STRYCHNINAE SULPHAS--STRYCHNINE SULPHATE

Made by the action of sulphuric acid on strychnine.

PROPERTIES.--Colorless or white, prismatic crystals, odorless and having

an intensely bitter taste. Efflorescent in dry air. Soluble in water and

alcohol. Almost soluble in ether.

DOSE.--Horses, ¹⁄₂ to 1¹⁄₂ gr.; cattle, 1 to 3 gr.; sheep, ¹⁄₄ to ¹⁄₂

gr.; dogs, ¹⁄₁₂₀ to ¹⁄₄₀ gr. The small doses are to be used when

strychnine is given subcutaneously.

ACTIONS.--Nerve tonic, stomach tonic, stimulates respiration, secretion,

appetite and digestion; it increases peristalsis, stimulates both the

motor and inhibitory apparatus of the heart, and raises arterial tension

by stimulating the vaso-motor centers, thus contracting the arterioles,

though full doses relax the arterioles and thus lower blood pressure.

Strychnine exalts all functions of the spinal cord, reflex, motor,

vaso-motor and sensory, the latter being the least affected; it does not

affect the brain directly.

TOXICOLOGY.--Large doses cause trembling and twitching of the voluntary

and involuntary muscles with violent clonic spasms, lasting one or two

minutes, gradually getting more frequent and severe in form involving

the glottis, diaphragm and other muscles of respiration; causes death

usually from asphyxia. Very large doses may paralyze the cord as from a

blow, and cause almost instant death.

USES.--Nux vomica or strychnine is indicated in any condition in which

there is a paralysis or depressed state of the nerves or nervous system;

atonic dyspepsia, broken wind, relaxed condition of the bowels due to

lack of tone, in small doses.

In weak condition of the heart give with small doses of digitalis; it

stimulates sexual organs. Give it in convalescence from debilitating

diseases, also as an aid to recovery during their progress; in collapse

and for narcotic poisoning strychnine hypodermically in paralysis,

whether of limbs, intestines or bladder.

In diarrhoea, due to lack of tone of muscular coat of the bowels

combined with astringents; for anaemia, strychnine combined with iron

and quinine; nervous coughs use strychnine with sedatives; also in

incontinuence of urine and chorea, in dogs after distemper.

ANTIDOTE FOR STRYCHNINE POISONING.--Tannic acid or vegetables containing

it should be freely administered, for the tannate of strychnine which is

formed is very insoluble; an emetic or the stomach pump must be used

promptly. The tetanic spasms are best controlled by chloral hydrate or

very large doses of potassium bromide (2 dr. to ¹⁄₂ oz. for man) or 4 to

8 ounces for the horse as antidote for strychnine poisoning. Inhalations

of ether are also recommended. Chloral hydrate may be used per rectum or

intravenously. Inhalations of amyl nitrate are also of value. The

administration of melted lard seems to exert peculiar antidotal

properties to strychnine poisoning. As an emetic for dogs apomorphinae

hydrochloras ¹⁄₂₀ to ¹⁄₅ grain, given hypodermically, is the best and

may have to be pushed as emetics act tardily in poisoning by this drug.

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