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
_Nomenclature._--Were it possible to enact and enforce a law which
would oblige manufacturers to sell their medicinal products under
properly descriptive names and which would make it illegal for a
physician to prescribe it unless he understood the meaning of such
properly descriptive titles, then the Council might safely disband. In
that case, physicians would discontinue the use of most proprietary
preparations in favor of established drugs, and successful newcomers
might each year be counted on the fingers of one hand. Such a rational
nomenclature is not to be thought of, at least in our generation.
Rule 8 requires that the name of an article shall not be misleading,
that it shall not be therapeutically suggestive, and that established
drugs shall not be disguised by fanciful titles. It recognizes the
right of discoverers of new drugs to name their discoveries, and
interposes no objection to arbitrary names for such products so long
as such names are not misleading or do not suggest the therapeutic
uses of the products. As the rule provides against the recognition of
coined names for established nonproprietary drugs, so it requires that
mixtures of drugs shall bear names descriptive of their composition.
It would be a long step forward if physicians would recognize more
fully the objections to the many proprietaries which have, as their
only point of originality, a non-descriptive name for an old drug or
a mixture of well known drugs. It is an encouraging sign that the
Federal Trade Commission, when issuing licenses for the manufacture of
synthetic drugs introduced under German patents, stipulated that all
manufacturers authorized to make a given drug shall use the same name
for it.
_Irrational Articles._--Rule 10 provides against the recognition of
an article which, because of its composition, is useless or inimical
to the best interests of the public and medical profession. This
rule excludes medicaments which (1) are unessential modifications of
established articles, or (2) are of no therapeutic value or (3) are
irrational. With regard to the recognition of mixtures or compounds
containing two or more active ingredients, the Council requires that
the manufacturer establish the rationality of its combination. The rule
has prevented the recognition of many unnecessary so-called ethical
specialties. Though a mass of testimonials was often to be had for
them, these contained no evidence that the mixture was superior to its
potent ingredient, or that its therapeutic effect had been determined.
That there is a healthy tendency to use single drugs for their definite
action and to discard combinations (be they shotgun proprietaries or
“mixed” vaccines) is perhaps best illustrated by the fact that at
the last revision of the U. S. Pharmacopeia a considerable number of
complex antiquities were omitted from that book.
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