’ Papaver somniferum—Opium Poppy. = Ast STANDARDIZED PRODUCTS _ AS(TO ipo P31 TU A DESCRIPTIVE LIST OF DRUG EXTRACTS STAND- ARDIZED BY CHEMICAL OR PHYSIOLOGICAL MEANS Together with a List te Various Forms in which these Drugs are Marketed ‘Trease Ca lectin, From the very inception of our business we have subjected all our chemical supplies to searching tests for purity and identity. The medical and pharmaceutical professions have always recognized the variation in the purity of chemical salts, but for some inexplicable reason they have not seemed to fully appreciate the fact that the market abounds in . therapeutic drugs and galenical preparations whose medicinal value is conjectural. Some are practically inert, and some "are potent to the point of danger. _A short time ago a chemist bought ten conte of tincture of opium in which the content of morphine varied from 27 to 22.8 per cent. He also examined three tinctures of g aconite, one of which was found to contain 9 per cent. os more aconitine than the standard — and another 20 Lo5 : per cent. less. neo S Samples of belladonna preparations: ihwed from 25 to : : : 5 ; 45 per cent. Tess of fees alk loids: than official y ‘re i. 4 of digitalis, strophanthus and ergot from supposedly reliable sources and found that they varied in strength in the ratio of | to 4, Any number of instances could be cited to show how variable and unreliable are fluid extracts and tinctures made -according to old and imperfect methods, and which have not been subjected to a rigid examination to determine their values as medicinal agents. Long ago we became convinced that the only way to insure, in a given product, exact and uniform medicinal action was to standardize it—that is, to adjust it to a definite alkaloidal or other standard by systematic assay. : We entered the field of standardization thirty years ago; we were the pioneers—the first to abandon the uncertain methods in vogue and to make use of accurate processes— the first to prove the activity of drug products and to _ systematically measure that activity. To one product after another, therefore, we began to : apply certain chemical tests to assure ourselves of their potency, and proceeded, scientifically, to adjust them to a uniform standard of strength—so that each dose might always be relied upon, barring idiosyncrasy in the patient, eee to exert the same measure of therapeutic effect. - Fifteen yee ago we oa limitations of chemical id 0 were exactly alike, yet when given to animals or to patients one might prove very active and the other entirely inert. The only way in which such drugs can be tested is upon living animals, i.e., by the physiologic method. As we were the first manufacturers to adopt the principle of chemical standardization, so also were we the first to work out and apply practical methods for physiologically assaying drugs not amenable to chemical assay. In the current medical press appear utterances like this: ‘“We are realizing more and more the need of some kind of assay for most drugs. It becomes evident that, in some cases, ordinary chemical methods do not suffice to give full information concerning a drug. The effect of digitalis on the frog’s heart or that of ergot on the cock’s comb are known to give a truer indication of the therapeutic value of these drugs than any isolated chemical test.”’ The Pharmacopceia has adopted the principle of chemical standardization. _In its eighth revision it requires alkaloidal standards of strength for twenty-one drugs. In addition to — this it has recognized the physiologic method as the only one applicable to antidiphtheric serum, and a committee has been appointed to determine how far physiologic assays il, syrup and tablet form. Note.—Moreo or + les sophie Guaiac resin is offe: BS Some pe ae o oficial Fequin me 28 makes a good gargle: Tincture Guaiac, ammoniated, 3iv; Tincture Thuja, 3ii; Potassium chlorate, 3ii; Tincture Cin- chona Compound, 3ii; Powdered Acacia, q.s.; Aque, q-5. ad 3iv. GUARANA. Also known as Brazilian Cocoa. A dried paste consisting chiefly of the crushed seed of Paullinia cupana (Kunth). Contains the alkaloid caffeine and free tannic acid. Stimulant; antineuralgic; astringent. Serviceable in headache, migraine, and diarrhea. STANDARDIZED Propucts: Fluid Extract Guarana (U. S, P.); standard, 3.5% alkaloids. Average dose, 30 mins. Elixir Guarana (N. F.); each fluidounce represents 96 grs. of the drug. Also combinations in pill and elixir form, Note.—For these products we employ a crude material which, according to assay by the official process, yields not less than 3.5% of its peculiar alkaloidal principles. The activity of the drug is largely dependent upon its caffeine, of which it contains from 3 to 4%, although the percentage of tannin present is large enough to render Guarana products appreciably astringent in iment of atonic _ chronic diarrhea, mae JB Gelsemium sempervirens—Yellow Jessamine. i 29 HOANG-NAN. pete The bark of Sirychnos malaccensis (Bentham). Contains the alkaloids brucine and strychnine. For properties and uses, see Nux Vomica. STANDARDIZED PRopUCT: Fluid Hoang-Nan (concentrated Gactate) standard, 1% alkaloids. Dose, 3 to 10 mins. Note.—The therapeutic effects of Hoang-Nan are very similar to those of nux vomica. Specific virtues have been claimed for it in the treatment of leprosy and other chronic — skin diseases, but it is likely that the gocd results observed. were due, rather, to its ‘influence in promoting general oe nutrition. ‘“The drug has a wide range of applicability | , eee a roborant—in exhaustion of the muscles. and torpor of the glandular organs; it sharpens the wits and renders the body more active and disposed to work, This stimulant a ion is not followed by an enfeebling reaction; the dose may repeated daily for years: without i mpairr net nee e HYDRASTIS, 30 leucorrhea, and atonic gastritis; locally in hemorrhoids and ulcerations of mucous surfaces. STANDARDIZED PRODUCTS: Fluid Extract Hydrastis (U. S. P.); standard, 2% hydrastine. Average dose, 30 mins. Fluid Golden-seal, colorless. Depends upon the white — alkaloid hydrastine for its activity. Dose, 10 to 60 mins. - Fluid Golden-seal, aqueous ; Fore 1% hydrastine. Dose, 10 to 30 mins. Tincture Hydrastis (U, S. P.); standard, 0.4% | ; hydrastine. Average dose, 60 mins. . Solid Exiract Hydrastis; standard, 8% a Dose, 2 to 10 grs, Powdered Exiract Hydrastis; standard, 8% hydras- tine. Dose, 2 to 10 grs. : Concentration Hydrastin. Not the white alkaloid _ hydrastine, but a mixture of Aoeieastine and ber- berins T. ablet Tdjiraléx Fines picks 1, 2 and 3 mins.; ~ Hydrastin (concentration) , 1-20 gr.; and Hydras- _ tine (white alkaloid), 1-16 gt, 16 er. and 1-4 gr. Also Various ‘combinations, : _ Note—We employ i. crude drug wicks when assayed “= the official process, yields not ot thames 2.5% 31 chloride, and hydrastine sulphate—all of unquestionable purity. As an injection in gonorrhea 5 grains of hydrastine — to each ounce of water may be employed twice a day; or 40 to 80 minims of the fluid extract to the fluidounce instead. HYOSCYAMUS. Also known as Henbane. The dried leaves and flowering tops of Hovananen niger are used. Contains three alkaloids—chiefly hyoscyamine and hyos- cine, and, in very small quantity, atropine. Antispasmodic; sedative; hypnotic. . Employed in insomnia, hysteria, spasmodic cough, head- ache, delirium tremens, and emphysema. STANDARDIZED Paosucts: Flad Extinct Hyoscyamus (U, S. P): lenied : 0.075 % mydriatic alkaloids. ent tsi Se mins. ae Tincture Hyoscyamus (U. s. P); ike 0.007% : mydriatic alkaloids. Average dose, 30 n mins. Solid Extract Hyoseyamus c 32 . Tablet Orr je extract, 86, 1-4 and 2 ghes -Hyoscyamus fluid extract, | min.; and a ~ Hyoscyamus tincture. (U. S. F.), 2-and 5 mins. = PB. Hypodermatic Tablets, and Tablet Triturates of Hyoscine hydrobromide, Hyoscyamine (pure), and Hyoscyamine sulphate, 1-200 gr. to 1-50 gr. oo Also various combinations, Nore. Thee are. Patouk ghver Gown species of Hyos- -cyamus- and several varieties of the official drug; the latter _ exhibit a wide difference in. medicinal properties. We use the crude drug collected from biennial plants of the second- ‘Year growth, yielding, 1 upon assay, not less than 0. 08% of loids. Leaves of the first-year growth are in other laboratories, but as a rule they are t worthless, Recently Hy voscyamus Muticus, collected Egypt, has been introduced and used to some extent ecause of its” low cost. This variety should never be employed ; ee differs from the official drug. in its active Ae paths V7 {(b Uy) t j FO ote ABE Hydrastis Canadensis—Golden-seal. 33 = 6 i E IGNATIA. The seeds of Sirychnos Ignatii (Bavact are eS Contains strychnine and nee ee 2 more of the former than nux vomica contains. Its medicinal properties and uses are the same as s those of nux vomica. ee STANDARDIZE Propucts: ono ee ee Fluid Extract Ignatia; Hens 13% 3 alkalis Dose, | to 10 mins., cautiously. : . Solid Extract Ignatia; standard, 6% allalids. Dose ee 1-6 to I gr, cautiously. ne = Tablet Triturates of Ignatia, 1- 10 Bs , and of Tat ae tincture, 1 min, and 5 mins. = Also various combinations i in rill clini “ tablet for. ; NoTrEe.—These products are prepared from authentic seeds and may be depended upon to produce the true effects of the drug. “‘Ignatia appears to possess a tonic influence over the nervous system not belonging to nux vomica. It is” never a remedy for conditions of excitation of the nervous system, but its keynote is alony; it is a remedy for “nervous: . debility. It should be thought of i in anemic states of the ~ ee cases where the apes exhibits hysterical, melan- remedy i : 34 IPECAC. The dried root of Cephaelis Ipecacuanha (Brotero) or Cephaelis acuminata (Karst). Contains three alkaloids—emetine, cephaeline, and psycho- trine—and a glucoside known as ipecacuanhic acid. Expectorant; emetic; diaphoretic. Used in croup, bronchitis, pulmonary hemorrhage, and as an emetic in poisoning. STANDARDIZED PRODUCTs: Fluid Extract Ipecac, Rio (U. S. P.); standard, eo | 3% alkaloids. Average doses: expectorant, 1 _ min.; emetic, 15 mins. Fluid Extract Ipecac, Carthagena (U.S. P.); stan- dard, 1.5% alkaloids. Dosage same as above. Solid Extract Ipecac; standard, 8% atkaloids: Dose, 1-20 to 1-2 gr. Wine of Ipecac (U. S. P.), 10 Gm. in 100 Ce. Syrup of Ipecac (U. S. P.), 7 Gm, in 100 Cc. Tablet Triturates of Ipecac fluid extract, | min., and _ of Ipecac powdered, 1-100 gr. to 1-2 gr. Also various combinations. ee Note. —Many official species at = are known to hart ists, some of which are tee for the true 35 eet plant. We assay all our Ipecac products very carefully — on account of this inconstancy in the isuamives of active : principles, ee JALAP. The dried tuberous root of Exogonium purga (Bex Ss tham) in used. Contains a hard resin, insoluble in siker (convolvalin) and a much smaller amount of a soft oie ime resin (jalapin). | Cathartic; hydragogue; diuretic; afifeliantie - Useful in the treatment of Spey —— and ‘worms, STANDARDIZED PRODUCTS: an =k Fluid Extract Jalap (N. F. ); ‘paidard: 64 oil . soluble resin. Average dose, 15 mins. : Powdered Extract Jalap; standard, 32% alcohol : soluble resin. Dow 2 65 et Concentration Jalapin Gialap resin, U. ‘S. is - Also various combinations. : : NotE.—The Jalap of the market is “frequently adulter ated with or substituted by the cheaper Tampico jalap and : male jalap or Orizaba root, and a pr -Stown — has also been or : The: first tivo possess in os sroduct known as over- The nuts of Cola acuminata (Schott and Endlicher) are used, — Contains caffeine and theobromine S Stimulant; tonic. Le Used in muscular = nervous “debility enki in cardiac weakness. Sigonsk oe Fluid Extract Kola Nut (P. D. & Co.); standard, 1% alkaloid. Dose, 10° to 30 mins, : Fluid Extract Kola, fresh nut; ‘standard, 0. 65% eo alkaloid. Dose, 10 to 30 mins. _ Pada Extract Kola. ea standard, 1, 4% alkaloid. Dose, 2 to 5 grs. See sas, : Wine of Kola; each fuidounce represents 60 grs. of the drug. Cordial. AR sis preparation of the drug. each fluidounce of which | oe 120 = of - selected Kola mit. | : Compressed Tablets of Kola Nut 5 ars., and of Kola Nut extract, 2 WE: “Alto two or hree combinations i in lx sea 37 NUX VOMICA. Also known as Quaker Button, Dog Button, Poison Nut. The dried ripe seed of Strychnos Nux-Vomica (Linne). Contains two alkaloids—strychnine and brucine. Stimulant; tonic; stomachic. Employed in paralysis, neuralgia, chorea, epilepsy, alco- holism, collapse, insomnia, and emphysema. STANDARDIZED PRODUCTS: Fluid Extract Nux Vomica (U. S. P.); standard, 1% strychnine. Average dose, 1 min, Tincture Nux Vomica (U. S. P.); standard, 0.1% strychnine. Average dose, 10 mins. Solid Extract Nux Vomica; standard, 5% steychaine: Average dose, 1-4 gr. Powdered Extract Nux Vomica (U. S. P.); stan- dard, 5% strychnine. Average dose, 1-4 gr. Pills Nux Vomica extract, 1-8 gr., 1-4 gr. and 1-2 gr. st Pink Granule Nux Vomica, 1-50 gr. eee 4 é Chocolate-coated Tablets Nux Vomica extract, fs and |-2 gr. ae Triturates Nux ee extr r. and 1-2 gr.; Nux Vor ene and Nux Vomica | 1-10 gr. and 1-4 gr. Pills, Hypodermatic Ta 38 nine esas 1-100 gr. to 1-30 gr.; Strychnine sulphate, 1-1000 gr. to 1-16 gr. Also a number of combinations in various forms. Note.—The above products are made from crude material yielding no less than 1.25% of strychnine when assayed by the official method; they are carefully adjusted to a definite strength so that each dose is uniform and positive as regards alkaloidal content. Our hypodermatic tablets and other products of the alkaloid or alkaloidal salts : contain exactly the amount of medicament specified, and in its very purest form. OPIUM. The concrete milky exudation from the unripe capsules of Papaver somniferum (Linne) is used. : Contains numerous alkaloids, the most important being morphine, codeine, narcotine, and narceine. Heroin» Leieanesys morphine) i is an ee derivative of ‘morphine. -Anodyne, narcotic, bphalic: and antispasmodic. ~ Serviceable for the relief of pain and nervous irritabil- _ ity—in neuralgia, colic, spasms, delirium tremens, pleurisy, 39 Fluid Opium camphorated. Each fluidounce contains 134 grains of crystallized morphine, equal to 2 1-5 grains morphine sulphate. Designed for the extem- poraneous preparation of the tincture. Dose, 8 to 20 mins. Tincture Opium camphorated (U. ar. each fluid- ounce contains 0.22 grain (approximately 14 gr.) crystallized morphine, equal to 11-40 grain mor- phine sulphate. Average dose, 2 fluidrachms. Tincture Opium deodorized (U.S, P.); each fluid- ounce contans 51/4 grains of crystallized morphine, equal to 67 grains morphine sulphate. bye a dose, 8 mins. Tincture Opium (VU. S. P. ); each Wunders contains 51% grains crystallized morphine, equal to 67% grains morphine sulphate. Average dose, 8 mins. Solid Extract Opium; standard, 20% crystallized — morphine. Dose, 1-4 to I gr. Powdered Extract Opium Ww, hoe gee Fe sccuids ue 20% crystallized morphine. Average dose, I-2 gr. Pills Opium, 1-2 gr.; Opium (U. > ce ve oe Opium extract, 1-4 gr., 1-2 gr. and | Chocolate-coated Tablets of tincture, 10 mins. and of C es Tablet T riturates Dp jur m 40 chloride, 1-8 gr. to 1-2 gr.; Morphine meconate, 1-4 gx.; Morphine phthalate, 1-4 gr.; Morphine sulphate, 1-50 gr. to 1-2 gr.; Morphine valerianate, 1-8 gr.; Codeine, 1-10 gr. to | gr.; Codeine phos- phate, 1-8 gr., 1-4 gr. and 1-2 gr.; Codeine sul- phate, 1-10 gr. to 1 gr. Also many combinations of the drug and its alkaloids in various forms. Note.—-Not a few unofficial varieties of Opium find their way into the market. The drug is often falsified and extensively adulterated with ash, flour, gum arabic, clay. and pitch. Good Opium contains roughly one-sixth its weight in alkaloids; we select for our use Opium assaying no less than 9% of crystallized morphine. All our Opium products may be depended upon to be absolutely true to label. -PHYSOSTIGMA, Sh Also known as Calabar Bean. The ripe seed of Physostigma yenenosum (Balfour) is used. = Contains an n important alkaloid—physostigmine, or eserine. _ Analgesic; peje sedatives ~~ Se Strychnos Nux-vomica—Poison Nut. 41 STANDARDIZED PRODUCTS: _ = Fluid Extract Physostigma; shade 0. 15% Sse soluble alkaloids. Dose, + to 4 mins. — Tincture Physostigma (U. S. P.); ‘nek a014% ether-soluble alkaloids. — Average dose, 15 mins, Solid Extract Musee See ide ethe solu J; stan PILOCARPUS. Also known as Jaborandi. The leaflets of Pilocarpus Fea (Hela) or of Pilocarpus microphyllus (Stapf) are used. Contains three alkaloids—pilocarpine, iso-pilocarpine, _pilocarpidine—and possibly a fourth. | _ Diaphoretic; ‘diuretic; myotic; cholagogue. — Employed in the dropsy of nephritis, in uremia, re : muscular rheumatism, acute coryza, alopecia, and asthenopia. o. STANDARDIZED Propucts: ait | Fluid: | Extract Pilocarpus- (U. S. P.);. standard, | 0. 1% alkaloids. Average dose, 30 mins. , : /Hypodermatic Tablets Pilocarpine — hydrochloride, Weed gr. to gay gts ; ot nitrate, 1 1-20 er. to 1-3 er ee Tablet Triturates jal fluid exitack, | min.; | - Pilocarpine hydrochloride, 1- 100 gr. tol-l0 gr. pa Pilocarpine hydrochloride, - 16 coe PODOPHYLLUM. . eee Also called May ‘Apple and Ninel root. The dried rhizome of Fedopiglion pileia (Line) is used. Contains 4 to 5% of resin of complex constitution, -Cholagogue; cathartic; alterative. ~ Employed in constipation, — theumatism, scrofula, id’ hepatic congestion. — STANDARDIZED Propucts: : Fluid Extract Podophyllum (U. Ss. P.); standard, 4.25% resin. Average dose, 8 mins. = Powdered Extract Podophyllum; standard, AI% resin. | Dose, itp 5 ers a Pink Granule Podophyllum resin, 1-40 ¢ er. = es Cc oncentrations bea koa and Podophyllin yellow. . ~ QUEBRACHO. - Also known as. spidolpenna. _ The bark of Aspidosperma Queracho-blanc (Schlech- eth is used. Contains several dibnieies, the most ‘important of which . is aspidospermine, | oe Antispasmodic respiratory stimulant, ; Empl oyed i in asthma, spasmodic croup, and dyspnea. : — STANDARDIZED. Propucr: | Fluid Extract Quebracho_ (N. F. D) ; stand: 1% = alkaloids. Dose, ‘15 to 60 mins. sea | Nore —The flui extract well represents ‘the a ie -spidompermine of | —— isa | more or less i a ‘mixture of i its alkaloic ANGUINARIA, | Aconitum Napellus—Monkshood; Wolfsbane. 45 Tincture Sanguinaria (U. S. P.); standard, 0.25% sanguinarine. Average dose, 15 mins, Concentrations Sanguinariin and Sanguinarine nitrate. Also various combinations, NotEe.—The above products are made from crude ma- terial collected late in the year after the death of the foliage, when the active principles of the drug are fully developed. A convenient form in which to administer Sanguinaria is our standardized tincture. From 5 to 30 minims may be diluted with an ounce of water, and a teaspoonful of this administered every one, two or three hours. SCOPOLA. The dried rhizome of Scopola carniolica (Jacquin) is used. : ee Contains scopolamine or hyoscine, hyoscyamine, and atropine. : _ Mydriatic; sedative. For uses, see Hyoscyamus. STANDARDIZED PRODUCTS: Solid Extract Scopola (U. S. P. a ee 2% mydriatic alkaloids. Average dose, I-5 gr. H eed ae Tablet Scopolamine oo 46 alkaloid scopolamine, which is considered chemically iden- ~ tical with hyoscine, is however employed to some extent in y ophthalmology, in 0.1 to 0.2% solution; also hypoder- ‘matically in the treatment of mania. Scopolamine and Morphine are administered conjointly, by the hypodermatic method, as an aid to ether or chloroform anesthesia. SQUILL. The bulb of Urginea maritima (Linne) is the part used, Contains three active — ccm namely, panes | cen, and scillin, | _ Diuretic; stimulant expectorant. : | . panel in the treatment | * mde iets bronchitis, "STANDARDIZED PRopucts: - luid Extract (hydro-alccholic) Squill; tested physio logically. Dose, | to 10 min. is | Fliid i tract ee Saul (U. S. P.). “Average ji fa cha Squill (U. s. Pd). lec anes? 15 mins. - Syrup Squill oe s. Pd; 100 Ce. — vinegar : | | a7 STRAMONIUM, Also known as Thornapple The dried ripe seeds of Datura Stramonium ( Line) ee used, Contains, among other alkaloids chiefly hyoseyamin and atropine. For action and uses see Belladonna. STANDARDIZED PROBUCE. Fluid Extract Stramonium (U. S. P.); standard, 0.25% mydriatic alkaloids. Average dose, | min. Fluid Extract Stramonium seed (N. F. ); ‘standard, ia mis 35% mydriatic alkaloids, Dose, 1 to. 4 mins. Tincture Stramonium (U. ae a3 ); sadard, 0. 025% : e mydriatic. alkaloids. | Average dose, 8 mins. — ee Solid Extract Stramonium (U.S. P.); standard, 1% mydriatic alkaloids. | Average dose, | 1-5 Lae ‘Solid Extract ‘Stramonium | seed; ‘standard, | | — alkaloids. Sess “ to a fase : 48 STROPHANTHUS. The ripe seeds of Strophanthus Kombe (Oliver). Contains a crystalline glucoside—strophanthin. Cardiac stimulant; diuretic. _ Of service in the various affections of the heart in which digitalis is commonly given. It is reputed to be more decided in its action and free from cumulative effects; also that it produces less constriction of the blood-vessels and is therefore preferable when arterial tension is high. STANDARDIZED PRODUCTS: Strophanthone. A refined preparation of Strophan- thus, of definite and uniform activity—tested phy- siologically—which may be administered either orally or hypodermatically. Dose, 15 minims; hypodermatic dose, 8 minims. Tincture Strophanthus (U. S. P.); tested physiologi- cally. Average dose, 600 heart tonic units* (8 - mins.). Tincture Surichaahise (U.S. -P: 1890); tested _ physiologically. Average dose, 600 heart tonic units* (15 mins.). : ral Strophanthus, 1-20 gr, _ Tablet Triturates Shee tincture, a 2 and 5 ae : with seeds of other varieties of the plant, of which ies are : twenty-eight, containing strophanthin in varying proportions” or not at all. One sample has been found to contain ninety times more of the active principle than another. We use only the seeds of Sirophanthus Kombe, of prime quality. But as the amount of strophanthin even in the best crude drug varies considerably, it is necessary to. standardize the finished preparations, and to do so physiologically, inasmuch es as no chemical procedure will answer. Our products are tested on frogs, i in much the same manner as digitalis. We. = recommend to the P escriber our special preparation of the me; in this ‘preparation the non-essential © oe portion of strophanthin in the seed is preserved. _ ‘The activity of this product is just one-half that of the official tincture when the latter is prepared from a prime quality of drug. *VERATRUM. Also known as American Hellebore. The dried rhizome and roots of Veratrum vee (Aiton) are used. Contains several alkaloids, most important of which are protoveratrine and jervine. Cardiac depressant; diaphoretic; diuretic; febrifuge. Employed in eclampsia, acute fevers, and mania. = s STANDARDIZED. Propucts: = I a ead to a minimum, while the normal pro- : ncture Vedran w. Ss: Pye ‘standard, 0. cee wediecd dose, = mins. : ‘min, sae as mins, _ This i is an aseptic, non-irritating Poe : a Bae. 15 to 30 minims ; ae 8 to 151 minims. oe