Cocktail is now obsolete and should not be used. It was
introduced in the 1920s at the
in London for post-thoracotomy pain, and was in widespread use
by the 1930s. The active ingredient was morphine. The
“cocktail” latterly consisted of morphine, cocaine,
chlorpromazine, 90% alcohol and flavored syrup.
added as a stimulant to reduce drowsiness. It is not an
analgesic and can cause agitation and confusion.
Chlorpromazine causes too much sedation for routine use. 90%
alcohol causes an unpleasant stinging in patients with a sore
mouth, and causes confusion in the elderly.
“cocktails” of drugs should generally be avoided because the
correct dose of one component will usually result in
inappropriate doses of the others. Other fixed solutions (“Schlessinger’s
Solution”, “Oncology Mixture”) should not be used.
The author and publisher have taken
precautions to ensure that the information in this book is
error-free. However, readers must be guided by their own
personal and professional standards of good practice in
evaluating and applying recommendations made herein. The
contents of this book represent the views and experience of
the author, and not necessarily those of the publisher.