Presentation

  • Ferric Hexacyanoferrate
  • 500mg hard capsule, 36 capsules/bottle
  • Prussian Blue insoluble
  • SAS

Role

  • Management of thallium toxicity in discussion with a clinical toxicologist
  • Management of radioactive cesium (Cs-137) toxicity in discussion with a clinical toxicologist

Medication box with the name Radiogardase -Cs. A white medicine bottle next to the box.

Consultation with a clinical toxicologist is recommended through the local toxicology service or Poisons Information Centre 13 11 26.

Dose

60mg/kg (up to 3g) q4h orally or via nasogastric tube

Stocking recommendations

Tertiary centre Regional centre Rural centre Remote centre
72 capsules (2 x 36 capsules) 0 x bottles 0 x bottles 0 x bottles

Rationale

Both thallium and cesium poisoning are exceptionally rare, and the stocking recommendation reflects a pragmatic approach. In large-scale radiation incidents Prussian Blue can be sourced from the National Stockpile.

Disclaimer

Fact sheet developed by Queensland Poisons Information Centre.

This fact sheet is about the use of these antidotes in Australia, and may not apply to other countries. Children’s Health Queensland Hospital and Health Service cannot be held responsible for the accuracy of information, omissions of information, or any actions that may be taken as a consequence of reading this fact sheet.