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Operational Medicine 2001
Dimercaprol (British AntiLewisite, BAL in Oil)

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Category:

  • Miscellaneous

Description:

  • Heavy metal antidote (arsenic, gold, mercury, lead)

Indications:

  • Treatment of arsenic, mercury, and mercury poisoning

  • Acute lead poisoning (in conjuction with  cascium edetate disodium)

Contraindications:

  • Hepatic insufficiency (except postarsenic jaundice

  • Iron, cadmium, or selenium poisoning; severe renal disease

Precautions:

  • Pregnancy category D; use only in life threatening poisoning

  • Acute renal insufficiency, G-6-PD deficiency, acidic urine, hypertension

Adverse Reactions (Side Effects):

  • CNS: anxiety, headache, sweating

  • CV: rise in blood pressure; tachycardia

  • EENT: burning sensation in the lips, mouth and throat, conjunctivitis, lacrimation, blepharal spasm, feeling of constriction in the throat, rhinorrhea

  • GI: abdominal pain, nausea, salivation, vomiting

  • GU: burning sensation in the penis

Dosage:

Administer DEEP IM ONLY . Adult and child:

  • Mild arsenic and gold poisoning: 

    • IM 2.5 mg/kg/dose every 6 hours for 2 days

    • then every 12 hours on 3rd day

    • then daily for 10 days thereafter

  • Severe arsenic and gold poisoning: 

    • IM 3mg/kg/dose every 4 hours for 2 days

    • then every 6 hours on 3rd day

    • then every 12 hours thereafter for 10 days

  • Mercury poisoning: 

    • IM 5 mg/kg initially followed by 2.5 mg/kg/dose once to twice daily for 10 days

  • Lead poisoning: 

    • IM 4 mg/kg alone for first dose

    • then 3-4 mg/kg/dose with calcium edetate disodium administered at a separate site every 4 hours for 5-7 days

 

 

Approved for public release; Distribution is unlimited.

The listing of any non-Federal product in this CD is not an endorsement of the product itself, but simply an acknowledgement of the source. 

Operational Medicine 2001

Health Care in Military Settings

Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300

Operational Medicine
 Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
  January 1, 2001

 United States Special Operations Command
7701 Tampa Point Blvd.
MacDill AFB, Florida
33621-5323

*This web version is provided by The Brookside Associates Medical Education Division.  It contains original contents from the official US Navy NAVMED P-5139, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the US Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense.

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