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To the Editor:—
In answering a question submitted by a physician, one cannot give all the possible aspects of a particular disorder and how they can be treated. One cannot give all the possible complications, untoward reactions, indications, and contraindications for certain treatments. If this were to be done, each answer would constitute a complete paper in itself.Dr. Lemere's letter makes some excellent points which he has gleaned from his experience. In my many years of using promazine preparations intravenously, I have never encountered the reaction which he mentions. It is possible to have occasional untoward results with particular patients with any drug, and using any preparation carries with it the risk of an untoward result with some patients. This does not necessarily mean that the use of the preparation should be discontinued. The use of ACTH has been recommended by many physicians treating alcoholics as an effective one
Block MA. Treatment of Delirium Tremens-Reply. JAMA. 1961;178(10):1052. doi:10.1001/jama.1961.03040490078022