The British Journal of Psychiatry (2001) 178: 280
© 2001 The Royal College of Psychiatrists
Asylum reports Scottish Royal Asylums
Researched by Henry Rollin, Emeritus Consultant Psychiatrist, Horton
Hospital, Epsom, Surrey
Perth
Dr. Urquhart refers to the dangers that are accompanying the fashionable
drugs which are now so accessible to the public. "The abuse of such
substances as antipyrin, which seems to have taken its place in the domestic
medicine chest, to the detriment of the race, is almost as formidable as the
indiscriminate and continuous unauthorised dosing with sulphonal and cocaine.
Valuable as these remedies are when appropriately prescribed, each entails its
own special dangers. As soon as an anodyne or a soporific comes into general
use, the results are recorded in the statistics of our medical institutions.
We have lately reported a death consequent on a relatively small dose of
sulphonal, and apparently due to its disorganising effect on the system. This
drug was placed before the public as an absolutely safe hypnotic not many
years ago, and it is now used with a freedom which is perfectly appalling; yet
it has not been ascertained in what cases sulphonal is eminently dangerous, or
where an idiosyncrasy exists forbidding its administration. We have also had
under treatment a patient who fell a victim to that insidious drug cocaine.
Consequent on the relief experienced, he was enabled for a time to carry on an
extensive business; but, while thus deadening the pain of persistent
neuralgia, he was only treating a prominent symptom, without combating the
underlying causes of his malady."
REFERENCES
Journal of Mental Science, January 1900
, XLVI, 191
-192.