Sulfiram

Last updated
Sulfiram
Sulfiram.svg
Clinical data
AHFS/Drugs.com International Drug Names
Routes of
administration
Topical
ATCvet code
Pharmacokinetic data
Bioavailability Very low
Excretion Renal, unchanged
Identifiers
  • N,N,N,N-tetraethyldicarbonotrithioic diamide
CAS Number
PubChem CID
ChemSpider
UNII
KEGG
CompTox Dashboard (EPA)
ECHA InfoCard 100.002.171 OOjs UI icon edit-ltr-progressive.svg
Chemical and physical data
Formula C10H20N2S3
Molar mass 264.46 g·mol−1

Sulfiram (INN) or monosulfiram, trade name Tetmosol, is an ectoparasiticide used in the treatment and prevention of scabies. [1] It is usually sold as a solution or medicated soap, sometimes in combination with benzyl benzoate.

Contents

Sulfiram is now rarely used, but, as of 2015, is still available in Brazil, India, and South Africa (as monotherapy). [1]

Adverse effects

Dizziness, headache, fatigue and erythematous rash may occur. [2] A single case of toxic epidermal necrolysis was reported in 1968. [3]

Sulfiram is structurally related to disulfiram (Antabuse), and readily converts to disulfiram when exposed to light. Like disulfiram, it can produce an unpleasant reaction when consumed with alcohol. [1] [4]

References

  1. 1 2 3 Sweetman, Sean C., ed. (2009). "Pesticides and repellents". Martindale: the complete drug reference (36th ed.). London: Pharmaceutical Press. p. 2050. ISBN   978-0-85369-840-1.
  2. [No authors listed] (2009). "Sarfiram - Bula". Bulário de Remédios Comerciais (in Portuguese). MedicinaNET. Retrieved 2010-08-11.
  3. Copeman PW (March 1968). "Toxic epidermal necrolysis caused by skin hypersensitivity to monosulfiram". British Medical Journal . 1 (5592): 623–4. doi:10.1136/bmj.1.5592.623. PMC   1985336 . PMID   5637574.
  4. Mays DC, Nelson AN, Benson LM, Johnson KL, Naylor S, Lipsky JJ (November 1994). "Photolysis of sulfiram: a mechanism for its disulfiram-like reaction". Biochemical Pharmacology . 48 (10): 1917–25. doi:10.1016/0006-2952(94)90590-8. PMID   7986203.