Contributions to Practical Medicine

Cover Contributions to Practical Medicine
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I must warn you very plainly and very seriously of the risks which attach to the administration of powerful hypnotic drugs. Many human lives are yearly lost as the consequence of the taking by sufferers from insomnia of overdoses of hyp- notics. All drugs which produce sleep as a physiological effect, and the relief of insomnia as a therapeutic action, with the exception, perhaps, of the bromides, produce stupor rather than sleep in overdoses, which deepens into the sleep which knows no waking
...when they are ingested or injected in larger doses still. So never allow apatientto dose himself withhypnotics.
Keep the matter quite within your own secure hands, upon well-recognised limits of safety. In * A Text-Book of Pharmacology, cSfec.
THE CURE OF INSOMNIA 57 the less acute and more chronic forms of psychic insomnia, where the sleeplessness or wakeful- ness usually depends upon prolonged worry or overwork, I employ chloral or other powerful dormitives sparingly. They should only be used as temporary remedies, when it is necessary to secure at once a fair amount of sleep.


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