TY - JOUR T1 - Butyn poisoning: Report of two cases AU - Jamieson WR Y1 - 1929/05/04 N1 - 10.1001/jama.1929.92700440002013a JO - Journal of the American Medical Association SP - 1519 EP - 1519 VL - 92 IS - 18 N2 - Butyn is the sulphate of a base similar to that of procaine, the ethyl being replaced by butyl and the ethanol by propanol.1 It is a very efficient anesthetic for mucous membranes, inducing a more rapid and more persistent anesthesia than cocaine, and in equal concentrations is more powerful than cocaine. It should not be used for infiltration anesthesia, as it is more toxic than cocaine or procaine.For the past seven years I have been using butyn as a local anesthetic in the male and female urethra without any untoward results. The maximum strength of the solution has been 2 per cent. Recently, there have occurred two cases of poisoning by this drug, with a fatal termination in one case.REPORT OF CASES  Case 1.  —A man, aged 58, a Mexican, was admitted to the City-County Hospital, Feb. 12, 1929, at 10:30 p. m., because SN - 0002-9955 M3 - doi: 10.1001/jama.1929.92700440002013a UR - http://dx.doi.org/10.1001/jama.1929.92700440002013a ER -