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Adverse effects of chelating agents used for arsenic poisoning

Adverse effects of chelating agents used for arsenic poisoning
Chelating agent Adverse effects
BAL
Endpoint: 24-hour urinary arsenic <50 mcg/L or until another agent is substituted

Hypertension

Febrile reaction, diaphoresis

Nausea, vomiting, salivation

Lacrimation, rhinorrhea

Headache

Painful injection, injection site sterile abscess

Hemolysis in G6PD-deficient patients

Chelation of essential metals (prolonged course)

Succimer
Endpoint: 24-hour urinary arsenic <50 mcg/L

Nausea, vomiting, diarrhea

Abdominal gas, pain

Transient elevations in hepatic amino transferases, and alkaline phosphatase

Rash, pruritus

Sore throat, rhinorrhea

Drowsiness, paresthesias

Thrombocytosis, eosinophilia

DMPS
Endpoint: 24-hour urinary arsenic <50 mcg/L

Allergic reactions

Increased copper and zinc excretion

Nausea

Pruritus

Vertigo

Weakness

G6PD: glucose-6-phosphate dehydrogenase.
Adapted with permission from: Ford MD. Arsenic. In: Goldfrank's Toxicological Emergencies, Goldfrank L, Flomenbaum N, Howland MA, Hoffman R, Nelson L (Eds), Mcgraw-Hill, New York 2002. p.1183. Copyright © 2002 McGraw Hill.
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