Khayyal M T, Girgis N I, McConnell E
Bull World Health Organ. 1967;37(3):387-92.
One of the principal drawbacks of antimonial therapy in schistosomiasis has been the prevalence of annoying, and sometimes dangerous, side-effects. The adjuvant administration of chelating agents offers a possible solution to this problem, providing this can be achieved without appreciably decreasing the therapeutic effect of the drug.The authors found that the chelating agent penicillamine lowered the toxicity of tartar emetic for mice and hamsters without affecting the tissue uptake of antimony. When administered in a similar manner to hamsters infected with Schistosoma mansoni there was no effect on the uptake of antimony by the parasites, or on the cure rate. This suggests a potential usefulness of penicillamine in antimony therapy.
锑剂治疗血吸虫病的一个主要缺点是常出现令人烦恼甚至有时危险的副作用。辅助使用螯合剂或许能解决这一问题,前提是这样做不会显著降低药物的治疗效果。作者发现螯合剂青霉胺可降低吐酒石对小鼠和仓鼠的毒性,且不影响锑在组织中的摄取。以类似方式给感染曼氏血吸虫的仓鼠用药时,对寄生虫摄取锑或治愈率均无影响。这表明青霉胺在锑剂治疗中可能具有潜在用途。