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compositionComposition:DIMERCAPROL-100MG
prescription
Prescription Medicine
info
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B A L Injection is used to treat arsenic, gold and mercury poisoning. It is also indicated in the treatment of acute lead poisoning in combination with edetate disodium (EDTA). It contains Dimercaprol, which works by forming a stable five-membered ring between its sulfhydryl groups and certain heavy metals, thereby neutralising its toxicity and promoting its elimination.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr. Lakshmithulasi Yarragunta , PharmD (PB)
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More about the Product

Composition :

DIMERCAPROL-100MG

Manufacturer/Marketer :

Samarth Life Sciences Pvt Ltd

Consume Type :

Parenteral

Expires on or after :

Dec-28

Return Policy :

Not Returnable

About B A L Injection

B A L Injection is a specialised injection used to treat acute poisoning caused by heavy metals such as arsenic, mercury, and gold. It works as an antidote in emergency situations to help clear these toxic substances from your body. Because heavy metal poisoning can cause severe damage to your organs, starting this treatment as quickly as possible is vital for your recovery.

Since this medicine is used for acute emergencies, it is injected at regular intervals in a hospital or clinical setting. The frequency of your injections will depend entirely on the severity of the poisoning and how well your body is clearing the metals. Staying well-hydrated during your treatment is highly recommended to help your kidneys flush out the toxins safely.

Some people may experience temporary side effects like a brief rise in blood pressure, a rapid heart rate, or nausea during the injection. While these reactions are common and usually resolve quickly, you must alert your healthcare team immediately if you experience severe chest tightness, burning sensations, or breathing difficulties.

Do not take this if you have severe liver damage, unless the damage is directly caused by arsenic poisoning. It is also critical to tell your doctor before starting treatment if you have kidney disease or a genetic condition called G6PD deficiency. Additionally, because the injection formula contains peanut oil, individuals with a peanut allergy must not receive this medicine.

This injection can interact dangerously with certain substances, particularly iron supplements, which can cause severe kidney strain. Let your medical team know if you are taking any other medicines, have a history of alcohol use, or if you are pregnant, breastfeeding, or an older adult so they can take extra precautions.

Uses of B A L Injection

Your doctor may prescribe B A L Injection to treat the following conditions to help remove toxic heavy metals from the body and reduce the risk of serious complications:

  • Arsenic poisoning: B A L Injection helps by binding tightly to arsenic in the bloodstream and tissues, allowing your body to safely filter and pass it through your urine.
  • Mercury poisoning: It binds to active mercury molecules, preventing them from damaging your kidneys, brain, and nervous system.
  • Gold toxicity: It removes excess gold from your tissues, which can sometimes build up during specialised treatments for severe arthritis.
  • Lead poisoning: When used alongside other specific chelating medicines, it helps remove high levels of lead from the body, especially when the poisoning affects brain function.

Key Benefits

Using B A L Injection as prescribed helps remove harmful heavy metals from the body, reduce poisoning symptoms, and protect vital organs. Here are the key benefits you can expect:

  • Rapidly removes toxic metals: Binds to harmful heavy metals, allowing the body to eliminate them through the urine before they cause further damage.
  • Protects vital organs: Helps reduce the harmful effects of heavy metal poisoning on the brain, kidneys, liver, and nervous system, lowering the risk of long-term complications.
  • Provides fast-acting treatment: As an injectable medicine, it begins working quickly to relieve symptoms of acute poisoning, support recovery, and improve treatment outcomes.

Directions for Use

  • Follow your doctor’s instructions on the dosage and timing of this medication.
  • B A L Injection will be administered by a healthcare professional.
  • Do not self-administer it.

How B A L Injection Works

B A L Injection contains dimercaprol, a chelating agent that binds to certain toxic heavy metals in the body. Heavy metals such as arsenic, mercury, and gold can attach to important proteins and enzymes, disrupting normal cell function and damaging vital organs. B A L Injection works by binding strongly to these heavy metals, forming stable, non-toxic complexes that prevent them from causing further harm. These complexes are then filtered by the kidneys and removed from the body through the urine, helping reduce toxicity and protect organs from additional damage.
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Alcohol

Consult your doctor

It is not known if alcohol affects B A L Injection. Please consult your doctor.

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Pregnancy

Caution

B A L Injection should be given to pregnant women only if clearly needed. Hence, inform your doctor if you are pregnant or planning to be pregnant before receiving B A L Injection.

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Breast Feeding

Caution

It is not known whether Dimercaprol passes in breast milk. Caution should be exercised while administering B A L Injection to breastfeeding women.

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Driving

Consult your doctor

It is unknown if B A L Injection affects your ability to drive. Drive or operate machinery only if you are alert.

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Liver

Caution

If you have a history of liver disease, inform your doctor before receiving B A L Injection. This medicine is not recommended in case of hepatic insufficiency.

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Kidney

Caution

If you have a history of kidney disease, inform your doctor before receiving B A L Injection. This medicine should be used with extreme caution if the patient develops renal insufficiency during therapy.

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Children

Consult your doctor

Please consult the doctor if you have any concerns regarding the usage of B A L Injection in children.

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Heart

Caution

B A L Injection can cause a temporary rise in blood pressure and heart rate, so it should be used cautiously in patients with heart conditions like hypertension or arrhythmias. If you have heart problems, your doctor may adjust the dose and monitor your cardiovascular status closely during treatment.

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Geriatrics

Caution

B A L Injection can be used in geriatric patients, but with caution due to age-related kidney changes that affect drug clearance. Doctors typically monitor renal function closely and adjust dosing to minimize side effects like high blood pressure or nausea.

What if I have taken an overdose of B A L Injection

An overdose of this medicine is rare because of the supervised clinical setting. If an overdose does occur, it can cause severe high blood pressure, rapid heart rate, or intense nausea. Your healthcare team is trained to recognize these signs and will provide immediate supportive treatment if necessary.

Diet & Lifestyle Advise

  • Stay well hydrated: Drink plenty of water and other clear fluids during treatment to help your kidneys eliminate the metal–medicine complexes from your body.
  • Avoid iron supplements: Do not take iron supplements, iron-containing multivitamins, or heavily iron-fortified foods unless advised by your doctor, as iron may interact with B A L Injection and increase the risk of kidney problems.
  • Avoid further exposure: Identify and eliminate the source of heavy metal exposure from your home, workplace, or water supply to help prevent repeated poisoning.
  • Restore essential minerals: After completing treatment, eat a balanced diet rich in calcium and zinc, as chelation therapy may reduce the levels of certain essential minerals in the body.
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How Soon It Starts Working

The time required for B A L Injection to start to work: B A L Injection ideally shows its action within 30 to 60 minutes after administration. The time for which the effects of B A L Injection last: The effect of B A L Injection lasts for 4 hours.

What if you forget to take B A L Injection

Because this medication is scheduled and injected by healthcare professionals in a hospital or clinic, it is highly unlikely that you will miss a dose. However, if you suspect that a scheduled injection was missed, notify your medical provider immediately to keep your treatment on track.

Storage

• Store the ampoules or vials at a controlled room temperature between 15°C and 30°C (59°F to 86°F).•Keep the medicine in its original carton to protect the liquid from light.

Drug Warnings

  • Inspect before use: Ensure the solution is inspected before administration. It should be clear and free of visible particles.
  • Avoid iron supplements: Do not take over-the-counter iron supplements or iron-containing multivitamins during treatment unless advised by your doctor, as they may increase the risk of kidney damage.
  • Inform your doctor about allergies: Tell your doctor before treatment if you have a known peanut allergy, as the injection typically contains peanut oil.
  • Expect mild injection-site discomfort: Mild pain at the injection site may occur. Your healthcare provider will rotate injection sites to help minimise discomfort.
  • Monitor your urine output: Contact your doctor immediately if you notice a significant decrease in urine output or other signs of kidney problems.

verifiedApollotooltip
  • Iron supplements: Combining iron with this medicine forms a highly toxic complex that can cause severe damage to your kidneys. Avoid all iron-containing products during treatment.
  • Other chelating medicines: Taking this with other heavy metal antidotes without precise medical supervision can increase the risk of severe side effects.

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verifiedApollotooltip

No clinically significant food interactions are known with B A L Injection when used as directed. 

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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[ANTIDOTES]

FAQs

B A L Injection is used to treat Heavy metal poisoning.
B A L Injection works by forming a stable five-membered ring between its sulfhydryl groups and certain heavy metals, thereby neutralising its toxicity and promoting its elimination.
B A L Injection is effective for use in acute poisoning by mercury salts if treatment is begun within 1-2 hours following ingestion. It is not very effective for chronic mercury poisoning.
B A L Injection may cause local pain or a hard lump at the site of injection. If you have any concerns or if the condition persists or worsens, consult the doctor.
No, B A L Injection must be injected deep into the muscle by a trained healthcare professional in a hospital or clinic. This allows the medical team to monitor your blood pressure and kidney function safely. Talk to your doctor if you have questions about where you will receive your injections.
This medicine is given as a deep injection into a large muscle, usually in the buttock. Your healthcare provider will rotate the injection sites to reduce muscle pain and irritation. Talk to your doctor if you are concerned about injection site pain.
No, B A L Injection is usually formulated using peanut oil as a solvent. If you have a peanut allergy, you must inform your doctor before treatment, as it can cause a severe allergic reaction. Talk to your doctor about alternative treatment options.
Taking iron supplements during this therapy allows the iron to bind with the medicine, creating a chemical compound that is highly toxic to your kidneys. Avoid all iron supplements and multivitamins containing iron during your treatment. Talk to your doctor or pharmacist before taking any new supplements.
Yes, a temporary increase in blood pressure and heart rate is a common side effect of this medicine. Your healthcare team will monitor your vital signs closely during and after each injection. Talk to your doctor if you have a history of high blood pressure.
Because this medicine is used for life-threatening heavy metal poisoning, it is often given in emergencies despite potential risks. Your doctor will carefully weigh the benefits against the risks to you and your baby. Talk to your doctor if you are pregnant or breastfeeding.

Disclaimer

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Country of origin

India
Other Info - BA43461
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