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|Preferred IUPAC name
3D model (JSmol)
CompTox Dashboard (EPA)
|Molar mass||577.93 g/mol|
Except where otherwise noted, data are given for materials in their standard state (at 25 °C [77 °F], 100 kPa).
|what is ?)(|
Mechanism of action
Bromethalin works by being metabolised to n-desmethyl-bromethalin and uncoupling mitochondrial oxidative phosphorylation, which causes a decrease in adenosine triphosphate (ATP) synthesis. The decreased ATP inhibits the activity of the Na/K ATPase enzyme, thereby leading to a subsequent buildup of cerebral spinal fluid (CSF) and vacuolization of myelin. The excess CSF results in increased intracranial pressure, which in turn permanently damages neuronal axons. This damage to the central nervous system can cause paralysis, convulsions, and death.
Risk of poisoning
Despite risk of severe symptoms and death, most unintentional pediatric exploratory exposures (licking or tasting a pellet) have not shown serious effects, and no deaths have been reported at this time in children, though toxicity is possible if significant amounts are ingested. Due to need for active metabolite generation to produce toxicity, fatal toxicity may be delayed by hours to days. All cases should be managed in consultation with a local poison control center. All intentional ingestions for self harm carry significant risk of death or severe neurologic effects and require monitoring in a hospital setting.
In humans the most common initial effects of unintentional exposure are nausea, vomiting, abdominal pain, and diarrhea, though delayed seizures have been reported. No antidote for bromethalin is known; care is symptomatic and supportive.
In pets, signs to watch for include severe muscle tremors, hyperexcitability, fits, extreme sensitivity to being touched (hyperesthesia) and seizures that appear to be caused by light or noise. Owners of animals that have eaten bromethalin accidentally should seek immediate veterinary attention and be decontaminated. Contacting an animal poison control center can help ensure that timely and appropriate therapy is started.
- Bromethalin, Animal Disease Diagnostic Laboratory, Spring 1997 Newsletter
- Dreikorn, Barry A.; O'Doherty, George O. P. (1984). "The Discovery and Development of Bromethalin, an Acute Rodenticide with a Unique Mode of Action". Pesticide Synthesis Through Rational Approaches. ACS Symposium Series. 255. pp. 45–63. doi:10.1021/bk-1984-0255.ch004. ISBN 0-8412-0852-2.
- Feldman, Ryan; Stanton, Matthew; Borys, Douglas; Kostic, Mark; Gummin, David (November 2019). "Medical outcomes of bromethalin rodenticide exposures reported to US poison centers after federal restriction of anticoagulants". Clinical Toxicology (Philadelphia, Pa.). 57 (11): 1109–1114. doi:10.1080/15563650.2019.1582776. ISSN 1556-9519. PMID 30892957.
- Pasquale-Styles, Melissa A.; Sochaski, Mark A.; Dorman, David C.; Krell, Willane S.; Shah, Aashit K.; Schmidt, Carl J. (September 2006). "Fatal bromethalin poisoning". Journal of Forensic Sciences. 51 (5): 1154–1157. doi:10.1111/j.1556-4029.2006.00218.x. ISSN 0022-1198. PMID 17018099.
- Peterson, Michael E. (February 2013). "Bromethalin". Topics in Companion Animal Medicine. 28 (1): 21–23. doi:10.1053/j.tcam.2013.03.005. ISSN 1946-9837. PMID 23796484.