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Introduction - Uppsala Monitoring Centre

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Opium: ‘headache, nausea and vomiting, tremor, secretions<br />

diminished, peristalsis lessened, stertorous respiration, dark suffused<br />

countenance, slow labouring pulse, cold extremities, restlessness,<br />

delirium, and itching’.<br />

Henbane: ‘sense of heat in the throat, sleep, vertigo, pain in the<br />

head, dilated pupils, occasionally diaphoresis, or diuresis, pustular<br />

eruption, often laxative. Overdose–disordered vision, loss of speech,<br />

difficult deglutition, delirium, intoxication, stupor, some times tonic<br />

spasms, convulsions, paralysis, pain in bowels, diarrhoea,<br />

feebleness of pulse, petechiae, and death’.<br />

Hellebore Niger: ‘vomiting, hypercatharsis, vertigo, cramps,<br />

convulsions, and death’.<br />

Hellebore Album: ‘vomiting, hypercatharsis with bloody stools,<br />

general prostration, and sneezing’.<br />

Hellebore Viridis: ‘vomiting, faintness, somnolence, vertigo,<br />

headache, dimness of vision, dilated pupils, and bradycardia’.<br />

The different species seem to produce different symptoms, but this<br />

is not borne out by subsequent books.<br />

Mercury: ‘small frequent pulse, anxiety about the praecordia, pale,<br />

nervous agitation, debility, eruption, salivation, coppery taste, sore<br />

gums, foetor, and tongue swelling’.<br />

This was the first dispensatory that dealt with adverse effects of<br />

the drugs.<br />

1860 First clinical description of mercurialism in hatters was published in<br />

the transactions of the Medical Society of New Jersey in 1860. The<br />

exposed workers complained of ‘the shakes’, tremor, gastrointestinal<br />

disturbances, sore mouth, psychic disturbances such as irritability,<br />

timidity, irascibility and difficulty in getting along with people,<br />

headaches, drowsiness, insomnia, weakness, loss of coordination,<br />

slurred speech, loosening of teeth, memory loss, depression,<br />

irritability and anxiety’. (O’Carroll et al., 1995).<br />

‘On the injurious effects of mercury in the treatment of disease’ by S<br />

O Habershon, 1860: ‘salivation, taste, breath, gums, diarrhoea,<br />

nutrition impaired, effusions into cavities, vomiting, cough, coma,<br />

convulsions, mercurial fever, tremor, dry skin, loss of memory,<br />

sleeplessness, delirium, mercurial cachexia, deficient in red cells,<br />

pulse irritable, palpitations, swelling ankles, anasarca, erythema and<br />

death’. At the end of the book is an advertisement for his own recipe,<br />

so not all these books are for enlightenment but some were to sell<br />

their own products.

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