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
When these experiments were begun, April, 1906, there was nothing in
the advertising literature on Somnos to indicate whether this article
is a solution or a pure substance. On the label on the bottle, in the
circular accompanying the bottle, and in the booklet “Somnos,” the word
Somnos seemed to be used as a synonym of “Chorethanal alcoholate,”
C_{9}H_{11}O_{5}Cl_{9}, and physicians were prescribing and pharmacists
dispensing it in the belief that it was a pure substance. “The pure
substance; some kind of an alcohol; nothing to do with choral,” was the
way the druggist from whom the samples were purchased put it. Thus
information absolutely indispensable for any rational comparison of
Somnos with other hypnotics was withheld from the physician.[86]
[86] Two weeks ago (Journal A. M. A., Sept. 1, 1906, p. 695) it was
pointed out that the manufacturers now give this information, but in a
wholly unnecessarily obscure form.
Hence, before beginning the physiologic experiments it was necessary
to determine the strength of the preparation; for this purpose three
chlorin determinations (by the Carius method) were made. On the
assumption that all the chlorin present was in combination as chloral
glycerate, C_{3}H_{5}[CCl_{3}.C(OH)_{2}]_{3} = C_{9}H_{11}O_{6}Cl_{9},
and calculating the percentage of this in Somnos, the following results
were obtained: (1) 5.11 per cent.; (2) 5.15 per cent.; (3) 5.10 per
cent.
Somnos, therefore, was found to contain approximately 5 per cent. of
chloral glycerate and its physiologic action was compared with that of
a 5 per cent. solution of hydrated chloral. In some experiments the
hydrated chloral was dissolved in water; in others, in 10 per cent.
alcohol (Somnos was found to contain at this time about this percentage
of alcohol); in other experiments glycerin was added, as Somnos was
found to contain this substance. No very marked differences were found
in the physiologic action of the three solutions.
FATAL DOSE OF SOMNOS FOR THE LOWER ANIMALS
The booklet on Somnos states that “Somnos has no toxicology”; that
while chloral hydrate causes “acute poisoning,” “deep coma,” etc.,
Somnos is “harmless in twenty times the dose prescribed,” “coma
unknown, etc.” The physician would scarcely suspect from such
statements that Somnos is as poisonous a substance as solutions
containing hydrated chloral in corresponding amount; that such is the
case is shown by the following experiments. These experiments were
necessarily made on the lower animals. While such results do not enable
us to draw very definite conclusions as to the absolute toxicity of
poison for man, the results on animals are conclusive as regards the
relative toxicity for man of such closely related drugs as hydrated
chloral and Somnos.[87]
[87] That portion of the report describing the experiments on animals
is here omitted. It was printed in full in The Journal and in the
Report of the Council on Pharmacy and Chemistry, 1905-1908.
Public-domain text, read in full here on John Shaqi.
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