Neoarsphenamine

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Neoarsphenamine is a chemotherapeutic agent that was historically used in the treatment of syphilis. It is an organometallic compound containing arsenic, and was introduced in the early 20th century as a safer alternative to the arsenic-based drug arsphenamine.

History[edit | edit source]

Neoarsphenamine was developed by Paul Ehrlich, a German physician and scientist, in his quest to find a "magic bullet" for the treatment of syphilis. Ehrlich's work on neoarsphenamine and its predecessor, arsphenamine, earned him the Nobel Prize in Physiology or Medicine in 1908.

Pharmacology[edit | edit source]

Neoarsphenamine acts by inhibiting the growth of Treponema pallidum, the bacterium responsible for syphilis. It is thought to work by interfering with the bacterium's ability to synthesize proteins, although the exact mechanism of action is not fully understood.

Use in Medicine[edit | edit source]

Neoarsphenamine was widely used in the treatment of syphilis until the discovery of penicillin in the mid-20th century. It was administered by intravenous injection, and was often used in combination with other drugs such as mercury and bismuth.

Side Effects[edit | edit source]

Like other arsenic-based drugs, neoarsphenamine can have serious side effects, including nausea, vomiting, diarrhea, and abdominal pain. In rare cases, it can cause more serious complications such as neurotoxicity and cardiotoxicity.

Legacy[edit | edit source]

Despite its side effects, neoarsphenamine played a crucial role in the fight against syphilis in the early 20th century. Its development marked a significant advance in the field of chemotherapy, and paved the way for the development of other chemotherapeutic agents.


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Contributors: Prab R. Tumpati, MD