In the 19th Century, Ketchup Was Sold in Pharmacies as a Remedy

Introduction: when tomato sauce became a medicine

A red pill to cure all ailments

It's hard today to imagine that ketchup, that everyday sauce found on every fast-food table, was once sold as a miracle remedy in pharmacies. Yet in the 1830s, that is exactly what happened in the United States. American physician John Cooke Bennett actively promoted a concentrated tomato preparation, sold as pills, supposedly able to cure an impressive list of common ailments.

This story, now documented by serious institutions such as the Smithsonian Institution, shows just how porous the line between food and medicine could be in the 19th century, in a context where modern pharmaceutical regulation simply did not yet exist in the form we know today.

Extravagant therapeutic claims

According to the claims of the time, spread by Bennett, these tomato pills could cure indigestion, diarrhea, and even jaundice, a set of promises that today clearly falls under medical quackery but which, at the time, found a receptive audience among a population seeking accessible solutions for common digestive ailments that were often poorly understood by the medicine of the era.

Documentary resources held by the National Library of Medicine make it possible to precisely trace the medical context of this period, marked by an almost total absence of rigorous scientific oversight over treatments offered to the general public. In this regulatory vacuum, claims as bold as Bennett's could thrive without much difficulty.

Bennett was not simply an isolated charlatan with no credibility at all: he held a relatively respected position in the American medical landscape of his time, which greatly facilitated public acceptance of his claims. His status as a recognized physician lent a form of scientific authority to allegations that, in hindsight, appear today as entirely unfounded on clinical grounds.

The medical context of 19th-century America

An era without pharmaceutical regulation

To understand how a simple tomato concentrate could become a pharmaceutical product sold on a large scale, one has to go back to the American medical context of the time. In the early 19th century, the Food and Drug Administration, the agency that regulates medicines in the United States today, did not yet exist. Historical resources published by the FDA itself acknowledge that this period was marked by an almost total absence of oversight of products presented as therapeutic, a situation that would persist for several more decades before genuine federal drug regulation emerged in the United States.

In this context, any practitioner, charlatan, or ordinary merchant could legally sell preparations with unverified medical properties, without having to scientifically demonstrate their actual effectiveness. This lack of oversight fueled the emergence of numerous miracle remedies across the country, of which the famous tomato pills are just one example among others, though a particularly colorful one to tell today.

The tomato, a still misunderstood fruit

It's also worth remembering that at the time, the tomato itself was still viewed with some cultural suspicion in the United States, a country where this fruit, native to South America, had only recently begun to be cultivated on a large scale. Long considered potentially toxic because of its botanical kinship with plants in the nightshade family, the tomato struggled to fully establish itself in everyday American eating habits before the mid-19th century. Paradoxically, this ambiguous reputation didn't stop certain promoters from attributing spectacular curative properties to it.

Some popular accounts of the time even went so far as to claim that eating a raw tomato could cause serious harm, a belief with no scientific basis whatsoever that nevertheless circulated for several generations in certain rural American regions.

This paradox between food suspicion and therapeutic promise illustrates well the general confusion that then surrounded the real properties of many foods. Popular history articles published by Popular Science point out that this cultural ambivalence probably contributed to the initial success of Bennett's pills, presented as a safe and concentrated way to benefit from the tomato's virtues without directly eating its fresh flesh.

The meteoric commercial rise, then the collapse

A popularity that exploded quickly

The commercial success of tomato pills was immediate and impressive. Carried by Bennett's claims and amplified by a press with little interest in verifying medical allegations scientifically, these pills sold in considerable quantities across several American states. The concept appealed to a broad public seeking simple, affordable solutions for widespread digestive troubles, in a society where seeing an actual doctor often remained costly or complicated.

This period also saw the emergence of a genuine parallel industry around medicinal tomato products, with dozens of manufacturers rushing into the opening created by Bennett's initial success, each offering its own version of the product, often with ever bolder marketing claims to stand out from the emerging competition. Some labels even claimed secret formulas supposedly more potent, without ever providing the slightest verifiable proof of their actual composition.

The arrival of counterfeits and the fall of a medical fad

Success always attracts imitators, and the tomato pill market was no exception to this rule. Competitors quickly began selling fraudulent versions of the product, with no real active ingredient whatsoever, simply capitalizing on public enthusiasm to sell preparations with no substance. This proliferation of dubious products gradually eroded consumer trust in the entire category.

This wave of widespread fraud precipitated the collapse of this medical fad as early as the 1850s, barely two decades after it first appeared. Articles published by History and picked up by several media outlets specializing in food history describe this rapid fall as a textbook example of a commercial bubble driven by a passing craze, ultimately unable to withstand the multiplication of scams it had itself generated.

Some food historians also note that this debacle durably dented public trust in fruit- or vegetable-based remedies, which may paradoxically have helped speed up the tomato's return to its purely culinary function, stripped of its exaggerated medical claims. This return to normal, however, only fully took shape several decades later, with the gradual rise of the modern food industry and its own production standards.

What this story reveals about food history

A little-known chapter in the history of ketchup

The story of tomato pills remains largely unknown to the general public, overshadowed by the far more familiar image of modern ketchup, that sweet, tangy sauce that has become a staple of the global fast-food industry. And yet, this pharmaceutical chapter is very much part of this condiment's history, revealing a winding path considerably more complex than one might imagine for a product so ordinary today.

Collections and exhibitions devoted to food history, notably those documented by the Smithsonian Institution, retrace this complex evolution that saw the tomato transformed from a contested miracle remedy into a core ingredient of an industrial sauce consumed daily by hundreds of millions of people around the world.

A lesson still relevant today about health marketing

This historical anecdote also offers an interesting perspective on the mechanisms of health marketing, a phenomenon far from having disappeared today, even if its contemporary forms now borrow more from social media than from printed ads in 19th-century local newspapers. Exaggerated claims about the virtues of certain foods or supplements continue to circulate widely, sometimes with a marketing sophistication far superior to Bennett's, but often relying on similar psychological mechanisms: trust in a displayed medical authority, the appeal of a simple solution to a complex problem, and the general public's difficulty in scientifically verifying the claims presented to them.

Food historians, cited notably in articles by Popular Science, point out that this story deserves to be rediscovered precisely because it illustrates a recurring pattern in the history of consumption, where an ordinary food product is temporarily given exaggerated medical virtues before regaining, once the fad passes, its reasonable place in everyday eating.

Conclusion: from miracle remedy to universal condiment

A revealing journey across two centuries

The path traveled by the tomato, from a dubious pharmaceutical remedy sold as pills to an industrial sauce consumed on a planetary scale, beautifully illustrates the sometimes surprising evolution of our eating habits and our collective relationship with health. What was presented as a serious treatment for jaundice or indigestion in the 1830s is today simply a side for fries and burgers.

This radical transformation, precisely documented by institutions such as the Smithsonian Institution and the FDA, reminds us that the boundaries between food, medicine, and marketing have always been more porous than we imagine, and that the history of ketchup, far from being a mere culinary anecdote, fits into a larger history of collective beliefs about health.

An invitation to historical and present-day caution

This story ultimately invites a form of healthy caution, toward both the past and the present. The tomato pills of the 19th century were, at bottom, just one manifestation among others of a recurring phenomenon: the temptation to turn an ordinary food product into an extraordinary medical solution, often at the expense of rigorous scientific evaluation. Remembering this episode also means being better prepared to guard against similar temptations that continue, in renewed forms, to run through our contemporary era.

Next time an advertisement promises that a single fruit, powder, or supplement can fix a whole list of unrelated health problems, it may be worth pausing to think of Bennett and his tomato pills, a reminder that packaging a claim in confident medical language has never been proof of its truth.

By Maxime Marquette, columnist

Columnist's transparency note

This report draws on Smithsonian food-history archives, National Library of Medicine resources, and the FDA's own historical account of pre-regulation America, cross-checked with food-history journalism. Claims from the 1830s are presented as historical record, not as endorsed medical advice.

Sources

Primary sources

Smithsonian Institution — Food History, feature on 19th-century food remedies — accessed 2026

National Library of Medicine — historical resources on 19th-century American medicine — accessed 2026

FDA — History, pharmaceutical regulatory context before the agency's creation — accessed 2026

Secondary sources

Popular Science — the history of ketchup as medicine in the 19th century — accessed 2026

Smithsonian Magazine — History section, food and American society — accessed 2026

History — news and features on social and food history — accessed 2026