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OUR SUBSCRIBERS' DISCUSSIONS. i6i hour, beginning at 5 or 6 o'clock in the evening. This is followed by one or two drachms of castor oil cheap erythromycin in the morning. This is particularly efficient in children passing clay-colored, pasty stools, and in intestinal infection with much straining and bloody, mucous stools. In patients particularly difficult to purge, as in the majority of our Southern negro element, and in plethoric and sthenic individuals, requiring a thor- ough cleansing cost erythromycin gel out of the order erythromycin liver, I prescribe calomel in two medium doses, combining it with sodium bicarbonate, powdered jalap, and resin of podophyl- lum thus : li Calomel, } , , . c ■■• 1 • r ^ (each 6 grams; Sodium bicarbonate,) Powdered jalap 5 " Resin of podophyllum ^ grain. M. Divide into two powders. S. One to be taken at cost erythromycin ophthalmic 8 and the other at 10 o'clock in the evening. The reason for using the sodium bicarbonate has been stated, i. e., to assist price erythromycin ophthalmic ointment the intestinal juice in the decomposition of the calomel purchase erythromycin into gray oxide. price erythromycin ointment As to the jalap, I use it as a purgative and to increase the biliary secretion, and the podophyllin to act especial- ly on the liver, increasing the secretion of bile. This mode of administration I always follow with a half- ounce of magnesium sulphate in the morning. To most of us not conversant average cost erythromycin with this type of patients this may seem a drastic dose, but I have often seen it produce only two natural stools, acting only as a mild laxative. In such cases I repeat the dose, increasing the calomel and the podophyllin. One Sixth of a Grain Every Hour. Dr. John B. Corsiglia, of New York, writes: The price erythromycin india best way of prescribing calomel as a purga- tive is in small doses, a sixth of a grain buy cheap erythromycin for an adult, repeated every hour till twelve such doses have been taken, and always associated with a little bicarbonate of sodium and sugar of milk. A Seidlitz powder should follow. The reasons are as follows : how much does azithromycin cost The sodium bicarbonate prevents the griping action of the calomel. Sugar of milk helps its eliminating power. Calomel acts only on the upper part of the small intestine. When the upper part of the small intestine is sluggish, from obstruction to the intesti- nal glands, and when the bile flowing into the small intestine cannot therefore cost erythromycin topical be eliminated, giving rise to pancreatic and hepatic turbidity (biliousness), calomel in sixth-of-a-grain doses repeated every hour, and associated with the substances mentioned, price erythromycin philippines acts better than if given in a large single dose. The reason is that we desire a slow but steadv action of the calomel upon the intestinal glands, so as to price erythromycin gel allow of the cost erythromycin eye ointment gradual escape of the bile. With a single large dose we overstimulate those glands, give them more work to perform cost erythromycin ophthalmic ointment than Nature has designed for them, and the result is that they are left sluggish and weak, with a repetition of the trouble in a short while. Then, again, if a large dose is given, this fails to act after a short while. I have known of a case in which an individual who always was in the habit of taking ten grains of calomel, but after a time it failed to produce any movement of the bowels, although a sixth of a grain, repeated every hour, was always followed by numerous movements and by a sensation of well-being for a long time afterward. On the other cost erythromycin hand, when, online erythromycin as after childbirth, we have reason to suspect slight intestinal sepsis, with accumulation of gases, constipation, headaches, and a rise of temperature to 101° or 102°, a single five- grain dose cost of erythromycin 500mg of calomel with an equal quantity of bicarbonate of sodium acts better. We here desire a quick action for two reasons: i. Because the puer- peral state is one of lowest resistance. 2. Because the quicker we eliminate the poison from the intes- tine, the less fear we have of auto-intoxication. But in all other cases a sixth of a grain is preferred. A Small Dose Every Fifteen Minutes. Dr. Moses Keschncr, of Nezv York, says: The small and repeated dose of calomel is pre- ferred : I. Because it has been found by physiologists that calomel entering the stomach escapes un- changed into the alimentary canal, and is there de-

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