View report page

76
who becomes interested and keen. The mother is naturally
listening and can then remind the child of what has been
said.
Medicinal Treatments
1. Syrup (or Tablets) of Tryptizol (5, 10 or 15 mgma as
directed). The combined relaxant and antidepressive properties
of this drug, plus the less understood but claimed
specific action on bladder control, has justified the use of
this drug in a fairly wide range of cases.
The child who is nervous or worried benefits greatly and a
change of temperament for the better has often been commented
upon by the mother, apart from a fairly rapid
lessening and cure of the enureric condition.
* Discrimination of case etiology and disposition is of prime
importance in cases treated with Tryptizol. There should
be no doubt that the dose given in the first instance is
adequate and a gradual reduction of dosage should be
advised as the child's condition improves.
This is of equal importance in the use of:—
2. Tofranil (10 mgm tablets). This has been used in a smaller
number of cases, as can be seen from the chart below, but
one has no doubt that, with careful selection of case, this
drug has an established place in enuretic therapy.
N.B. These two drugs are given by the kind cooperation
of the child's General Practitioner.
3. Dexten. Dexten is used for its long-acting property of
lightening the sleep plane and whilst the usual procedure
is to give 5 mgms (half of the 10 mgm tablet) at bedtime,
certain cases, particularly those in the* "Pre-waking
Group", have responded more quickly if the dose is given at
10.30-11.30 p.m., coinciding with the evening "lifting".
4. The "Bed Buzzer". 31 of these are now in use in this
Borough and a changeover to the transitorized type of
buzzer is gradually being effected.
5. Routine and Charting. In all cases a special routine and
charting system is instigated and * particular note is made
as to whether the child would appear to belong to the now
established * "Pre-waking Group" Ref. 1. In these cases an
early waking routine proves rapidly effective and a normal
"habit-wake reflex" appears to become established.