Ipecac syrup and ipecac fluidextract are commonly used for a variety of reasons in pediatric practice.
This brief history of the difficulties following the ingestion of ipecac fluidextract is presented as a reminder of the differences between ipecac fluidextract and ipecac syrup, and the potential toxicity of each.
A 2½-year-old child, a son of a physician, ingested approximately six 4 mg. chlorpheniramine (Chlor-Trimeton) maleate tablets. The father, a surgeon then on rounds at the local hospital, consulted with a group of three pediatricians as to what would be appropriate therapy. It was the agreed consensus that the child should be given "ipecac," a teaspoonful every five minutes until vomiting ensued. The father obtained from the local hospital pharmacy a bottle of ipecac, fluidextract, dispensed by a substitute pharmacist who was on duty for this one day only. The near catastrophe that followed points up the fact that ipecac is not
ALLPORT RB. Ipecac Is Not Innocuous. AMA Am J Dis Child. 1959;98(6):786–787. doi:10.1001/archpedi.1959.02070020788016
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