The Propaganda for Reform in Proprietary Medicines, Vol. 2 of 2Council on Pharmacy and Chemistry (American Medical Association)
Science
The Propaganda for Reform in Proprietary Medicines, Vol. 2 of 2
Council on Pharmacy and Chemistry (American Medical Association)
Patent medicines
3. The presence of secretin or prosecretin cannot be demonstrated in
the commercial preparations “Secretogen,” “Elixir Secretogen” and
“Duodenin” even when the therapeutic dose of the preparations is given
intravenously. In the case of “Secretogen,” intravenous injection of
100 times the therapeutic dose reveals occasionally an insignificant
trace of secretin.
DISCUSSION OF RESULTS
It is, of course, objectionable that preparations containing no
secretin should be advertised to the medical profession as containing
this substance. The more important blunder, however, consists in the
attempt to offer such preparations for oral administration, because
even chemically pure secretin would be equally ineffective when taken
by mouth. There is as yet no reliable evidence that lack of secretin
is a primary or important factor in any disease. Even should this be
established, secretin therapy, to be effective, must be intravenous.
Secretin has not yet been prepared in sufficiently pure state to render
possible intravenous injection in man without injurious effects. And
even when this has been attained, the very fleeting action of secretin
will in all probability render secretin therapy as futile in all the
diseases in which it is theoretically indicated as epinephrin therapy
is in Addison’s disease.
But there remains the alleged favorable effect from secretin therapy
by mouth in various diseases in man. It is, perhaps, impertinent for
laboratory men to comment on these clinical results. The ordinary
“testimonials” need not be considered, but we should like to ask the
serious worker who thinks he has actually obtained good results from
secretin therapy how certain he is of the causal relation between the
giving of secretin or alleged secretin and the abatement of the disease.
When a therapeutic measure not only lacks a positive basis in
physiology and pathology but runs contrary to all the well-established
experimental facts in these fundamental medical sciences, is it too
much to ask that positive clinical findings be subjected to more than
usual critical analysis before acceptance? “_Clinical tests_,” it is
said, “covering a period of several years have proved that neither the
condition in the stomach during digestion nor those in the intestine
prevent the secretin from entering intact into the circulation.” When
we meet claims such as this, should we not scrutinize the “tests” as
well as the men who make them?
We are indebted to Dr. J. H. Moorehead for assistance in part of the
surgical work.--(_From The Journal A. M. A., Jan. 15, 1916._)
ARTICLES REFUSED RECOGNITION
Report of the Council on Pharmacy and Chemistry
Below appear abstracts of the Council’s action on articles refused
recognition which were not deemed of sufficient importance to require
lengthy reports:
Radio-Rem
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