_Phenacetin._—Dose, three to eight grains. Phenacetin is used for
headaches, or for reducing the temperature in malaria and other febrile
diseases, and to cause sweating. As it is very insoluble, it is best
taken in the form of a powder, or in alcohol and hot water.
_Potassium, bromide of. See_ Bromides.
* _Potassium permanganate_ in solid form is a mild caustic, and is the
active principle of Condy’s fluid, which contains about eight grains of
the drug in one ounce.
It is disinfectant, deodorant, and antiseptic.
One part of this drug is soluble in about twenty parts of water.
One grain gives a purple colour to a gallon of water. Impure water turns
the purple rapidly to a brown colour, therefore the permanganate is a
rough test for the presence of organic matter in water.
A pale purple solution is useful as a gargle or mouth wash, also as an
injection in gonorrhœa; wounds may be cleansed with a similar solution.
It is especially useful in poisoned wounds, such as snake-bites, and
should in these cases be injected hypodermically (p. 281).
Is an antidote to poisoning by opium.
Of late years it has been extensively used in the treatment and
prevention of cholera. The two-grain tablet is a convenient form for
medication.
_Purgatives_ may be divided into the following classes:—
1. Laxatives.
2. Simple purgatives.
3. Drastic purgatives or cathartics.
4. Saline purges.
1. Laxatives slightly stimulate the movements of the bowel, but cause
practically no increase of the intestinal secretion. Examples of this
class are fruit, wholemeal bread, small doses of castor oil, figs,
prunes, etc. These may be given regularly in slight cases of chronic
constipation.
2. Simple purges are more powerful than laxatives, and in addition to
stimulating the movements of the bowel increase the secretion. The result
is a soft, easy motion. Examples: rhubarb, senna, cascara sagrada.
3. Drastic purgatives or cathartics. The drugs cause a profuse flow of
the intestinal secretions, and, occasionally, of the bile, with greatly
increased bowel movements. They cause a copious watery evacuation,
accompanied by a good deal of griping. Examples: calomel, colocynth,
aloes, podophyllin, croton oil, jalap and oil of turpentine; of these,
podophyllin and aloes cause an increase in the flow of bile, with
increased intestinal movements, so they may be said to act directly upon
the liver. The result is a profuse, watery, bile-stained motion.
Calomel does not act directly upon the liver, but stimulates the upper
part of the bowel, so that its contents are hurried along before the bile
can be reabsorbed, and a loose, watery, bile-stained motion ensues.
The most useful purgative of this class is the pill containing colocynth,
calomel, and hyoscyamus, of which five to ten grains should be given when
there is a furred tongue, constipation, heaviness or weight over the
liver, and dyspepsia and loss of appetite.
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