<unk>  plant<unk>  was used in cough mixtures as an expectorant or an emetic from the 18th until the early 20th century. For instance,<unk>  and opium were used to produce Dover's powder, which was used in<unk>  form. In 1965, the FDA approved the sale of up to one ounce of<unk>  without a prescription. At the time it was approved, its use was recommended by the AAP, AAPCC, AMA, and the FDA's medical advisory board as a method to induce vomiting "for quick first-aid use in the home, under medical supervision", for use in cases of accidental poisoning. Current guidelines from the American Academy of Pediatrics, however, strongly advise against this and in fact recommend the disposal of any<unk>  present in the home. Many toxicological associations have also issued position papers recommending against its use as a first-line treatment for most ingested poisons, because of a lack of evidence that<unk>  actually helps improve the outcome in cases of poisoning. Moreover, accidental overdose of<unk>  can result when administered in the home. When dealing with poisoning cases in the hospital, it became difficult to obtain a differential diagnosis when<unk>  had been administered, as this can add further symptoms. A 2005 review by an HRSA-funded scientific panel concluded that vomiting alone does not reliably remove poisons from the stomach. The study suggested that indications for use of<unk> <unk>  were rare, and patients should be treated by more effective and safer means. Additionally, its potential side effects, such as lethargy, can be confused with the poison's effects, complicating diagnosis. The use of<unk>  may also delay the use of other treatments (e.g., activated charcoal, whole bowel irrigation, or oral antidotes) or make them less effective. Misuse<unk>  has been used by individuals with bulimia nervosa as a means to achieve weight loss through induced vomiting. Repeated use in this manner is believed to cause damage to the heart and muscles, which can ultimately result in the user's death. Misuse of<unk>  has been blamed for the death of singer Karen Carpenter in 1983. It has also been used as an agent for Münchausen syndrome by proxy.
Syrup of ipecac
Wettable powder
Saw palmetto extract
Dover's powder
Tablet 
Nicotine lozenge
Gripe water
Godbold's Vegetable Balsam