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Introduction - Uppsala Monitoring Centre

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mercury. The rest of the pill was made up of 27 percent clay, 16<br />

percent water, 34 percent ‘soluble saccharine matters,’ 12 percent<br />

‘insoluble organic matter,’ and trace percentages of colouring and<br />

sand.<br />

2. Sulphate of quinine, derived from Peruvian bark, was adulterated<br />

by being combined with chalk, plaster of Paris, and the salts of<br />

willow bark.<br />

3. Imports of scammony, (The active principle is the glucoside<br />

scammionin or jalapin), C 34 H 11 O 6 . Scammony is inert until it has<br />

passed into the duodenum where it is converted into a powerful<br />

purgative). ‘It contained generally only about one-half the active<br />

principle of the genuine article.’ The rest was ‘a worthless vegetable<br />

extract commingled with clay’. It was also an anthelmintic.<br />

The Act did not apply to US produced adulterated drugs, so it was<br />

only a partial success. A Spurious Solution to a Genuine<br />

Problem (Walch, 2002). This bill did not prevent the rapid growth of<br />

the patent medicines industry.<br />

Dr Sibson pointed out that in four cases chloroform caused death<br />

by paralysis of the heart; In all the four cases it is manifest that the<br />

immediate cause of the instantaneous death lay in the heart (London<br />

Medical Gazette vol xiii, 1848 p 100).<br />

‘Zhi Wu Shi Tu Kao’ [Atlas of medicinal plants] by Wu Qi-Jun.<br />

1851 The Arsenic Act. The retail sale of arsenic was restricted and the<br />

purchaser had to be known to the seller and records had to be kept.<br />

Up to this time more than a third of poisonings were due to arsenic<br />

(Royal Pharmaceutical Society of Great Britain (RPSGB), Theme E,<br />

sheet 1).<br />

1853 Karl Friedrich Gerhardt (1816-56), professor of chemistry at<br />

Montpellier University, synthesized acetylsalicylic acid.<br />

1854 Invention of the hypodermic syringe by Doctor Alexander Wood of<br />

Edinburgh (Wood, 1855).<br />

1855 Cesare Bertagnini in 1855 published a detailed description of the<br />

classic adverse events associated with a salicylic acid overdose,<br />

which he studied by deliberately ingesting excessive doses, about 6<br />

grammes in two days. The first day there were no problems, but on<br />

the second day there was a continuous noise in the ears and a kind<br />

of dizziness. He said that his superior, Professor Piria, had taken<br />

salicin but the effect of a large dose was so disconcerting that he did<br />

not do any more research (Bertagnini, 1855).

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