TY - JOUR PY - 1991// TI - HI-6 in man: efficacy of the oxime in poisoning by organophosphorus insecticides JO - Human and experimental toxicology A1 - Kusić, R. A1 - Jovanovic, D. A1 - Randjelović, S. A1 - Joksović, D. A1 - Todorovic, V. A1 - Bosković, B. A1 - Jokanovic, M. A1 - Vojvodić, V. SP - 113 EP - 118 VL - 10 IS - 2 N2 - The efficacy of the oxime HI-6 was studied as a treatment for organophosphorus poisoning. HI-6 was given four times daily as a single intramuscular injection of 500 mg accompanied by atropine and diazepam therapy. Oxime treatment was started on admission and continued for a minimum of 48 h and a maximum of 7 d. HI-6 rapidly reactivated human blood acetylcholinesterase inhibited by dimethoxy organophosphorus compounds, while the dimethoxy-inhibited enzyme was mainly resistant to the treatment by HI-6. Although both HI-6 and pralidoxime chloride reactivated the red blood cell cholinesterase in quinalphos-poisoned subjects, the return of enzyme activities was more rapid following the use of HI-6. The general improvement of poisoned patients, which was sometimes more rapid than the rise of acetylcholinesterase activity, pointed to direct pharmacological effects of HI-6. No undesirable side-effects were noted in patients when HI-6 plasma concentrations were maintained at levels far above the 'therapeutic' concentration for up to 7 d.
Language: en
LA - en SN - 0960-3271 UR - http://dx.doi.org/ ID - ref1 ER -