The size refers to fluid drams (8 fluid drams to 1 fluid ounce) , not solid 
drams---it refers to the volume of the vial.  In my day, we'd simply estimate 
the size of the vial vs. the size of the tablet, but I suspect today's 
technology would suggest a vial size based on the tablet size, sothe pharmacist 
or pharmacy technician can merely reach for the size suggested on the label 
printout. Coo-ool. 

Next time you get an oral solution (such as cough syrup) dispensed to you by 
prescription, look at the back or side of the brown bottle.  You will see the 
ancient apothecary symbol for fluid ounce, "℥," followed by a Roman numeral.  
So, an eight fluid ounce bottle reads ℥ viii.  Why are these currently used 
pharmacy products still using apothecary units, which were deprecated by the 
United States Pharmacopeia (USP) in 1995? Refer to "Fiddler On The Roof":  
TRADITION! Also because the container manufacturers have never been required to 
eliminate them.  It might be expensive to change the machinery that impresses 
the "℥ viii" instead of "240 mL," but I think times change. 

This is an important point, not only about metrication, which would require 
these containers to be denominated in milliliters only, but for consistency in 
medication safety. How are we going to get the U.S. public to "think 
milliliter"  with regard to measuring oral liquids if we continue to show 
medication container sizes in legacy units of measurement? Part of the answer 
is that there are milliliter and fluid ounce scales on the brown bottles, and  
it is high time that the apothecary sizes, and fluid ounce scale be eliminated 
and milliliters only shown. The USP metric-only standard for drugs should apply 
across the board. 

I am sending a copy of this message to the Institute for Safe Medication 
Practices (ISMP) to see what is being pondered by that organization.  ISMP has 
recommended the elimination of household measurement from healthcare at all 
levels, and these containers, which are designed exclusively for use in 
pharmacy, ought to be considered as well. If the teaspoonful and the 
tablespoonful are to be deprecated, then other non-metric measurement units 
should be thrown out as well.  As far as extending metrication of healthcare in 
the U.S. is concerned, revamping these old-style containers are where part of 
the rubber meets the road. 

Paul




Paul Trusten, Registered Pharmacist
Vice President and Public Relations Director
U.S. Metric Association, Inc.
Midland, Texas, USA
+1(432)528-7724
www.metric.org
trus...@grandecom.net


> On Oct 27, 2013, at 7:18, "Kilopascal" <kilopas...@cox.net> wrote:
> 
> http://www.amazon.com/Amber-Prescription-Safety-Vials-Dram/dp/B0026K7GG8
>  
> Paul,
>  
> Why are these pill vials specified in drams and not grams?  Do you refer to 
> them by their gram capacity so you know how many 200 mg tablets of a drug 
> will require which vial size?
>  
>  

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