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PHYSICiAN'S VIEWPOINT by Dorothy Sved, M.D. But most can take TYLENOL Tablets, the safe, non-irritating analgesic that's just as effective as aspirin for the relief of pain. That's why TYLENOL is the fastest-growing of the teading anaigesics in drug stores* • Distributed only through the drug trade. • Heavily and continuously promoted to doctors, dentists, and nurses. • Ethical promotion protects you r prof it; builds store traffic. Recommend TYLENOL, the professional pain reliever. •5ource:lndependentresearch organ zation McNEIL MCNIEIL LAmORATORIESI INC., rORT WASHIVN~GTt,N, PA 4 • Interpreting the News  Medicine has fads as changeable a4 those of the fashion wurltl. Ottt ' of the current "in" diagnoses is hypoglycemia. A low blood sugar i~- being used to explain everything froni obesity to such symptonls as heatlacile. vertigo, irritability and convulsions. A six-hour glucose tolerance ha~- become as popular a screening procedure for the overweight patient a~, the- cau~t;t~; basal nietabolism rate used to be-and it detects an underlying obesity just a~ infreyuenly. Recettly, two incident,, canle to our attenticm. In one, a labt,r<L:r r, diagnusi,, of hypoglycemia masked a seric,u~~ unrlerlyinl; condition. ]n the other, the diagnosis led to poor medical mana;;enlent of the l,atient. The first case invc,lvecl a college student wht, came to the health cen:rr, arh i~r l to obtain permission for a special diet. She said her physician had her to adhere to a strict low-carhuhydrate, high-protein cliet. Thi~, i_~, the standard diet prescribed fur a physiologic hypoglycentia. baseel on the theory that a glucose load will stintulate the relea~r of insulin, thu,, cau~-- ing a reactive hypoglycemia. A slow stead-,' supply of glucose, as is attained with metabolisnt of protein, will maintain a steadier blood sugar level. Morning, headaches had been the symptnm for which she had oril;ina?'1\ sought medical aid, and nuthinl; other than the diet had relieved the l,ai'n. Although she still had occasional headache.,, she felt the\ uccttrrerl ()Ill% when she "cheated" on her diet. We could not authoriz(• the special diet -,cithout a nlure cuml,lete in- vestigation, and advised the patient to have her physiciarl cotlt~11ct u~. We heard no more until the following semester-and then, unft>rtunately. it was a request for a medical lea\ e of absence fcrlh rwing surgery t,~r re- moval of a brain tumor. The other patient with a hypoglycemia dial;rn si~, Nvas a thin .eVen- year-uld bov. He had to visit the nurse's office at the elementarv scht)ol every two hours so that she could administer his amino acid wafers. The nurse was concerned for several reasons. It wa~, a disrul,ting schedule for avoung child to have to follow. Also his medical recurd showed th,tt, at age four, lte had had a convulsive disc,rder diagnused an(1 treated as epilepsy at a large city pediatric center. llilamtin had been discuntinued re- centh• when the famih' had moved and a lucal ph}•sician hatl diagnu~,etl h.-pogl\ rentia. For this boy's mother, a low blood surar ,+•a~, a nwre accel,taitlr cattse for convulsions, and although the local l,hv;ician had aclvi~,ed further in- vestigation, the advice was not folluwecl. The nutther herself Nva~, main- taining the boy on a stringent high protein diet, so deficient in rilt,rie.• that we had documented a ten-pouncl weight luss in the six mernths llr hael been at our school. An hour's consultation Nvith the ntorther finally convinced her that cnn- tinued medical care was indicated, and that the cau~,r of the cunvul~ive disorder needed further clarification. Never lightly: Hyl,ul;lycenlia should never be accepted lit;htlv. \\'lle,l it i:s not a result of a tumor, liver di.,ease, or endocrine disurder, it lnay l,r an indication of altered sensitivity to insulin, freyuently the first indica- tion that the patient is a diabetic. Obesity, per se, is almost alm•a.•s a rroult of overeating. If thinking in ternls of hylto~;h~cenlia helps an u~•rr~~~ei,ht patient to maintain a low carhuhy<lrate lt,v,, cale,ric reducinr diet, then perhaps the fashionable diagnosis lnav at tinles he justified.  Dr. Uorothy Sved, associate ph,isician at Uou,elas.s (:olle,ee. Acu• Brunsui(6. ;1.J., was graduated from R onten's Medical College of Philadelphia in 1050- .4 lormer 1'ubli( Health Felluu• at Memorial Hospital. n.) ., her traininl: hae been mainlt in internul medicrne, including oncolog.) and cardioloFa. I !i I I I,I I I , I I 1, AMERICAN DRUGGIS7 • Sep+ember 7. 197t•

ff r•"'- . - cct" _. NDC 54-3716-63 POTASSIUM CHLORIDE LIQUID 10010 (40 mEq. per 30 ml.) Sugar-Free PINT (silver and black label) $2.00 NDC 54-3715-63 POTASSIUM CHLORIDE LIQUID 501o (20 mEq. per 30 ml.) Sugar-Free PINT (green and black label) $2.00 NDC-54 3716-74 POTASSIUM CHLORIDE LIQUID 10010 (40 mEq. per 30 ml.) Sugar-Free GALLON $8.50 NDC-54-3715 74 POTASSIUM CHLORIDE LIQUID 501o (20 mEq. per 30 ml.) Sugar-Free GALLf3tJ $8.50 NDC-54-1760-49 RUBELLA VIRUS _ VACCINE, LIVE PHILIPS ROXANE BOX OF 5 SINGLE DOSE VIALS PLUS ONE MULTIPLE DOSE DILUENT;8.75 NDC 54 3717.63 POTASSIUM IODIDE LIQUID (500 mg. per 30 ml.) Sugar-Free PINT $2.50 NDC 54 3085-63 BELLADONNA ALKALOIDS ' ELIXIR (each 5 ml, contains equivalent to 0.6 ml. Belladonna Tincture, U.S.P.) PINT $2.50 NDC-54 3134-74 CASTOR OIL FLAVORED GALLON $15.00 As in our Hospital Unit Dose NDC 54-4197 16 NDC-54-4197-25 DUPHASTONs (dydrogesterone) 10 mg. BO7TLES OF 40 BOTTLES OF 100 S 6,50 $15.00 c NDC-54-4196 16 DUPHASTON& (dydrogesterone) 5 mg. BOTTLES OF 40 $4.00 Check your stock-Order now through your wholesaler PHILIPS ROXANE LABORATORIES, INC. (614) 228-5403 COLUMBUS. OHIO 43216 ~ AMERICAN DRUGGIST • September 7, 1970 ' ' I I I YII11 ' l Interpreting the Ne w, • S

se n is you In the end, we know that only one thing What makes us so sure we'll come out will convince you to sell Foster Grant over on top? Cool_Ray. Last year's sales. Results. Bouts in the country's leading drug And that's why we'd like you to sell both. chains and independents show that wherever AMERICAN DRUGGISi • Sepre-be, 7. 197C, 6 • Interprehng the New;

on FOSfer Gr on Coo!-Rav. Foster Grant was pitted head to head with Cool-Ray, Foster Grant came away the winner. But don't take our word for it. Make the head to head comparison on your own. (Your wholesaler salesman will be presenting our 1971 line in a few days.l The way we see it, if that doesn't sell you on Foster Grant, nothing ever will. Foster G ra nt To further stack the deck in our favor, Fost er Grant gives yau t he chance t o part icipate in t hc indust ?y s best cooperat ive adz}crt ising program. I I , AMERICAN DRUGGIST 4 Sepfember 7, 1970 Inferpreh I: Ir < N! .. • 7