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To the Editor:—
The validity of Dr. Gunn's conclusions in "Urinary Complications Following Bunamiodyl" (JAMA175:911 [March 11] 1961), seems open to question. Other investigators and myself (Teplick, J. G.; Adelman, B. P.; and Steinberg, S. B.: Amer J Roentgenol80:961 [Dec.] 1958) have reported on the use of butamiodyl in over 6,000 patients, and have noted no apparent urinary complications.Dr. Gunn's first case was a 63-year-old man, with an obvious prostatic problem and with an elevated blood urea nitrogen level of 22 mg.%. After 2 larger than usual doses of butamiodyl, elevation and fluctuation of the BUN and increase in urinary symptoms were noted. Recognizing natural fluctuations in prostatic disease, can we confidently name the drug as culprit?The second patient, a 69-year-old man with unexplained anemia, BUN of 29 mg.%, albuminuria, and repeated vomiting, was given 24 gm. of butamiodyl within 48 hours, followed by
Teplick JG. Urinary Complications After Bunamiodyl. JAMA. 1961;177(12):881. doi:10.1001/jama.1961.03040380059014
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