TINCTURA CANTHARIDIS--TINCTURE OF CANTHARIDES

Prepared by percolation of powdered cantharides, 100 parts, with alcohol

to make 1000 parts.

DOSE.--Horses and cattle, 2 to 4 dr.; sheep and pigs, 15 to 30 m.; dogs,

2 to 15 m.

ACTIONS.--Externally, is rubefacient, irritant, vesicant, according to

the strength used, it promotes water blister; counter-irritant, etc.

Cantharides acts more powerfully on the skin of horses and dogs than on

that of cattle and swine. If applied over an extensive surface,

absorption and poisoning may occur.

Internally cantharides is an irritant, and produces its effects on any

part which the free cantharidin is brought into contact. When swallowed

it irritates the digestive mucous membrane; large doses produce

gastro-enteritis. The active cantharidin is absorbed, and in the blood

forms a non-irritant albuminoid, but in the kidneys is again liberated,

developing its characteristic irritation, medical doses stimulating the

urino-genital tract, causing diuresis, and in some animals increases

sexual appetite; full doses induce inflammation, slow and painful

discharge of bloody urine.

USES.--Externally cantharides is employed as a blister rubefacient or as

a counter-irritant; blisters are formed in from two to eight hours. If

repeatedly used it may cause sloughing of the tissue; cantharides may be

used wherever a blister or counter-irritant is required, except in

inflammation of the urinary organs, as it is absorbed and will increase

the inflammation. Cantharides conjoined with red mercurous iodide and

adeps is usually employed in the treatment of diseases of the bones,

joints, bursae, ligaments and tendons. In exostoses, as bone spavin and

ring bone, used most effectively after the actual cautery, to secure

absorption and resolution, or anchylosis. Always clip off the hair close

before applying a blister, tie or muzzle the animal so he cannot bite

it; leave blister on forty-eight hours, then wash and grease the parts

daily. A cantharides blister is sometimes beneficial in hastening the

formation of abscess (distemper); also to stimulate indolent ulcers or

wounds; it causes swelling and closes the opening of small umbilical

hernias of foals and calves. It is also valuable in closing and sealing

punctured wounds into joints and synovial cavities. The tincture of

cantharides can be applied once or twice daily, full strength, when the

exudation of much serum is desired. Cantharides is seldom used

internally except in incontinuence of urine from debility or partial

paralysis of the bladder. Seldom used to increase sexual desire. The

tincture of cantharides should be employed when the drug is administered

internally.

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