RT Journal A1 Markel H T1 Über coca: Sigmund freud, carl koller, and cocaine JF JAMA JO JAMA YR 2011 FD April 6 VO 305 IS 13 SP 1360 OP 1361 DO 10.1001/jama.2011.394 UL http://dx.doi.org/10.1001/jama.2011.394 AB In the spring of 1884, a 28-year-old Viennese neurologist named Sigmund Freud published “Über Coca,” a superb medical analysis of cocaine hydrochloride.1- 2 Although the monograph was an early career milestone for the ambitious physician, it also represented a missed opportunity. Using himself as his experimental subject over several months, Freud consumed a great deal of cocaine as he recorded the drug's physiological effects and potential therapeutic uses. However, he skimmed over cocaine's most important clinical use as a local anesthetic. In a hurried last paragraph, a postscript really, Freud noted that “cocaine and its salts have a marked anesthetizing effect when brought into contact with the skin and mucous membrane in concentrated solution.” Without offering any additional data or experiments, Freud merely concluded that these properties “should make it suitable for a good many applications.”2