Symptoms and signs of substance misuse / Margaret Stark, LLM MSc (Med Ed), FFFLM, FACBS, FHEA, FACLM, FRCP, FRCP, DGM, DMJ, DAB, Adjunct Professor, Central Clinical School, Disipline of Medicine and Sydney Forensic, Medicine and Science Network, University of Sydney ; Director, Clinical Forensic Medicine Unit, NSW Police Force, Sydney, Australia; Founding Academic Dean, Faculty of Forensic and Legal Medicine, Royal College of Physicians of London, UK, Jason Payne-James, LLM< MSc, FFFLM, FFSoc, FRC(Ed & Eng), DFM, Mediator, Specialist in Forensic and Legal Medicine; Honorary Senior Leceturer, Cameron Forensic Medicial sciences, Barts and the London Medical and Dental School, London; Director, Forensic Healthcare Services Ltd, Leigh-on-Sea, UK, Michael Scott-Ham, BSc, MFSSoc, Committee member of United Kindgom and Ireland Association of Forensic Toxicologists; Member of Society of Forensic Toxicologists ; Member of The International Association of Forensic Toxicologist; Senior Associate Member Royal society of Medicine ; Forensic Toxicology Consultant; Director of Principal Forensic Toxicology and Drugs Consultancy Ltd, London; Director of Principal Forensic Services Ltd, London, UK.

"INTRODUCTION Misuse of both illicit and licit drugs is widespread on a global and massive scale. The term substance misuse is a general term to describe the misuse of drugs. All drugs (those legally obtained or prescribed and those illegally supplied) including alcohol and tobacco have the potentia...

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