| Identification | More | [Name]
Bithionol | [CAS]
97-18-7 | [Synonyms]
2,2'-THIOBIS(4,6-DICHLOROPHENOL)
2,2-THIOBIS(4,6-DICHLOROPHENOL)
3,5-DICHLORO-2-HYDROXYPHENYL SULFIDE
BIS(2-HYDROXY-3,5-DICHLOROPHENYL) SULFIDE
BITHIONOL
2,2’-dihydroxy-3,3’,5,5’-tetrachlorodiphenylsulfide
2,2’-dihydroxy-3,3’,5,5’-tetrachlorodiphenylsulfide[qr]
2,2’-thiobis(4,6-dichloro)-pheno
2,2’-thiobis(4,6-dichloro-pheno
2,2’-thiobis(4,6-dichlorophenol)[qr]
2,2’-thiobis[4,6-dichloro-pheno
2,2'-Dihydroxy-3,3',5,5'-tetrachlorodiphenyl sulfide
2-Hydroxy-3,5-dichlorophenyl sulfide
2-Hydroxy-3,5-dichlorophenyl sulphide
2-hydroxy-3,5-dichlorophenylsulphide
2-hydroxy-3,5-dichlorophenylsulphide[qr]
Actamer
actamer[qr]
ai3-50518[qr]
Bidiphen | [EINECS(EC#)]
202-565-0 | [Molecular Formula]
C12H6Cl4O2S | [MDL Number]
MFCD00055727 | [Molecular Weight]
356.05 | [MOL File]
97-18-7.mol |
| Safety Data | Back Directory | [Hazard Codes ]
T+,Xn | [Risk Statements ]
R28:Very Toxic if swallowed.
R20/21/22:Harmful by inhalation, in contact with skin and if swallowed . | [Safety Statements ]
S28:After contact with skin, wash immediately with plenty of ... (to be specified by the manufacturer) .
S36/37:Wear suitable protective clothing and gloves .
S45:In case of accident or if you feel unwell, seek medical advice immediately (show label where possible) .
S36:Wear suitable protective clothing . | [RIDADR ]
UN 2811 6.1/PG 2
| [WGK Germany ]
3
| [RTECS ]
SN0525000
| [HazardClass ]
6.1(a) | [PackingGroup ]
II | [HS Code ]
29309090 | [Hazardous Substances Data]
97-18-7(Hazardous Substances Data) | [Toxicity]
LD50 oral in rat: 7mg/kg |
| Hazard Information | Back Directory | [General Description]
White or grayish white crystalline powder with a very faint aromatic or phenolic odor. | [Reactivity Profile]
2,2'-THIOBIS(4,6-DICHLOROPHENOL)(97-18-7) is incompatible with acids, diazo and azo compounds, halocarbons, isocyanates, aldehydes, alkali metals, nitrides, hydrides, and other strong reducing agents. Reactions with these materials may generate heat and toxic or flammable gases. | [Air & Water Reactions]
Insoluble in water. | [Health Hazard]
ACUTE/CHRONIC HAZARDS: This chemical is a skin irritant. When heated to decomposition or upon contact with acid or acid fumes, toxic fumes are evolved. | [Potential Exposure]
It is used as a surfactant-formulated
antimicrobial against bacteria, molds and yeast. It is proposed
as an agricultural fungicide. Other uses include deodorant,
germicide, fungistat, and in the manufacture of pharmaceuticals.
It is no longer allowed to be used in cosmetics. A food
additive in feed and drinking water of animals. Also a food
additive permitted in food for human consumption. | [Fire Hazard]
Flash point data is not available for this chemical, but 2,2'-THIOBIS(4,6-DICHLOROPHENOL) is probably combustible. | [First aid]
Move victim to fresh air. Call 911 or emergency
medical service. Give artificial respiration if victim is not
breathing. Do not use mouth-to-mouth method if victim
ingested or inhaled the substance; give artificial respiration
with the aid of a pocket mask equipped with a one-way
valve or other proper respiratory medical device.
Administer oxygen if breathing is difficult. Remove and isolate
contaminated clothing and shoes. In case of contact
with substance, immediately flush skin or eyes with running
water for at least 20 minutes. For minor skin contact, avoid
spreading material on unaffected skin. Keep victim warm
and quiet. Effects of exposure (inhalation, ingestion or skin
contact) to substance may be delayed. Ensure that medical
personnel are aware of the material(s) involved and take
precautions to protect themselves. Medical observation is
recommended for 24 to 48 hours after breathing overexposure,
as pulmonary edema may be delayed. As first aid for
pulmonary edema, a doctor or authorized paramedic may
consider administering a drug or other inhalation therapy. | [Shipping]
UN2811 Toxic solids, organic, n.o.s., Hazard
Class: 6.1; Labels: 6.1—Poisonous materials, Technical
Name Required. | [Incompatibilities]
Incompatible with oxidizers (chlorates,
nitrates, peroxides, permanganates, perchlorates, chlorine,
bromine, fluorine, etc.); contact may cause fires or explosions.
Keep away from alkaline materials, strong bases,
strong acids, oxoacids, epoxides. | [Description]
Bithionol (97-18-7) is an antihelmintic drug with bacteriostatic and fungicidal properties. Bithionol has also been found to be an inhibitor of glutamate dehydrogenase1,2?(IC50?= 4.8 μM bovine GDH1). | [Chemical Properties]
Bithionol is a white or grayish powder with a
slight phenolic odor. | [Chemical Properties]
off-white crystalline powder | [Physical properties]
Bithionol is virtually insoluble in water, readily soluble in ethanol, diethyl ether, acetone, glacial acetic acid, and dilute alkalis. | [Uses]
anthelmintic, antiseptic | [Uses]
bactericide; antihelmintic; algicide; proposed as agricultural fungicide; food additive in feed and drinking water for foodproducing
animals; permitted in food for human consumption; deodorant; in germicide pharmaceuticals, antibacterial agent in soaps,
cosmetics, veterinary antiseptic and antihelminthic products, industrial cleansers, etc. | [Definition]
ChEBI: An aryl sulfide that is diphenyl sulfide in which each phenyl group is substituted at position 2 by hydroxy and at positions 3 and 5 by chlorine. A fungicide and anthelmintic, it was used in various topical drug products for the treatment of liver flukes,
ut withdrawn after being shown to be a potent photosensitizer with the potential to cause serious skin disorders. | [Production Methods]
Bithionol is prepared by reaction of 2,4-dichlorophenol with sulfur dichloride and AlCl3 in carbon disulfide or tetrachloromethane. It is used as a microbicide to protect aqueous functional fluids from biodeterioration and to control algae and slime formation in process water systems. | [Brand name]
Lorothidol (Sterling Winthrop);Anafogene;Bacteriostat cs-1;Bidiphen;Lorothiodol;Neopellis;Nobacter;Prevenol;Tbp;Vancide bl. | [World Health Organization (WHO)]
Bithionol, which has bactericidal and anthelminthic activity, was
formerly available in soaps. By the late 1960s use of such preparations had been
associated with a risk of photosensitivity reactions and cross-sensitivity with other
halogenated disinfectants. This resulted in their withdrawal in the USA. Oral
preparations of bithionol remain available for the treatment of paragonimiasis and
fascioliasis. | [Hazard]
Toxic by ingestion. | [Mechanism of action]
Biothionol is bis-dichlorophenol, and it is structurally similar to hexachlorophene. It is the
antihelmintic drug of choice for treating humans infected with Fasciola hepatica. It is an
alternative drug to praziquantel that is used for treating pulmonary and cerebral paragonimiasis. The exact mechanism of action is not known, although it seems likely that it
inhibits oxidative phosphorylation in Paeagonumus westermani. Synonyms of this drug
are actamer, bitin, prevenol, and others. | [Clinical Use]
2,2’-Thiobis(4,6-dichlorophenol), or bis(2-hydroxy-3,5-dichlorophenyl)sulfide (Lorothidol, Bithin), a chlorinatedbisphenol, was formerly used in soaps and cosmetics for itsantimicrobial properties but was removed from the marketfor topical use because of reports of contact photodermatitis.Bithionol has useful anthelmintic properties and hasbeen used as a fasciolicide and taeniacide. It is still consideredthe agent of choice for the treatment of infestationscaused by the liver fluke Fasciola hepatica and the lungfluke Paragonimus westermani. Niclosamide is believed tobe superior to it for the treatment of tapeworm infestations. | [Synthesis]
Bithionol, 2,2-thiobis(4,6-dichlorophenol) (38.1.38), is made by reacting a
solution of 2,4-dichlorophenol in carbon tetrachloride with sulfur chloride in the presence
of aluminum chloride.
| [storage]
Color Code—Blue: Health Hazard/Poison: Storein a secure poison location. Store in a refrigerator or a cooldry place. |
| Questions And Answer | Back Directory | [Pharmacology and mechanism of action]
Bithionol is a dichlorophenol which is structurally related to hexachlorophene and niclosamide. It was introduced into clinical medicine three decades ago. The drug has been replaced by praziquantel, but it is still used in some areas of the world, particularly against Fasciola hepatica.
The mechanism of action of bithionol is not well known. It inhibits oxidative phosphorylation of Paragonimus westermani and causes morphological alterations in Fasciola hepatica[1,2,3].
| [Indications]
Infections with Parogonimus westermani (lung fluke) and Fasciola hepatica (liver fluke).
Bithionol should only be used as a second-line drug in the treatment of paragonimiasis for those patients who fail to respond to full course therapy with praziquantel. Triclabendazole, which is a new drug still under clinical evaluation, will most probably become the drug of choice against fascioliasis in the near future.
| [Side effects]
Side effects are common, but minor. About one third of the patients may experience diarrhoea that may be accompanied by anorexia, nausea and vomiting. Skin rashes or urticaria usually together with itching may be seen. Phototoxic reactions can occur[1,4,5,6].
| [Contraindications and precautions]
Efficacy and safety of the drug has not been established in children under 8 years of age.
| [Interactions]
There have been no reports.
| [Preparations]
• Bitin® (Tanabe Seiyaky) Tablets 500 mg.
| [References]
1. Barret-Connor E (1982). Drugs for the treatment of parasitic infection. Med Clin North Am, 66, 245–255.
2. Dawes B. Some apparent effects of Bithionol (Actamer) on Fasciola hepatica. Nature. 209, 424– 425.
3. Yokogawa M, Muneo I (1965). Paragonimiasis. Adv Parasitol, 3, 99–158.
4. Chung HL, Ho LY, Hsu CP, Ts’ao WJ (1981). Recent progress in studies of Paragonimus and paragonimiasis control in China. Chin Med J, 94, 493–494.
5. Kim JS (1970). Treatment of Paragonimus westermani: infections with Bithionol. Am J Trop Med Hyg, 19, 940–942.
6. O’Quinn SE, Kennedy CB, Isbell KH (1967). Contact photodermatitis due to bithionol and related compounds. J Am Med Ass, 199, 89–92.
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