DIMERCAPROL Solution for injection Ref.[9520] Active ingredients: Dimercaprol

Source: Medicines & Healthcare Products Regulatory Agency (GB)  Revision Year: 2014  Publisher: Amdipharm UK Limited, Capital House, 85 King William Street, London EC4N 7BL, United Kingdom

Pharmacodynamic properties

Pharmacotherapeutic group: Antidote
ATC code: V03AB

Dimercaprol is a chelating agent used in the treatment of acute poisoning by heavy metals.

Mechanism of action

The sulphydryl groups of dimercaprol compete with endogenous sulphydryl groups on proteins such as enzymes to combine with these metals; chelation by dimercaprol therefore prevents or reverses any inhibition of the sulphydryl enzymes by the metal and the dimercaprol-metal complex formed is readily excreted by the kidney.

Pharmacokinetic properties

Absorption

After intramuscular injection, maximum plasma concentrations of dimercaprol may be attained within one hour.

Distribution

Dimercaprol is widely distributed to all body tissues, with the highest concentrations found in the kidneys and liver.

Biotransformation

Dimercaprol is rapidly metabolised and the metabolites and dimercaprol-metal chelates are excreted in the urine and bile.

Elimination

Elimination is essentially complete within four hours of a single dose.

Preclinical safety data

None stated.

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