Forensic Medicine · Toxicology — Specific Poisons

Chelating Agents, Vitriolage & Carbolic Acid Poisoning

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Chelating Agents

Definition: substances that combine with metallic poisons to form stable, non-toxic, water-soluble complexes (chelates), which are then excreted from the body.

Flow: Metal poison + chelating agent → chelate complex → water soluble → excreted in urine.

Ideal Properties of a Chelating Agent

  • Non-toxic.
  • Water soluble.
  • Rapid action.
  • Forms a stable complex with the metal.
  • Easily excreted.
  • Does not interfere with normal metabolism.

Common Chelating Agents

Chelating AgentPoison
BAL (Dimercaprol)Arsenic, Mercury, Gold
Calcium Disodium EDTALead
PenicillamineCopper (Wilson's disease), Lead
DeferoxamineIron
Succimer (DMSA)Lead
Prussian BlueThallium, Cesium

Vitriolage