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
That it is not only the right but also the duty of the physician to
know the composition of what he prescribes for his patients is so
generally admitted that few have attempted to market preparations of
avowedly secret composition. When the Council first began its work,
it was common to see chemical formulas or statements of composition
published which a chemist or a pharmacist was able to pronounce
at a glance as impossible.[6] It was not unusual to find that the
promoter published “a formula” for his preparation, rather than “the
formula.”[7] Today, however, a more prudent, if not more honest, course
is pursued. This gives a “formula” which is correct so far as it goes,
but which fails to divulge the actual composition of a preparation.
When it is considered that many physicians are not any too conversant
with the chemistry and pharmacy of drugs, it is not surprising that
some administered the proprietary “Venarsen,” regarding the composition
of which they had only the vague statement that it was “... a
comparatively nontoxic organic arsenic compound, 0.6 gm. representing
247 mg. (3-3/4 grains) of metallic arsenic in chemical combination
...” in the belief that a preparation similar to that first introduced
as salvarsan was being used. That “Venarsen” contained its arsenic as
sodium cacodylate--a notoriously inactive state of combination--does
not justify the intravenous administration of a drug of unknown
composition.
[6] Puckner, W. A.: The Abuse of Chemical Formulas, Reports A. M. A.
Chemical Laboratory =3=:7, 1910.
[7] The Formula for Glyco-Thymoline, J. A. M. A. =52=:147 (Jan. 9) 1909.
While for the present it probably is not feasible to require, on the
part of those who manufacture medicinal preparations, such professional
training as is required of those who prescribe and those who dispense
them, it certainly is not too much to require, as does Rule 2, that a
manufacturer shall be able to demonstrate that his preparation has the
composition claimed for it. Nor is it sufficient for him to know that
the ingredients claimed as constituents were used in the manufacture.
The fallacy of his method of reasoning was furnished by the physician
who reported that he had personally added the required amount of
mercuric iodid for a batch of “Mercol” which, nevertheless, was devoid
of mercury.[8] Acceptance of this rule by manufacturers will permit
physicians to have a more accurate knowledge of the composition of
preparations such as “Taka-Diastase”[9] and “Iodeol”.[10]
[8] Hunt, Reid, and Seidell, Atherton: Howell’s Mercol, J. A. M. A.
=52=:225 (Jan. 16) 1909. Howell’s Mercol Again: Another Analysis Fails
to Reveal the Presence of Mercury, J. A. M. A. =52=:1595 (May 15) 1909.
[9] Taka-Diastase and Liquid Taka-Diastase: Report of the Council on
Pharmacy and Chemistry, J. A. M. A. =59=:50 (July 6) 1912.
[10] Iodeol and Iodagol: Report of the Council on Pharmacy and
Chemistry, J. A. M. A. =69=:1725 (Nov. 17) 1917.
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