1991
Maritime operators: the original voyage paper
298 operators aged 19–38: 148 Bemitil / 150 placebo. Detailed testing: 20-person subset.
The authors report 13.7% greater static-effort endurance, 6.7% shorter simple-reaction latency, half as many complex-reaction errors and 20% fewer complaints in treated sailors.
Limits: These are reported changes in treated sailors, not calculated placebo-adjusted effects. Subset allocation, randomization and blinding are not described. Morbidity percentages lack clear denominators. Allergic reactions (2%), reduced appetite (2.7%) and nausea (0.7%) are reported without separately tabulated denominators.
Material reviewed: Original Russian journal scan, pp. 37–39 and Tables 1–2, checked October 29, 2026.