Topic 15: Drugs

Cambridge IGCSE 0610 / 0970 · 6 min read

A medicine that cures an infection and a substance that damages your lungs can both be called drugs. In biology a drug has a precise meaning, and the same molecule can heal or harm depending on how it is used. This topic looks at useful drugs like antibiotics, the growing problem of resistance, and the serious effects of two widely used legal drugs – alcohol and the chemicals in tobacco smoke.

What is a drug?

A drug is any substance taken into the body that modifies or affects chemical reactions in the body. This definition covers helpful medicines as well as harmful or addictive substances.

The key idea is that drugs change how the body works at a chemical level – the effect may be beneficial, harmful, or both.

Antibiotics and resistance

Antibiotics are drugs that kill bacteria or stop them growing, used to treat bacterial infections. They do not work against viruses, so they cannot cure illnesses like the common cold or flu.

To slow this, patients should complete the full course of antibiotics and doctors should avoid prescribing them unnecessarily.

Alcohol and tobacco

Two legal but harmful drugs are tested often in exams.

Smoking also damages the cilia and the alveoli, leading to bronchitis and emphysema and increasing the risk of coronary heart disease.

Key terms

Drug
Any substance taken into the body that modifies or affects chemical reactions in the body.
Antibiotic
A drug that kills bacteria or stops them growing, used to treat bacterial infections.
Antibiotic resistance
The ability of some bacteria to survive antibiotics, which spreads by natural selection.
Depressant
A drug, such as alcohol, that slows down the activity of the nervous system.
Cirrhosis
Liver damage caused by long-term heavy alcohol use.
Nicotine
The addictive drug found in tobacco smoke.
Carbon monoxide
A gas in tobacco smoke that reduces the oxygen-carrying capacity of the blood.
Tar
A carcinogen in tobacco smoke that can cause lung cancer.

Exam technique

Quick check
Why do antibiotics fail to treat the common cold?
  1. The cold is caused by a virus, not bacteria
  2. Antibiotics only work on large bacteria
  3. The dose is always too small
  4. Antibiotics are destroyed by stomach acid
Show answer
Answer: A. Antibiotics only kill or stop bacteria, and the common cold is caused by a virus, so they have no effect.

Test yourself

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