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February 20, 1886


JAMA. 1886;VI(8):206. doi:10.1001/jama.1886.04250020066006

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In the issue of The Journal for February 6 appeared the report of a lecture on the above topic by Dr. S. S. Bishop, in which cocaine is highly recommended for the relief of hay fever. The writer also mentions the fact that the drug sometimes causes unpleasant effects and that it cannot be considered curative.

In addition to what he has said of it I wish to call attention to an effect which I have frequently observed, viz.: Continued use of the drug renders it necessary for the patient to take more and more of it for relief, and finally the constant stimulation of the sympathetic nerves in the nasal tract causes paresis, with resulting swelling of the turbinated bodies, which may at length permanently obstruct the naris. Dr. Bishop states that no cure for the affection has been heretofore discovered, but in this I am confident he has

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