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January 30, 1909, Vol LII, No. 5 >
ARTICLE | January 30, 1909

The Evil of Prescribing a Larger Quantity of Medicine Than Is Necessary

Clarence D. Selby, M.D.
JAMA. 1909;LII(5):399. doi:10.1001/jama.1909.02540310059015.
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ABSTRACT

To the Editor:  —E. M., a woman aged 26, was seized with an a tack of diarrhea, for the alleviation of which she took medicine that had been prescribed for a similar contingency two years previously. The diarrhea continuing, she took on December 26 two teaspoonfuls of the medicine, of which there was a small quantity remaining, and two more teaspoonfuls December 27. During the afternoon of December 27 her vision began to be blurred, she grew nervous, her mouth became dry and her heart action rapid. Soon after, her hands and feet grew chilly and numb. By this time she was alarmed and summoned medical aid. I found her pacing the floor and nervously loquacious. The dryness of her mouth and the history, together with the dilated pupils and the uncontrolled heart action, confirmed the diagnosis of atropin poisoning. Treatment along accepted lines was satisfactory in its result.Often

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