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
Observations made with the sphygmomanometer[20] show that the effect of
nitroglycerin is transient or of no effect except in doses which are
relatively enormous (one drop of the one per cent solution given every
hour). Sodium nitrite may lower the blood pressure but the effects will
have worn off in two hours. It is the same with erythrol tetranitrate.
Sodium sulphocyanate in doses of from one to three grains three times a
day is highly recommended by some. My own experience with it does not
lead me to believe that it is of any great value in hypertension. It,
however, may be tried. Benzyl benzoate has been used recently to reduce
the high blood pressure of hypertension. Macht has reported some
success. In the author's hands it has been efficacious in a few cases.
As long as the patient takes the drug the pressure may be slightly
reduced, but upon the withdrawal of the drug the pressure returns to its
former level. It is well worth a trial and further experimentation may
reveal better methods of administration. The dose is from 2 to 6 c.c.
mixed with water at intervals.
[20] Miller, Jos. L.: Hypertension and the Value of the Various
Methods for Its Reduction. Jour. Am. Med. Assn., 1910, liv, p. 1666.
In the hypertension of the menopause some have had success with large
doses of corpus luteum extract. As a matter of fact the drug treatment
of hypertension, when it becomes necessary to treat this condition with
drugs, has suffered a notable set-back since more careful control has
been made with the blood pressure instruments. In giving any of the
depressor drugs their action should be controlled by blood pressure
measurements, for only in this way can we be sure that the drug is
exerting its physiological effect and we may expect results. The
individual reaction to these drugs varies greatly and no rule for dosage
can be dogmatically laid down. The only successful therapy is rigid
individualization. This is the keystone to treatment in cases of
arteriosclerosis and high tension.
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