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Arsenic trioxide

Industrial chemical and medication

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  • 4 chapters

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Arsenic trioxide was approved for medical use in the United States in 2000. It is on the World Health Organization's List of Essential Medicines. Approximately 50,000 tonnes were produced in 1991. Due to its toxicity, a number of countries have regulations around its manufacture and sale.

Uses

Arsenic trioxide is the dominant form of arsenic for commercial applications. Industrial uses include usage as a precursor to forestry products, in colorless glass production, and in electronics. Being the main compound of arsenic, the trioxide is the precursor to elemental arsenic, arsenic alloys, and arsenide semiconductors. Bulk arsenic-based compounds sodium arsenite and sodium cacodylate are derived from the trioxide.

A variety of applications exploit arsenic's toxicity, including the use of the oxide as a wood preservative. Copper arsenates, such as chromated copper arsenate, are derived from arsenic trioxide. These compounds were once used on a large scale as wood preservatives in the U.S. and Malaysia, but are now banned in many parts of the world. This practice remains controversial. When combined with copper(II) acetate, arsenic trioxide gives the vibrant green pigment known as Paris green, which finds some use as an insecticide.

Medical

Historical

Despite the well known toxicity of arsenic, arsenic trioxide was used in traditional Chinese medicine, where it is known as pi-shuang (Chinese: 砒霜; pinyin: pīshuāng; lit. 'arsenic frost'). Some discredited patent medicines, e.g., Fowler's solution, contained derivatives of arsenic oxide.

Modern

Arsenic trioxide is used to treat a type of cancer known as acute promyelocytic leukemia (APL). It may be used both in cases that are unresponsive to other agents, such as all-trans retinoic acid (ATRA) or as part of the initial treatment of newly diagnosed cases. This initial treatment may include combination therapy of arsenic trioxide with all-trans retinoic acid (ATRA).

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