Melarsoprol is a medicinal drug used in the treatment of human African trypanosomiasis. It is also sold under the trade names “Mel B” and “Melarsen Oxide-BAL.”
Melarsoprol is also used in the treatment of
trypanosomiasisTrypanosomiasis or trypanosomosis is the name of several diseases in vertebrates caused by parasitic protozoan trypanosomes of the genus Trypanosoma. Approximately 500,000 men, women and children in 36 countries of sub-Saharan Africa suffer from human African trypanosomiasis which is caused by...
, such as
Chagas diseaseChagas disease is a tropical parasitic disease caused by the flagellate protozoan Trypanosoma cruzi. T. cruzi is commonly transmitted to humans and other mammals by an insect vector, the blood-sucking insects of the subfamily Triatominae most commonly species belonging to the Triatoma, Rhodnius,...
and West African sleeping sickness, the former caused by
Trypanosoma cruziTrypanosoma cruzi is a species of parasitic euglenoid trypanosomes. This species causes the trypanosomiasis diseases in humans and animals in America...
and the latter by
Trypanosoma brucei gambienseTrypanosoma brucei is a parasitic protist species that causes African trypanosomiasis in humans and nagana in animals in Africa. There are 3 sub-species of T. brucei: T. b. brucei, T. b. gambiense and T. b. rhodesiense.These obligate parasites have two hosts - an insect vector and mammalian host...
.
Side effects
Being a toxic organic compound of
arsenicArsenic is a chemical element with the symbol As, atomic number 33 and relative atomic mass 74.92. Arsenic occurs in many minerals, usually in conjunction with sulfur and metals, and also as a pure elemental crystal. It was first documented by Albertus Magnus in 1250.Arsenic is a metalloid...
, melarsoprol is a highly dangerous treatment which is only administered by injection under the supervision of a physician, as it can produce similar effects as
arsenic poisoningArsenic poisoning is a medical condition caused by increased levels of the element arsenic in the body. Arsenic interferes with cellular longevity by allosteric inhibition of an essential metabolic enzyme...
.
It is known to cause a range of side effects including
convulsionsA febrile seizure, also known as a fever fit or febrile convulsion, is a convulsion associated with a significant rise in body temperature...
,
feverFever is a common medical sign characterized by an elevation of temperature above the normal range of due to an increase in the body temperature regulatory set-point. This increase in set-point triggers increased muscle tone and shivering.As a person's temperature increases, there is, in...
,
loss of consciousnessUnconsciousness is the condition of being not conscious—in a mental state that involves complete or near-complete lack of responsiveness to people and other environmental stimuli. Being in a comatose state or coma is a type of unconsciousness. Fainting due to a drop in blood pressure and a...
,
rashA rash is a change of the skin which affects its color, appearance or texture. A rash may be localized in one part of the body, or affect all the skin. Rashes may cause the skin to change color, itch, become warm, bumpy, chapped, dry, cracked or blistered, swell and may be painful. The causes, and...
es,
bloody stoolsIn medicine, when referring to human feces, blood in stool can refer to multiple conditions:* Melena, with more blackish appearance, originating in upper parts of the gastrointestinal tract...
,
nauseaNausea , is a sensation of unease and discomfort in the upper stomach with an involuntary urge to vomit. It often, but not always, precedes vomiting...
, and
vomitingVomiting is the forceful expulsion of the contents of one's stomach through the mouth and sometimes the nose...
. It is fatal in and of itself in around 8% of cases.
Alternatives
EflornithineEflornithine is a drug found to be effective in the treatment of facial hirsutism as well as in African trypanosomiasis...
is a more modern and far less dangerous treatment for sleeping sickness, but it is expensive, it is not widely available on the market, and most of its supply comes from donations from its manufacturer. Moreover, eflornithine is effective only for West African sleeping sickness (caused by
Trypanosoma brucei gambienseTrypanosoma brucei is a parasitic protist species that causes African trypanosomiasis in humans and nagana in animals in Africa. There are 3 sub-species of T. brucei: T. b. brucei, T. b. gambiense and T. b. rhodesiense.These obligate parasites have two hosts - an insect vector and mammalian host...
); it has no effect on East African sleeping sickness (caused by
Trypanosoma brucei rhodesienseTrypanosoma brucei is a parasitic protist species that causes African trypanosomiasis in humans and nagana in animals in Africa. There are 3 sub-species of T. brucei: T. b. brucei, T. b. gambiense and T. b. rhodesiense.These obligate parasites have two hosts - an insect vector and mammalian host...
).