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it is my habit to give a single large dose of calomel, ten grains the first day, eight the second, and four the third. This tablet lasix entirely relieves the usually loaded bowel, and to a moderate degree antisepticizes the bowel contents, having at the same time a slight antiseptic effect. Give calomel as a purgative at the beginning of fevers for its peculiar derivative effect, and especially in that variety kown as haemorrhagic malarial lasix purchase fever. Of all purgatives, calomel seems to be more indicated than any other, and this is iv lasix proved by the results obtained. From ten to twelve grains are given every two hours until four such doses are taken. Under such administration the conditions are markedly changed, the bowels are unloaded, the lasix mg portal circulation is relieved, and its diuretic action is secured. In all these conditions calomel is a use- ful purgative, hastening waste and causing elimi- nation of lasix buy the products by the intestines. As a ver- mifuge for lumbricoid worms, five grains of calomel at night is an excellent purgative, causing their ex- pulsion. There are any number of conditions in which lasix and potassium calomel is a useful purgative, but my belief is that the manner of its administration is best de- termined by just what is being treated, some dis- eased conditions requiring small, often repeated doses, others a single large dose. Avoid Large Doses. Dr. A. E. von Tobel, of Meriden, Conn., writes: According to Hippocrates, it should be the aim of a physician to give drugs which heal cito, tuto et jucunde. Judged by this standard, calomel can hardly be called an ideal drug, for, although it acts tuto, it never acts cito, and, as most of us can testify from bitter experience, in many cases it does not act jucunde. This latter objection can, to a large extent, be overcome by careful and intelligent adjustment of the dose. There is lasix to buy probably no drug in such general use that is so carelessly given as calomel. In lasix order giving calomel, first of all consider the size of the dose. Avoid large doses, as a simple lasix furosemide purge, or to stimulate the emunctories at the beginning of fevers and infectious diseases, three grains will be a sufficient dose. If constipation is obstinate, give five grains and repeat in five hours if necessary, but do not repeat more lasix cheap than once. If potassium lasix by that time the bowels are not moved by calomel, it is better to try some other drug. In only two classes of patients is it permissible to give large doses : the obese, with sluggish livers, and those having liver affections with jaundice. Here the dose is from five to ten grains. Bear in mind that children will take relatively larger doses online lasix than adults. Shall we give divided doses ? My rule is as fol- lows : With children and in cases where the stom- ach requires medication, give a small dose every hour till the bowels move, in other cases give single doses. As to the lasix with potassium time lasix renal of administration, in spite of the time-honored custom, I do not give calomel at night where I can avoid it. A large dose buy lasix online given at, say 10 p. m., will usually act about 3 a. m., and no patient enjoys making lasix 40 mg two or three hurried visits to the closet at that hour. After such an experience they are very apt to change doctors. So, where I can, I give calomel in the morning or during the day, so that its action may not disturb the patient at night. Shall we combine it with sodium bicarbonate? Personally, I do not, and I fail to see what good lasik lasix the drug can do given in the doses usually prescribed. If given at all, it should be given in larger doses, sufficient to neutralize all the acid of the stomach ; 164 OUR SUBSCRIBERS' DISCUSSIONS. [N. Y. Med. Jour., otherwise we cannot accomplish the object for which the drug is administered. Shall we follow it with a saline? Yes and no. If you have given a dose at night which has not acted in the morning, give a saline before breakfast. If you have a fat patient with a sluggish liver, whom you wish to deplete as much as lasix for possible, follow the calomel with a saline. If you wish to thoroughly stir up lasix 40mg the liver, follow it with a saline. In cases of children, do not use the saline, or at the beginning of fevers or infectious diseases, when the patient should not be depleted and needs all his energy to combat the disease.

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