A second expedient for the subduing of taste is fat covering, which
consists of triturating the drug with liquid petrolatum or other fat,
e. g., Crisco in ether, and permitting the ether to evaporate. The thin
film of fat left on the drug delays its solution to a slight degree,
yet sufficiently to reduce the taste, so that certain drugs--such
as aspirin, digitalis, diuretin--can be administered in the form of
sweet tablets in useful dose. In these cases, saccharinization and fat
covering combined give the best results.
* * * * *
Most of the alkaloids can be administered in candy form by
saccharinization with or without additional fat covering, and, in the
case of some, the addition of sodium bicarbonate is still further
useful in lessening the solubility, thereby subduing the taste. Only
in the case of the bitterest alkaloids such as strychnine and of
alkaloids that have to be given in large doses such as quinine are
different expedients necessary. For quinine, aristochin or saloquinine
solve the problem. For strychnine, Lloyd's "Alcresta" strychnine gives
good results. In 1910, John Uri Lloyd[9] of Cincinnati discovered
that the addition of fuller's earth to alkaloids almost completely
abolished their bitter taste. He found on further research that this
activity resided in the finest particles, especially those of colloidal
dimensions, which could be separated from the coarser portion of
fuller's earth by elutriation. By means of this powder, now known as
Lloyd's Reagent, it is possible to obtain the bitterest alkaloids, even
strychnine, in almost tasteless form. That this strychnine combination
is still active, can be proved by the fact that it will kill a dog
almost as readily as the uncombined strychnine. Lloyd has coined the
name "Alcresta" for these alkaloidal combinations; they are marketed
by Ely Lilly and Company. The combination of the strychnine with
fuller's earth is destroyed by alkali and by alcohol. Hence alcohol
must not be added to the powder after the Alcresta combination has been
incorporated. The addition of a little acid lessens the bitterness of
the combination by lessening solubility in the mouth. The addition of
acid is also of advantage to lessen the solubility in the saliva, and
with it the taste, of such resinous bodies as the resin of podophyllum.
Choice of Color.
To indicate tablets containing poisonous substances, a dark red color
is chosen, unless cacao disguises the taste better. It would be
advisable not to prescribe more than a small number of such tablets
to be dispensed at one time, so as to prevent the possibility of
poisoning. The choice of the other colors has been more or less
without special principle underlying it, yellow having been chosen for
lemon, and green for wintergreen, leaving pink for rose and white for
peppermint. The relation of color to flavor can, of course, be varied.
CHAPTER VII.
FORMULAE FOR THE PREPARATION OF SWEET TABLETS
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