Arteriosclerosis and Hypertension, with Chapters on Blood Pressure: 3rd Edition.Warfield, Louis M. (Louis Marshall)
Science
Arteriosclerosis and Hypertension, with Chapters on Blood Pressure: 3rd Edition.
Warfield, Louis M. (Louis Marshall)
Arteries -- Diseases; Blood pressure
It has long been thought that the iodides have some specific effect on
the advancing arteriosclerosis, checking its spread, if not really
aiding nature to a limited restoration of the diseased arteries. It is
possible that the eulogies upon the iodides owe their origin to the
successful treatment of syphilitic arteriosclerosis, in which condition
these drugs have a specific action. However that may be, there is no
doubt that the administration of sodium or potassium iodide is good
therapeutics in cases of arteriosclerosis.
Unfortunately many persons have such irritable stomachs that they can
not take the iodides, even though they be diluted many times. They may
be made less irritating by giving them with essence of pepsin. Unless
the case is syphilitic, it is doubtful whether it is of value to
increase the dose gradually until a dram or even more is taken three
times daily after meals. Usually a maximum dose of ten grains seems to
be quite sufficient. This may be taken three times a day, well diluted,
for three months. There follows a month's rest, then the treatment is
resumed for another period of three months, and so on. Either sodium or
potassium iodide in saturated solution may be given. The sodium salt is
possibly less irritating, and contains more free iodine than the
potassium salt, although the latter is more generally used. The
strontium iodide may also be used.
One sees a patient now and then who can not take the iodides, however
they may be combined. For such patients one may obtain good results with
iodopin, sajodin, or other of the preparations put up by reputable
firms. Personally I have never yet seen a patient who could not take the
ordinary iodides in some form or other, and I am opposed to ready made
drugging.
The action of the iodides is to lower the blood pressure, and they are
of greatest value when the blood pressure is high, and when headache and
precordial pain are present.
When the case is moderately advanced, very mild doses, gr. 1/2, morning
and evening, of the thyroid extract may be given. It is generally
believed that the internal secretion of the thyroid and the adrenal are
antagonistic. That the thyroid secretion lowers blood pressure in
certain forms of hypertension is certain, possibly on account of its
iodine content. Some combinations of iodine and thyroid such as the
iodothyroidin have been used and have had some measure of success
attributed to them.
Public-domain text, read in full here on John Shaqi.
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