo. Levantamentos feitos na década de 2000 demonstraram um aumento na percentagem do consumo de crack no Brasil, chegando a 0,7 por cento da população brasileira em 2005. Exploramos nesta pesquisa o perfil dos usuários e os contextos e efeitos do consumo de crack, constatando que fatores como a ilegalidade da substância, a marginalização e estigmatização de uma parcela dos usuários e sua vulnerabilidade social influenciam profundamente na sua saúde. Analisamos as práticas de segregação de usuários de crack atualmente em vigor, que se contrapõem às práticas de cuidado, como as estratégias de redução de danos. Defendemos o fortalecimento e multiplicação dos dispositivos de cuidado no âmbito do SUS, como os Centros de Atenção Psicossocial para Álcool e Drogas. Problematizamos a atual condução internacional e nacional da política de drogas, assim como as políticas de cuidado aos usuários conduzidas por alguns governos municipais, estaduais e pelo governo federal. Levantamos algumas experiências internacionais que poderiam ser implementadas no Brasil a fim de minimizar os danos e riscos do uso prejudicial de crack.

Carl Koller, cocaine, and local anesthesia: some less known and forgotten facts.

Modern-day local anesthesia began in 1884 with a discovery by a young unknown ophthalmologist from Vienna named Carl Koller, who placed a cocaine solution on the cornea, thus producing insensibility. The news of his discovery spread throughout the world in less than a month. "Not surprisingly," a controversial priority discussion emerged. There is little information about this "dark side" of Koller's discovery and only sparse data about the personalities involved in this controversy. In addition, Carl Koller's decision to leave Vienna is also surrounded in secrecy. The story surrounding the revelation of the local anesthetic effect of cocaine and the personalities involved is fascinating and relatively unknown.

The surgeons Halsted and Hall, cocaine and the discovery of dental anaesthesia by nerve blocking.

William Stewart Halsted is considered to be one of the most influential and innovative surgeons the USA has ever produced. His contributions to surgery are abundant, ranging from sophisticated surgical techniques in the field of breast surgery, surgery of the digestive apparatus and traumatological interventions, to the introduction of gloves in the operating theatre. Here we present Dr Halsted, together with his aide Dr Hall, as the discoverers of the technique for blocking the inferior alveolar nerve and the antero-superior dental nerve using cocaine as an anaesthetic. The anaesthetic technique, described perfectly by both surgeons in 1885, has been revolutionary in the practice of odontology since its introduction, offering dentists the possibility of performing invasive interventions to the maxillary without pain.