What are important considerations regarding the administration of dimercaprol (BAL)?
BAL has a narrow therapeutic index and is formulated in peanut oil. Treatment requires frequent IM dose administrations in which formulation causes significant pain and subcutaneous reactions at injection sites.
A Case of Severe Lead Encephalopathy with Cardiac Arrest Managed During a Chelation Shortage. J Med Toxicol. 2024 Jan;20(1):49-53. doi: 10.1007/s13181-023-00970-2. Epub 2023 Oct 16. PMID: 37843802; PMCID: PMC10774239
Contributed by Cristina Martinez PharmD Candidate 2024, University of Florida on behalf of the Florida Poison Information Center Network
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