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
first papers “owing to my ignorance of actual composition,” and that
all the Dioradin used by him was of the composition stated in the
submission to the Council.
[44] Bernheim and Dieupart: Revue Internationale de la Tuberculose,
May, 1911, p. 336.
While this vindicates the good faith of the American Dioradin
Company, it does not clear up the mystery. The question occurs at
once: What led Dr. Bernheim to make such positive statements? Was he
drawing purely on his imagination? If so, why did his imagination
take this peculiar special direction? Or if he did have some reason
to imagine the “iode peptonisé,” who supplied this reason? And if,
at that time, he was given to understand by Szendeffy, who must
have supplied him with the material, that it contained the iodized
peptone, how can he be positive at this time, that it did not contain
it? Has he actually analyzed the old material?
There is also a further question which needs to be answered. Why
has Dr. Szendeffy waited until Dioradin was rejected by the Council
before correcting Bernheim’s serious misapprehension, in the meantime
permitting the circulation of Bernheim’s paper?
Until these questions have been satisfactorily answered, the element
of mystery about the composition of Dioradin cannot be cleared away.
EXPERIMENTAL EVIDENCE
The available experimental evidence regarding “Dioradin” is
restricted to some quotations from its inventor Szendeffy, in the
paper of Bernheim and Dieupart (p. 334). These, if confirmed,
would show that radium alone has practically no effect on cultures
of tubercle or colon bacilli; that 0.1 gm. of “iode-menthol”
(concentration not stated) checks the growth of the acid-fast
organisms; and that this antiseptic efficiency can be nearly doubled
by the addition of a little radium. No quantitative data are given,
so that it is difficult to judge the accuracy of the observation.
Granting that it is correct, it would have little bearing on the
therapeutic actions of Dioradin, for there is nothing to show that
the effective test-tube concentration is reached in the pulmonary
tissues.
It is also claimed that the injection of Dioradin prevents tubercle
infection. The referee believes that the Council and the medical
profession should hesitate to accept this conclusion without further
details; and these would require confirmation by unprejudiced
observers.
CLINICAL EVIDENCE
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