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Introduction - Uppsala Monitoring Centre

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ecovered after a dose of a drug.’<br />

49 BC Titus Lucretius Carus wrote the poem De Rerum Natura [On The<br />

nature of things] that includes the following lines:<br />

I will unfold, or wherefore what to some<br />

Is foul and bitter, yet the same to others<br />

Can seem delectable to eat,–why here<br />

So great the distance and the difference is<br />

That what is food to one to some becomes<br />

Fierce poison, as a certain snake there is<br />

Which, touched by a spittle of a man, will waste<br />

And end itself by gnawing up its coil.<br />

Again, fierce poison is the hellebore<br />

To us, but puts the fat on goats and quails.<br />

That thou mayst know by what devices this<br />

Is brought about, in chief thou must recall<br />

What we have said before, that seeds are kept<br />

Commixed in things in divers modes…<br />

(The Internet Classic Archives)<br />

One is tempted to believe that the first passage suggests a personal<br />

idiosyncrasy, but it may refer to either a dose problem where tolerance<br />

has developed or the large differences in dose necessary for some<br />

drugs ‘It may therefore be assumed that in a group of 100 persons<br />

there will be at least a fourfold difference between the doses required to<br />

produce equal effects upon the most susceptible and least susceptible<br />

individuals.’ (Wilson & Schild, 1952). The second passage is the first<br />

recording of the bane of toxicology in that the actions of drugs in<br />

animals do not necessarily foretell their action in man.<br />

43–17 BC Ovid’s ‘Metamorphoses’, ’Or perhaps the juice of some herb caused<br />

it?’<br />

Ovid's, ‘Tristia’ (II.296) ‘Eripit interdum, modo dat medicina<br />

salutem, quaeque iuuet, monstrat, quaeque sit herba nocens.’<br />

[Sometimes it rescues, but medicine gives health, it shows that<br />

always it may help, or always it may be a harmful plant].<br />

‘Medicine sometimes snatches away health, sometimes gives it.’<br />

‘Medicine sometimes grants health, sometimes destroys it, showing<br />

which plants are helpful, which do harm.’<br />

42 BC ‘Some remedies are worse than the disease.’ in ‘Sententiae’<br />

[Opinions] by Publilius Syrus.<br />

29 BC Aegrescitque medendo [And people fall ill from being cured] Vergil,

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