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
The Dioradin Company submits considerable clinical data in favor of
Dioradin. It must be remembered that most favorable opinions have
been published, from time to time, about scores of “consumption
cures,” which have mysteriously lost their efficiency when their
novelty wore away. There is no more reason to doubt the good faith
of those who are enthusiastic about Dioradin than of those who have
been enthusiastic about other “cures.” There appear to be features
in the course of tuberculosis which make the judgment of therapeutic
measures peculiarly difficult. It is possible that impartial
clinical trials of Dioradin by tuberculosis experts appointed by the
Council might facilitate judgment as to the actual efficiency of
Dioradin. The referee doubts, however, whether this would advance the
Council very much toward the acceptance of the substance. Such an
investigation would be so lengthy that it should not be undertaken
until the Dioradin Company itself has offered at least presumptive
evidence in this direction, especially in view of the adverse report
recently made by Cecil Wall.[45] Ten tuberculous patients were
treated by Wall in strict accordance with the method outlined to
him by Bernheim, yet Wall concludes that none of the cases, though
treated accurately in accordance with the instructions, can be quoted
to justify any of the claims for the therapeutic efficiency of
Dioradin. The Council cannot undertake lengthy investigations of this
character until it is put in possession of data which would show to
its satisfaction that such investigations would probably be fruitful.
[45] Wall, C.: Brit. Med. Jour., July 20, 1912, p. 109.
CONCLUSIONS
From investigations made, it appears that the claims in regard to
the composition of Dioradin have contained vague statements and
contradictions which arouse a feeling of uncertainty and lack of
confidence. Until this uncertainty is cleared away, Dioradin cannot
be considered as complying with Rule 1. The experimental data are
insufficient and unconvincing. Some favorable clinical reports
have been submitted, but the accuracy of the observations is to be
questioned and they are more than offset by the negative results
observed by Cecil Wall. As might be expected, other negative results,
if observed, have not been submitted and there is nothing in the
manufacturer’s claim to show whether the improvement reported is
really due to the peculiar mixture called Dioradin or to any one of
its ingredients.
It is therefore recommended that Dioradin be not accepted for New and
Nonofficial Remedies. In view of the extensive advertising of this
preparation and because of the admittedly incorrect statements in the
earlier papers it is recommended that publication of this report be
authorized.--(_From The Journal A. M. A., Oct. 26, 1912._)
ECHINACEA
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