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Introduction - Uppsala Monitoring Centre

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ear, circumoral numbness, nausea and vomiting, albuminuria and<br />

urinary casts, raised blood urea, pruritus, urticarial rash, eosinophilia<br />

and yellow vision. However, the toxic effects had been reported<br />

previously by the Veteran’s Administration study (MRC, 1948)(see<br />

analysis of marker drugs).<br />

<strong>Introduction</strong> of chloramphenicol. In 1950 it was found to cause bone<br />

marrow aplasia in between 1 in 58,000 and 1 in 75,000 patients<br />

(Rich 1950), but the pathogenesis has not been fully elucidated. It<br />

was removed from the French market in 1987 but remains on other<br />

markets for very restricted use. It led to the establishment of a blood<br />

dyscrasia registry in 1952. (see under regulatory responses).<br />

Vitamin B12 isolated<br />

Tetracyclines discovered<br />

1949 Henbane still mentioned in The British Pharmaceutical Codex,<br />

London, The Pharmaceutical Press, 1949, p. 425.<br />

The Mayo Clinic in Rochester, Minnesota set up a Committee on<br />

Safety of Therapeutic Agents. Staff members who wished to<br />

administer a new substance or therapeutic agent to human subjects<br />

were required to register the material with the committee and provide<br />

them with all the relevant information. If safety and efficacy could not<br />

be proved, the committee would recommend that the use of the<br />

agent be discontinued (Nelson, 1997).<br />

1950 German Drug Commission of the Federal Chamber of Physicians<br />

was established and issued warnings concerning thorium containing<br />

preparations. (see regulatory responses).<br />

Potter’s Cyclopedia of Botanical Drugs and Preparations by RC<br />

Wren. 6 th edition. This book was dangerous and resembles those<br />

produced in the 17 th century. The ‘actions’ of the herbs mentioned<br />

are described in terms which are generalised and some of which are<br />

not known to conventional medicine: 169 alterative, sternutatory,<br />

refrigerant, stomachic, emmenagogue, pectoral, vulnerary, nervine,<br />

deobstruent, and blood purifier. The ‘indications’ are, on the whole,<br />

so general as to be impossible: all kinds of fever, all diseases of the<br />

liver, all cases of jaundice, etc. Adverse effects are mentioned for<br />

169 Alterative = producing alteration, sternutatory = causing sneezing, refrigerant = cools fever, stomachic = for<br />

the stomach, emmenagogue = inducing menstruation, pectoral = relieving disorders of the respiratory tract,<br />

vulnerary= promotes the healing of wounds, nervine = relieving nerve disorders, deobstruent = removes<br />

obstructions and opens up the pores of the body, and blood purifier = No set definition, but rather an all<br />

encompassing phrase that includes ‘cleansing’ the blood and removing ‘toxins’.

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