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Introduction - Uppsala Monitoring Centre

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eruptions.<br />

The first study of a drug interaction. Adrenal extract caused<br />

ventricular fibrillation in a dog anaesthetised with chloroform (Oliver &<br />

Schaefer, 1895). Lewin had mentioned that the English Chloroform<br />

Committee had remarked that persons under the influence of<br />

emotion, whether it be fear, fright or care were peculiarly liable to<br />

succumb to the action of chloroform. He also said that chronic<br />

alcoholics had abnormal reaction to chloroform needing larger<br />

quantities than the normal person and also showing a high degree of<br />

excitation. He uses the phrase ’ thus inebriates, through a<br />

combination of the action of these two agents are more liable to<br />

unpleasant untoward symptoms’. An appreciation of a drug<br />

interaction.<br />

1896 Scipione Riva-Rocci developed the mercury sphygmomanometer,<br />

but like most new inventions its use only spread gradually over the<br />

next 20 years.<br />

1898 ‘King’s American Dispensatory’ by HW Felter & JU Lloyd. Pub. Ohio<br />

Valley Co.<br />

Opium: ‘nausea, emesis, restlessness, startling, disagreeable<br />

visions, delirium, anxiety, unpleasant prickling sensation on the<br />

surface of the body or a troublesome itching occasionally<br />

accompanied by a slight eruption, giddiness, languid pulse, sickness<br />

at the stomach, cephalgia, tremblings, want of appetite, mucous<br />

secretions become suspended, constipation is induced, cutaneous<br />

secretion is increased, retention of urine, diminution of the frequency<br />

of the pulse, slow stertorous respiration, flaccidity of the extremities,<br />

coma, first livid or turgid afterward pale features, livid lips,<br />

excessively contracted pupils, coldness of the limbs, profuse cold<br />

perspiration, convulsions may precede death.’<br />

Hyoscyamus (henbane): ‘dryness of the mouth, flushing of the<br />

face, pupillary dilatation, quickened cardiac and respiratory action,<br />

illusions, hallucinations, loss of memory, deranged vision, giddiness,<br />

fullness of the pulse, flushing of the face, weight in head, headache,<br />

loss of muscular control, tremulousness, mental confusion,<br />

incoherence of speech, somnolence, furious delirium,<br />

unconsciousness, coma, cold sweat, convulsions, nausea and<br />

vomiting, intestinal pain, and purging’.<br />

White Hellebore: ‘sore mouth, swelling of the tongue, gastric heat<br />

and burning, severe vomiting, profuse diarrhoea, vertigo, tremors of<br />

the extremities, feeble pulse, loss of voice, dilatation of the pupils,

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