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
Comment.--Investigation of the various “patent” and so-called “ethical
proprietaries” advertised to the public and to the medical profession
shows that those that have any value as therapeutic agents depend
for that value on some well known drug or drugs. Hence, while many
proprietaries have some virtue, the ingredients which are of any value
are so concealed by the coined and “near-scientific” names applied to
them that these drugs are usually unrecognizable. The many and various
acetanilid mixtures furnish examples of this class of proprietaries.
And now we find another example in that much advertised nostrum,
Uriseptin.
According to our chemists, the chief ingredients of Uriseptin are
hexamethylenamin and lithium benzoate. Hexamethylenamin is a valuable
so-called urinary antiseptic--probably one of the best we have. It is
a pity that more physicians do not know the value of this drug in and
of itself; it is a common ingredient of many proprietaries, and yet too
seldom prescribed under its true name. There is no reason for its being
given in the form of a nostrum; it requires no skill in compounding,
for it is best given in its powdered form, either in capsules or
otherwise. So that, like acetanilid, the old argument of the nostrum
men that the preparation needs skill in compounding will not hold. If a
physician wants to prescribe hexamethylenamin let him prescribe it in
its simplest and best form, and thus know exactly what he is giving.
Lithium benzoate also has its rightful place in the materia medica, but
not hidden in a proprietary mixture to be prescribed unknowingly. It
is hard to conceive of any one thing that operates more disastrously
against scientific therapeutics than the vicious practice of marketing
under proprietary names standard and valuable drugs, with their
identity purposely concealed. Yet how frequently it is done. Well-known
drugs of unquestioned worth are combined with those that are little
known and of doubtful value, or more likely absolutely worthless, the
mixture is put on the market under a high-sounding name and it is
exploited through physicians as a panacea for all kinds of diseases.
In this, as in so many other instances, an “analysis” made to order is
given to lend an air of apparent respectability and scientific standing
to the preparation or to its exploiters, with the object, of course,
of misleading physicians into thinking they are reading unbiased
testimony. In addition, the “literature” accompanying the preparation
is usually a jargon of pseudo-scientific verbiage put in to serve the
same purpose as the analysis--that of catching the careless physician.
Public-domain text, read in full here on John Shaqi.
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