Dimercaprol

Dimercaprol, also called British anti-Lewisite (BAL), is a medication used to treat acute poisoning by arsenic, mercury, gold, and lead. It may also be used for antimony, thallium, or bismuth poisoning, although the evidence for those uses is not very strong. It is given by injection into a muscle.

Dimercaprol
Skeletal formula and ball and stick model of dimercaprol
Clinical data
Trade namesBAL in Oil
Other names2,3-Dimercaptopropanol
British Anti-Lewisite
2,3-Dithiopropanol
2,3-Dimercaptopropan-1-ol
British antilewisite
AHFS/Drugs.comMonograph
License data
Routes of
administration
intramuscular
ATC code
Legal status
Legal status
Pharmacokinetic data
ExcretionUrine
Identifiers
  • 2,3-Bis(sulfanyl)propan-1-ol
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
KEGG
ChEMBL
CompTox Dashboard (EPA)
ECHA InfoCard100.000.394
Chemical and physical data
FormulaC3H8OS2
Molar mass124.22 g·mol−1
3D model (JSmol)
Density1.239 g cm−3 g/cm3
Boiling point393 °C (739 °F) at 2.0 kPa
  • OCC(S)CS
  • InChI=1S/C3H8OS2/c4-1-3(6)2-5/h3-6H,1-2H2 Y
  • Key:WQABCVAJNWAXTE-UHFFFAOYSA-N

Common side effects include high blood pressure, pain at the site of the injection, vomiting, and fever. It is not recommended for people with peanut allergies as it is typically formulated as a suspension in peanut oil. It is unclear if use in pregnancy is safe for the baby. Dimercaprol is a chelator and works by binding with heavy metals. It has a very pungent odor.

Dimercaprol was first made during World War II. It is on the World Health Organization's List of Essential Medicines.

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