Arsenic trioxide

Arsenic trioxide
Arsenic trioxide   As   O
Clinical data
PronunciationAR se nik tri OKS id
Trade namesTrisenox, others
Other namesArsenic(III) oxide,
Arsenic sesquioxide,
Arseneous oxide,
Ratsbane,
Arseneous anhydride,
White arsenic,
Aqua Tofani[1]
AHFS/Drugs.comMonograph
MedlinePlusa608017
License data
Pregnancy
category
  • AU: X (High risk)
Routes of
administration
Intravenous
Drug classAntineoplastic agent
ATC code
Legal status
Legal status
Pharmacokinetic data
Protein binding75%
ExcretionUrine
Identifiers
  • Diarsenic trioxide
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
KEGG
ChEMBL
CompTox Dashboard (EPA)
ECHA InfoCard100.014.075 Edit this at Wikidata
Chemical and physical data
FormulaAs2O3
Molar mass197.840 g·mol−1
3D model (JSmol)
Density3.74 g/cm3
Melting point312.2 °C (594.0 °F)
Boiling point465 °C (869 °F)
Solubility in water20 g/L (25 °C)
(see text)
  • O1[As]3O[As]2O[As](O3)O[As]1O2
  • InChI=1S/As2O3/c3-1-4-2(3)5-1
     checkY
  • Key:GOLCXWYRSKYTSP-UHFFFAOYSA-N
Arsenic trioxide
Identifiers
ECHA InfoCard 100.014.075 Edit this at Wikidata
EC Number
  • 215-481-4
Hazards
GHS labelling:[4]
GHS05: Corrosive GHS06: Toxic GHS08: Health hazard GHS09: Environmental hazard
Danger
H300, H314, H350, H410
P201, P202, P260, P264, P270, P273, P280, P301+P330+P331, P303+P361+P353, P304+P340+P310, P305+P351+P338+P310, P308+P313, P363, P391, P405, P501
Safety data sheet (SDS) american elements SDS

Arsenic trioxide is an inorganic compound with the formula As
2
O
3
.[5] As an industrial chemical, its major uses include the manufacture of wood preservatives, pesticides, and glass.[6] It is sold under the brand name Trisenox among others[2][3] when used as a medication to treat a type of cancer known as acute promyelocytic leukemia.[7] For this use it is given by injection into a vein.[7]

Common side effects include vomiting, diarrhea, swelling, shortness of breath, and headaches.[7] Severe side effects may include APL differentiation syndrome and heart problems.[7] Use during pregnancy or breastfeeding may harm the baby.[8][9] Its mechanism in treating cancer is not entirely clear.[7]

Arsenic trioxide was approved for medical use in the United States in 2000.[7] It is on the World Health Organization's List of Essential Medicines.[10] Approximately 50,000 tonnes are produced a year.[11] Due to its toxicity, a number of countries have regulations around its manufacture and sale.[12]

  1. ^ Shakhashiri BZ. "Chemical of the Week: Arsenic". University of Wisconsin-Madison Chemistry Dept. Archived from the original on 2 August 2008. Retrieved 3 August 2008.
  2. ^ a b "Trisenox- arsenic trioxide injection, solution". DailyMed. 30 June 2022. Archived from the original on 3 February 2024. Retrieved 3 February 2024.
  3. ^ a b "Trisenox EPAR". European Medicines Agency. 10 August 2010. Archived from the original on 16 August 2023. Retrieved 3 February 2024.
  4. ^ "Safety Data Sheet". American Elements. 2021. Archived from the original on 4 January 2022. Retrieved 4 January 2022.
  5. ^ Sun H (2010). Biological Chemistry of Arsenic, Antimony and Bismuth. John Wiley & Sons. p. 295. ISBN 9780470976227. Archived from the original on 14 April 2023. Retrieved 18 March 2023.
  6. ^ Landner L (2012). Chemicals in the Aquatic Environment: Advanced Hazard Assessment. Springer Science & Business Media. p. 259. ISBN 9783642613340. Archived from the original on 14 April 2023. Retrieved 18 March 2023.
  7. ^ a b c d e f "Arsenic Trioxide Monograph for Professionals". Drugs.com. Archived from the original on 15 November 2019. Retrieved 15 November 2019.
  8. ^ British national formulary : BNF 76 (76 ed.). Pharmaceutical Press. 2018. p. 907. ISBN 9780857113382.
  9. ^ "Arsenic trioxide (Trisenox) Use During Pregnancy". Drugs.com. Archived from the original on 15 November 2019. Retrieved 16 November 2019.
  10. ^ World Health Organization (2023). The selection and use of essential medicines 2023: web annex A: World Health Organization model list of essential medicines: 23rd list (2023). Geneva: World Health Organization. hdl:10665/371090. WHO/MHP/HPS/EML/2023.02.
  11. ^ Grund SC, Hanusch K, Wolf HU. "Arsenic and Arsenic Compounds". Ullmann's Encyclopedia of Industrial Chemistry. Weinheim: Wiley-VCH. doi:10.1002/14356007.a03_113.pub2. ISBN 978-3527306732.
  12. ^ Consolidated List of Products Whose Consumption And/or Sale Have Been Banned, Withdrawn, Severely Restricted Or Not Approved by Governments: Chemicals (PDF). United Nations Publications. 2009. p. 24. ISBN 9789211302196.

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