The Propaganda for Reform in Proprietary Medicines, Vol. 1 of 2Council on Pharmacy and Chemistry (American Medical Association)
Science
The Propaganda for Reform in Proprietary Medicines, Vol. 1 of 2
Council on Pharmacy and Chemistry (American Medical Association)
Patent medicines
During the past three or four years, “mineral oil” has come into
extensive use in the treatment of constipation. Preparations of the
Russian and the American oil, both heavy and light, have appeared on
the market, but there have been no satisfactory data on which to base
a selection of oil for use. Therefore, in order to obtain reliable
clinical information concerning the relative efficiency of the
different oils, the Therapeutic Research Committee of the Council on
Pharmacy and Chemistry of the American Medical Association submitted
samples of the oils to various clinicians for testing. The following is
a synopsis of the investigation, which I have prepared at the request
of the committee.
The collaborators were advised that specimens of the best obtainable
light Russian liquid petrolatum, heavy Russian liquid petrolatum and
an American brand of liquid petrolatum would be sent out, but that, to
avoid bias, these specimens would be distinguished only by numbers or
letters. The oils sent out were (1) a light “Russian” liquid petrolatum
having a specific gravity of 0.860 at 20 C., (2) a heavy “Russian”
liquid petrolatum having a specific gravity of 0.885 at 20 C., and (3)
an “American” liquid petrolatum having a specific gravity of 0.857 at
20 C. and being markedly fluorescent. The collaborators were advised
that the reports should furnish information as to size and frequency of
dose, the agreeableness to the taste, the effect on the stomach, the
number and character of the stools, the degree of admixture of the oil
with the other ingredients of the stool, the degree of leakage of oil
about the anus, and the need of other cathartic measures.
Reports have been received from Drs. L. F. Barker, W. A. Bastedo, J. B.
Champion, Henry A. Christian with C. K. Drinker and F. A. Hatch, Alfred
Stengel and R. L. Wilbur.
CONCLUSIONS
The conclusions to be drawn from the clinical reports are:
_Dosage._--Half an ounce to 3 ounces a day. In the same patient, the
same amount of each of the oils was required.
_Frequency of Dose._--The same amount daily seemed as efficient when
given in one dose as when given in divided doses two or three times a
day.
_Agreeableness to the Taste._--There is a difference of opinion in this
regard. Two reports favored the heavy Russian oil. One report favored
the light Russian petrolatum. But the taste of any of the samples was
so slight as to be a negligible quantity after the patient had taken
the remedy for two or three days.
_Stomach Effects._--In about 20 per cent. of the patients, the oil
produced a slight degree of nausea or tended to repeat. This is most
likely in patients who have gastric stagnation with retarded emptying
of the stomach. All the oils acted the same in this regard. Vomiting
was reported in two cases.
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