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SAVING ON DRUGS
325 destitution. A " certificate ofmarriage " was said to have been written on paper bearing the imprint of the House of Lords. There was evidence that Lord Haldon On Feb. 19, had not been in Scotland at the time.
1939, a Mrs. B. gave birth to a boy. Mrs. Ireland visited the mother several times, proposed to adopt the baby and eventually took it away. Mrs. Ireland’s cottage happened subsequently to be visited by the village constable. He was invited in and saw " Lady Haldon " in bed ; in the middle of the room was a cot containing an infant some "days old. "There," said Mrs. is the future Lord Haldon." Ireland to the constable, According to the prosecution, Mrs. Ireland was over 60 of age at the time. Isabella Blackett, described as years " nurse-secretary to Mrs. Ireland and indicted jointly with her, went off to a registry office and registered the birth of a son to Lady Haldon. The vicar of the parish called at the cottage and baptised the boy Lawrence Edward Broomfield Haldon. Mrs. Ireland and Isabella Blackett were found guilty last November of conspiring to make a false statement regarding a birth and of forgery. The former was sentenced to three years’ penal servitude, two years on these charges and one year on charges of bigamy to which she pleaded guilty. Isabella Blackett, to whom an exemplary character as a school teacher was attributed, was sentenced to 12 months’ imprisonment. This kind of imposture, of course, is difficult unless aided by a false medical certificate. The medical practitioner already mentioned was before the court a few weeks ago. The prosecution alleged that he had written a letter to the registrar of births stating that Lady Haldon had, in March, 1939, given birth to a male child, who was still living. He pleaded guilty to charges of giving false information and making a false statement that a birth had taken place. The Crown accepted his plea of not-guilty to three charges connected with the conspiracy which the two women had already been sentenced. Mr. Justice Croom Johnson, after hearing evidence of the good service of the accused in the R.4.1VLC., bound him over for two years. But for the testimony to his military service, said the judge, a sentence of imprisonment would have been inflicted.
hydrochloride and methanesulphonate, mersalyl, methyl salicylate, methylthionine chloride, mustard, neoarsphenamine, nicotinamide, nicotinic acid, nitrous oxide,
nux
vomica,
pamaquin, pancreatin, paraldehyde, phenol, phenolphthalein, phenothiazine, pirevan, pituitary extract, prepared coal tar, procaine hydrochloride, proflavine, quassia, quinidine sulphate, resorcinol, soluble saccharin, salicylic acid, senna, oxygen,
sera
and
vaccines, silver nitrate, soda lime, sodium amino-
arsenate, bromide, carbonate, chloride, nitrite, salicylate, and thiosulphate, stannic oxide, stibophen, stilbcestrol, strychnine, sulphanilamide, sulphapyridine, sulpharsphenamine, sulphur, suramin, thymol, thyroid, thyroxinesodium, totaquine, trinitrophenol, tryparsamide, vitaminised oil, zinc carbonate, oxide and sulphate.
sulphate
For the
present, at
any
rate, there is
no
scarcity
of the
following: Acacia, aloes, apomorphine hydrochloride, balsam of Peru, barbitone, camphor, cinnamon, cocaine, diamorphine, ergot, ethyl morphine hydrochloride, oils of aniseed, clove, cinnamon, and turpentine, phenazone, phenobarbitone, quinine, rhubarb, tannic acid and silver proteinate. A defence regulation has been made empowering the Minister of Health and his opposite numbers in Scotland
eucalyptus
and Northern Ireland to make orders which will empower a chemist to replace a scarce drug in a prescription by a more plentiful alternative named in the order unless the doctor writes the letters N.A. (no alternative) against the An order has already been made under scarce drug. these powers authorising the replacement of potassium bicarbonate, iodide and citrate by equal quantities of the corresponding sodium salts. Last week we mentioned (p. 288) that amendments had been made to the B.P. authorising the replacement of Urginea scilla, which came from Sicily, by Urginea ind,ica in official preparations, and facilities are being given for the importation of Indian squill. The Ministry of Health, however, urges the strictest economy in the galenicals containing squill-acetum scillse, extractum scillae liquidum, oxymel scillse, syrupus scillse and tinctura scillae. The commonly prescribed mixtures containing these are :Mist. digitalis c scillaN.F. Mist. scillae co. N.F. Mist. diuret. N.F. Mist. senegse ammon. N.F. Mist. expect. alk. N.F. Mist. tuss. rub. N.F. I SAVING ON DRUGS I Linct. morph. rub. N.F. Mist. expect. nig. N.F. Mist. ipecac. c scilla N.F. Linct. scillse co. B.P.C. PRESCRIBING is largely a habit, and it takes both time Mist. oxymellis N.F. Linct. simplex N.F. and trouble to overhaul the prescriptions with whose effects we are familiar and replace scarce drugs by plentiThe committee now preparing a war-time formulary ful ones. Nevertheless, this task must now be faced if will be giving us revised formulae for these old friends, we are to conserve supplies for cases where they are really but meanwhile it will be up to the doctor to consider needed and prevent waste of foreign currency and when he orders one whether the patient would suffer shipping space. The Medical Research Council is if the squill were omitted or replaced. shortly to issue a War Memorandum which is likely to Any preparations containing alcohol should be precontain recommendations of the Therapeutic Requirescribed sparingly. The approximate comparative ments Committee similar to those we have already pubstrengths of tinctures and liquid extracts are as lished in these pages’! To assist prescribers we have follows : prepared a list of drugs, official and proprietary, which Ext. belladonnae liq. 11L 1 equals tinct. bellad. 1 25. are readily available. Ext. ipecac. liq. 1Tl 1 equals tinct. ipecac. Tll 20. Acetarsol, acetylsalicylic acid, acriflavine, lanolin, adrenaExt. hyoscyami liq. 11L 1 equals tinct. hyoscyami 11l 10. line, alum, ammonium carbonate and chloride, amphetamine, Ext. nucis vom. liq. 1 1 equals tinct. nucis vom. Ut 12. amyl nitrite, amylocaine hydrochloride, aneurine hydroExt. scillae liq. Its 1 equals tinct. scillse Tl1 10. chloride, aniline dyes (these include brilliant green, crystal Ext. senegae liq. 1Tl 1 equals tinct. senegse TTl 5. violet, fuchsine, malachite green, and scarlet red), antimony The use of powdered digitalis and prepared ergot compounds, ascorbic acid, barium sulphate, benzedrine, beta instead of the tincture and liquid extract respectively can cacao butnaphthol, precipitated bismuth, broom, bromethol, be recommended on both therapeutic and economic ter, calamine, calciferol, calcium salts, cardamoms, chlorinated grounds, for both powders represent the most stable lime and solution of sulphurated lime, carbachol, carbamide of the two drugs. Digitalis pulv. gr. 1 ’is (urea), charcoal, activated charcoal, chiniofon, chloral hydrate, compounds to tinct. digitalis Til 10 and ergota prsep. equivalent chloramine, chlorbutol, chlorinated xylenol (parachloro1 is_ equivalent to ext. ergotse liq. 111 2. gr. chlorocresol metaxylenol), (parachlorometacresol), chloroform, cinchophen, solutictn of coal tar, colocynth, colophony, cresol, chalk, copper ’sulphate, derris, digoxin, dilantin soluble, dioA DIRECTORY OF CHARITIES.-The Charity Organisadone, ephedrine, ether, ethyl chloride, hydrogen peroxide, iron tion Society has once more published its annual carbonate, ferric chloride, ferrous sulphate, iron, reduced iron, Charities Register and Digest (Longmans Green and solution of perchloride of iron, fluorescein soluble, solution of Co. 8s. 6d.). It is an orderly survey showing where formaldehyde, gold compounds, guaiacol, heparin, hexobarbi- those who need help may best apply for it, and anyone tone, hexobarbitone soluble, hexamine, hexylresorcinol, who wants to know what provision exists for any hydrochloric and hydrocyanic acid, hydnocarpus oil, indigo particular case cannot do better than run a " conspectory carmine, insulin, insulin proteinate with zinc, iodised oil, eye " over the appropriate section in this book. Paperiodoxyl, kaolin, lanolin, lead salts, leptazol, lysol, magnesium rationing has not slimmed it, indeed two new sections carbonate, oxide and trisilicate, mandelic acid, mepacrine have been added-one dealing with special war 1. Lancet, 1940, 2, 340, 432, 472, and 729. organisations and one with refugees.
I
I
,
1939, a Mrs. B. gave birth to a boy. Mrs. Ireland visited the mother several times, proposed to adopt the baby and eventually took it away. Mrs. Ireland’s cottage happened subsequently to be visited by the village constable. He was invited in and saw " Lady Haldon " in bed ; in the middle of the room was a cot containing an infant some "days old. "There," said Mrs. is the future Lord Haldon." Ireland to the constable, According to the prosecution, Mrs. Ireland was over 60 of age at the time. Isabella Blackett, described as years " nurse-secretary to Mrs. Ireland and indicted jointly with her, went off to a registry office and registered the birth of a son to Lady Haldon. The vicar of the parish called at the cottage and baptised the boy Lawrence Edward Broomfield Haldon. Mrs. Ireland and Isabella Blackett were found guilty last November of conspiring to make a false statement regarding a birth and of forgery. The former was sentenced to three years’ penal servitude, two years on these charges and one year on charges of bigamy to which she pleaded guilty. Isabella Blackett, to whom an exemplary character as a school teacher was attributed, was sentenced to 12 months’ imprisonment. This kind of imposture, of course, is difficult unless aided by a false medical certificate. The medical practitioner already mentioned was before the court a few weeks ago. The prosecution alleged that he had written a letter to the registrar of births stating that Lady Haldon had, in March, 1939, given birth to a male child, who was still living. He pleaded guilty to charges of giving false information and making a false statement that a birth had taken place. The Crown accepted his plea of not-guilty to three charges connected with the conspiracy which the two women had already been sentenced. Mr. Justice Croom Johnson, after hearing evidence of the good service of the accused in the R.4.1VLC., bound him over for two years. But for the testimony to his military service, said the judge, a sentence of imprisonment would have been inflicted.
hydrochloride and methanesulphonate, mersalyl, methyl salicylate, methylthionine chloride, mustard, neoarsphenamine, nicotinamide, nicotinic acid, nitrous oxide,
nux
vomica,
pamaquin, pancreatin, paraldehyde, phenol, phenolphthalein, phenothiazine, pirevan, pituitary extract, prepared coal tar, procaine hydrochloride, proflavine, quassia, quinidine sulphate, resorcinol, soluble saccharin, salicylic acid, senna, oxygen,
sera
and
vaccines, silver nitrate, soda lime, sodium amino-
arsenate, bromide, carbonate, chloride, nitrite, salicylate, and thiosulphate, stannic oxide, stibophen, stilbcestrol, strychnine, sulphanilamide, sulphapyridine, sulpharsphenamine, sulphur, suramin, thymol, thyroid, thyroxinesodium, totaquine, trinitrophenol, tryparsamide, vitaminised oil, zinc carbonate, oxide and sulphate.
sulphate
For the
present, at
any
rate, there is
no
scarcity
of the
following: Acacia, aloes, apomorphine hydrochloride, balsam of Peru, barbitone, camphor, cinnamon, cocaine, diamorphine, ergot, ethyl morphine hydrochloride, oils of aniseed, clove, cinnamon, and turpentine, phenazone, phenobarbitone, quinine, rhubarb, tannic acid and silver proteinate. A defence regulation has been made empowering the Minister of Health and his opposite numbers in Scotland
eucalyptus
and Northern Ireland to make orders which will empower a chemist to replace a scarce drug in a prescription by a more plentiful alternative named in the order unless the doctor writes the letters N.A. (no alternative) against the An order has already been made under scarce drug. these powers authorising the replacement of potassium bicarbonate, iodide and citrate by equal quantities of the corresponding sodium salts. Last week we mentioned (p. 288) that amendments had been made to the B.P. authorising the replacement of Urginea scilla, which came from Sicily, by Urginea ind,ica in official preparations, and facilities are being given for the importation of Indian squill. The Ministry of Health, however, urges the strictest economy in the galenicals containing squill-acetum scillse, extractum scillae liquidum, oxymel scillse, syrupus scillse and tinctura scillae. The commonly prescribed mixtures containing these are :Mist. digitalis c scillaN.F. Mist. scillae co. N.F. Mist. diuret. N.F. Mist. senegse ammon. N.F. Mist. expect. alk. N.F. Mist. tuss. rub. N.F. I SAVING ON DRUGS I Linct. morph. rub. N.F. Mist. expect. nig. N.F. Mist. ipecac. c scilla N.F. Linct. scillse co. B.P.C. PRESCRIBING is largely a habit, and it takes both time Mist. oxymellis N.F. Linct. simplex N.F. and trouble to overhaul the prescriptions with whose effects we are familiar and replace scarce drugs by plentiThe committee now preparing a war-time formulary ful ones. Nevertheless, this task must now be faced if will be giving us revised formulae for these old friends, we are to conserve supplies for cases where they are really but meanwhile it will be up to the doctor to consider needed and prevent waste of foreign currency and when he orders one whether the patient would suffer shipping space. The Medical Research Council is if the squill were omitted or replaced. shortly to issue a War Memorandum which is likely to Any preparations containing alcohol should be precontain recommendations of the Therapeutic Requirescribed sparingly. The approximate comparative ments Committee similar to those we have already pubstrengths of tinctures and liquid extracts are as lished in these pages’! To assist prescribers we have follows : prepared a list of drugs, official and proprietary, which Ext. belladonnae liq. 11L 1 equals tinct. bellad. 1 25. are readily available. Ext. ipecac. liq. 1Tl 1 equals tinct. ipecac. Tll 20. Acetarsol, acetylsalicylic acid, acriflavine, lanolin, adrenaExt. hyoscyami liq. 11L 1 equals tinct. hyoscyami 11l 10. line, alum, ammonium carbonate and chloride, amphetamine, Ext. nucis vom. liq. 1 1 equals tinct. nucis vom. Ut 12. amyl nitrite, amylocaine hydrochloride, aneurine hydroExt. scillae liq. Its 1 equals tinct. scillse Tl1 10. chloride, aniline dyes (these include brilliant green, crystal Ext. senegae liq. 1Tl 1 equals tinct. senegse TTl 5. violet, fuchsine, malachite green, and scarlet red), antimony The use of powdered digitalis and prepared ergot compounds, ascorbic acid, barium sulphate, benzedrine, beta instead of the tincture and liquid extract respectively can cacao butnaphthol, precipitated bismuth, broom, bromethol, be recommended on both therapeutic and economic ter, calamine, calciferol, calcium salts, cardamoms, chlorinated grounds, for both powders represent the most stable lime and solution of sulphurated lime, carbachol, carbamide of the two drugs. Digitalis pulv. gr. 1 ’is (urea), charcoal, activated charcoal, chiniofon, chloral hydrate, compounds to tinct. digitalis Til 10 and ergota prsep. equivalent chloramine, chlorbutol, chlorinated xylenol (parachloro1 is_ equivalent to ext. ergotse liq. 111 2. gr. chlorocresol metaxylenol), (parachlorometacresol), chloroform, cinchophen, solutictn of coal tar, colocynth, colophony, cresol, chalk, copper ’sulphate, derris, digoxin, dilantin soluble, dioA DIRECTORY OF CHARITIES.-The Charity Organisadone, ephedrine, ether, ethyl chloride, hydrogen peroxide, iron tion Society has once more published its annual carbonate, ferric chloride, ferrous sulphate, iron, reduced iron, Charities Register and Digest (Longmans Green and solution of perchloride of iron, fluorescein soluble, solution of Co. 8s. 6d.). It is an orderly survey showing where formaldehyde, gold compounds, guaiacol, heparin, hexobarbi- those who need help may best apply for it, and anyone tone, hexobarbitone soluble, hexamine, hexylresorcinol, who wants to know what provision exists for any hydrochloric and hydrocyanic acid, hydnocarpus oil, indigo particular case cannot do better than run a " conspectory carmine, insulin, insulin proteinate with zinc, iodised oil, eye " over the appropriate section in this book. Paperiodoxyl, kaolin, lanolin, lead salts, leptazol, lysol, magnesium rationing has not slimmed it, indeed two new sections carbonate, oxide and trisilicate, mandelic acid, mepacrine have been added-one dealing with special war 1. Lancet, 1940, 2, 340, 432, 472, and 729. organisations and one with refugees.
I
I
,