This section is from the book "The Art Of Dispensing", by Peter MacEwan. See also: Calculation of Drug Dosages.
A correspondent asked us if the following mixture should be dispensed with or without a sediment:
Liq. peptici (Benger's) .... | . |
Sodii bicarb. ...... | 3iv. |
Glycerini ...... | 3vj. |
Inf. quassiae ...... | ad |
To this the late Mr. Benger replied:'I find the prescription yields a clear mixture, which, after standing several days, shows no sign of sediment. Liquor Pepticus (Benger) is slightly acid, and will cause effervescence when mixed with Soda bicarb. It is difficult to see the object of the prescriber in this case, as pepsin and its preparations are practically inert in any but acid media. This mixture is strongly alkaline, and the pepsin would certainly have to wait its turn, till after the soda had been neutralised by the acid contents of the stomach.'
The following mixture yielded in a few minutes after compounding a granular precipitate of strychnine hydrate:
Liquoris sodii arsenatis .... |
|
Liquoris strychninae ..... |
|
On testing the liq. sodii arsenat. it was found to be alkaline in reaction, and this has been proved to be the normal condition of the solution. Various suggestions have been put forward to account for this (see The Chemist and Druggist, 1899, 11.
1030), but it suffices for the dispenser to know that the solution is alkaline, and that it should be slightly acidified (in this case with dilute hydrochloric acid) before mixing with anything which free alkali may decompose to form a precipitate.
The feeble solubility of strychnine hydrate has been pointed out (pp. 41-2) as a source of danger when solution of strychnine is prescribed in alkaline mixtures. The following are prescriptions in which the strychnine is thrown out of solution:
I. | ||
Liq. strych. hydrochlor....... | . | |
Elixir saccharin............ | ad | |
M. | ||
[Here the sodium bicarbonate of the elixir throws out the strychnine.] | ||
II. | |
Liq. strychninae............ | 3J. |
Sodii bicarbonat........... | 3ij. |
Liq. bismuthi ........... |
|
Spt. chloroform............ | 3ij. |
Aq..... | ad |
 
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