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Introduction - Uppsala Monitoring Centre

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vomiting, increase discharge of urine, some degree of diaphoresis,<br />

salivation, foetor, gums red and somewhat tender, salivary glands<br />

hard and tender, mouth ulcers, fever, restlessness, anxiety, general<br />

debility, very distressful irritable state of the whole system, excites<br />

heat over the whole body, quickness of the pulse, coppery taste, pain<br />

on chewing, loose teeth, very distressful tumefaction of the tongue<br />

and fauces.’<br />

1815 The Apothecaries Act or An Act for better regulating the practice of<br />

apothecaries throughout England and Wales. It was an attempt to<br />

separate licensed practitioners from the unlicensed ‘quacks’. It was<br />

possible to buy an MD from Aberdeen University and St Andrew’s<br />

University if you had the money and two recommendations. Whereas<br />

‘quacks’ or ‘irregular practitioners’ varied from true charlatans to<br />

experienced educated men. The problem was that there were too<br />

many practitioners for the population and therefore the trained<br />

practitioners wished to squash the untrained competitors. This was<br />

then beginning of general practitioners in the UK.<br />

Dr Francis. ‘On the effects of mercury in its natural state and on its<br />

abuse in certain diseases’: indigestion, loss of appetite, nausea and<br />

vomiting, languor of whole system, convulsions, sanguineous<br />

discharge from alimentary canal, haemorrhage from lungs,<br />

salivation, extreme weakness, preternatural decay of teeth, loss of<br />

sight, memory and voice, and deafness.<br />

1816 France – The Royal Ordonnance of 8th August 1816 ordered the<br />

‘Codex Medicamentarius seu [or] Pharmacopae Gallica’ and it was<br />

published by the Minister of the Interior in 1818 in Latin. It was<br />

compulsory for all French pharmacists to have one and to conform to<br />

it within six months of its publication. There were many later editions:<br />

1837, 1866, 1884, 1908, 1937.<br />

1819 ‘Observations on the use and abuse of mercurial medicines in<br />

various diseases’ by James Hamilton.<br />

This monograph on mercury has an extensive section (Section 1)<br />

on its ADRs: ‘On the effects of mercury’<br />

‘The aching pain which so often follow courses of mercury.’<br />

‘an inordinate action of the heart and arteries’<br />

‘Among other ill effects it tends to produce tremors and paralysis,<br />

and not infrequently incurable mania.’<br />

‘Erythismus’<br />

‘with frightful dreams–impaired or depraved vision –’<br />

‘Mental derangement with eventual fatuity,’

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