Sodium antimony gluconate

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 19.12.2024

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Synonym(s)

Stibogluconate sodium

Definition
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Spectrum of action
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Sodium ibogluconate is a pentavalent antimony derivative that induces apoptosis in Leishmania. Retrospective studies show that the preparation is highly effective (Fischer T et al. 2024).

Indication
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Dosage and method of use
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Visceral leishmaniasis (L. donovani): 10-20 mg/kg bw/day i.v. (less painful) or i.m. for 20-30 days.

Oriental leishmaniasis (L. tropica): 20 mg/kg bw/day i.v. (less painful) or i.m. for 20-30 days.

Mucocutaneous leishmaniasis: 20 mg/kg bw/day i.v. or i.m. for 20-30 days.

Undesirable effects
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Cave! The active ingredient is extremely cardiotoxic when used systemically!

Preparations
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Pentostam® (only available from international pharmacies).

Literature
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  1. Fischer T et al. (2024)Treatment of mucocutaneous leishmaniasis- a systematic review. JDDG 22:763-774

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Last updated on: 19.12.2024