Several objections have been raised against this method. Perhaps the
most serious one lies in the danger of poisoning, from the fact that
children enjoy these tablets so much that they are likely to eat a
large number of them at one time, should the mother be careless enough
to leave them within reach. The only way to prevent such an occurrence
is not to prescribe more tablets than would constitute a safe dose
should all of them be taken at one time. It is better to have the
patient get a new supply daily than to have a single case of death or
serious disturbance occur from this source.
Another objection that has been raised is that the dose of some of the
medicines is very small. In the case of such remedies as sulphur and
chalk the author admits that the dose is perhaps too small to be of
practical importance. In the case of most other medicaments, however,
the smallness of dose is of advantage rather than of disadvantage,
in that it necessitates administration at short intervals. If the
administration of small doses frequently repeated until the desired
effect is obtained is a good principle in practice, it is particularly
so in pediatrics. For are not all the vital processes of the child much
more rapid than those of the adult; are not its bowel movements, its
urinations more frequent, does it not need nourishment more often? Then
why not medicine?
CHAPTER IV.
THE MAKING OF SWEET TABLETS.
IT IS GENERALLY supposed that tablet making is an art, requiring
special expertness and expensive machinery. Now while both of these
ideas are correct when the preparation of a large variety of tablets
and of large quantities is contemplated, they are erroneous in regard
to the making of prescription quantities of these sweet tablets, which
present a comparatively simple and relatively uniform problem in tablet
making.
Though the process of making moulded tablets was introduced by Dr.
Robert M. Fuller of New York before the Academy of Medicine on February
21, 1878, in a paper entitled: "Dose-Dispensing Simplified,"[4] the
simplification was evidently not such that druggists could notice it;
for moulded tablets have not become popular among them, perhaps mainly
because they require drying. Likewise are compressed tablets, which
were introduced even earlier by Professor Brockeden of England in 1844,
considered unsuitable for extemporaneous preparation, as granulation
of the powder by moistening is believed to be necessary; and this, of
course, also requires drying.
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