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
Clinical or animal tests of the asserted intestinal antiseptics have
hitherto given equivocal results because it is impossible, on the
one hand, to predict the course of any intestinal infection, or,
on the other hand, to determine what effect, if any, was produced
by administration of the medicament. It therefore seemed unwise to
undertake this line of investigation until the more direct laboratory
bacteriologic methods had been exhausted. Consequently the investigator
checked, in the first place, the phenol coefficient of one of the
Trimethol preparations and then also determined its “penetrability”
coefficient. Although by both methods Trimethol was found to be a
germicide, the results did not indicate any remarkable potency or other
properties suggesting that the drug possessed special therapeutic
value. From the results obtained it appeared inadvisable to proceed
further with the work until more definite evidence of the nature and
of the value of the substance should be at hand. The report of the
bacteriologic investigation follows:
THE BACTERIOLOGIST’S REPORT
“I have made no attempt to study the effects of internal administration
of Trimethol on the intestinal flora. The methods available at the
present time of enumerating the numbers of _viable_ bacteria in
the feces are probably not accurate within 100 per cent. and the
precision of such determinations is equally variable. The physiologic
factors involved are so complex that they would appear to make a
really valuable assay a question of many months’ careful study. If
it were possible to administer known amounts of Trimethol, as such,
the problem might be worth while; inasmuch as the available reactive
substance is not at present quantitatively assayable, this phase of the
investigation barely seems practicable.
“‘Trimethol Syrup,’ as such, appears to be about 10 per cent. as
efficient in its germicidal value as carbolic acid. If the assay,
3/4 m. Trimethol per drm. (as the label indicates), is correct, the
substance would appear to possess germicidal merit provided enough
could be administered, if it is not influenced by passage through the
stomach.
“A package containing four four-ounce bottles labeled ‘Trimethol, A
Non-Toxic Germicide SYRUP Representing 3/4 m. Trimethol per drm.,
Alcohol 1-1/2 per cent.’ was received at the laboratory Dec. 15,
1916. Later a smaller package containing, according to the label, 100
Trimethol tablets, each 5 gr., representing 1-1/4 m. Trimethol, was
received. The tablets were apparently chocolate coated.
“Two separate series of tests were made upon the syrup. (_a_) PHENOL
COEFFICIENT, using the method outlined in _Bulletin No. 82_, Hygienic
Laboratory, Method of Standardizing Disinfectants With and Without
Organic Matter. (_b_) A PENETRABILITY COEFFICIENT by the method of
Kendall and Edwards, _Journal of Infectious Diseases_, 8, 250.
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