The Practitioner. May, 1869.: A Monthly Journal of TherapeuticsVarious
Science
The Practitioner. May, 1869.: A Monthly Journal of Therapeutics
Various
Medicine -- Periodicals; Therapeutics -- Periodicals
THE DOSE OF ATROPIA FOR SUBCUTANEOUS INJECTION.—I wish to answer the
query of Dr. Sisson in the _Practitioner_ of last month with every
caution, but I have formed a strong opinion on the subject in question.
A “Country Practitioner,” who wrote to this journal in February, states
that he used to give hypodermic injections of more than ⅕ grain of
atropia daily, to the same patient, for years. Now I stated in my paper
in this journal (July 1868), that such doses as these are utterly
unsafe, and I retain that opinion. Supposing that the sulphate of
atropia was good, which it is very possible it was not in the “Country
Practitioner’s” case, I can affirm, from my own knowledge, that there
are many patients to whom such a dose would be dangerous and probably
fatal, if it were really fairly introduced into the subcutaneous tissue.
_I have seen uncomfortable atropism from the injection of less than
1/100 grain_: a case occurred to me only a week or two since. It is
therefore unadvisable to begin, at any rate, with large doses. With a
large experience of subcutaneous injection, I am enabled to say with
confidence that 1/60 or 1/50 grain doses are what are best borne by the
majority of persons; that sometimes, but not often, it is necessary to
go as far as 1/30 grain; and that not unfrequently patients will not
bear as much as the 1/60 without uncomfortable atropism. Hence my
recommendation to practitioners to commence, experimentally, with such a
small quantity as the 1/120 grain.—F. E. ANSTIE.
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