Summary:
The therapeutic efficacy of selected reactivators of acetylcholinesterase (obidoxime, oxime HI-6,
trimedoxime) against acute tabun poisoning in dependence on their dose was examined in experiments
on male mice. A comparison of the values of the medium lethal dose (LD50) of tabun in the
intoxication influenced by an antidote therapy consisting of atropin and some of the oximes tested
revealed that in all three oximes under study their dose markedly influenced their effect.The highest
efficacywas always achieved when oximes were administered in the maximal therapeutic dose (20 %
of LD50). It follows from the comparison of the efficacy of equieffective doses of the oximes tested
that in all doses the acute lethal effects of tabun are most effectively eliminated by trimedoxime,
and on the other hand, obidoxime seems to be least effective, though in the smallest dose tested (2 %
ofLD50) the differences between the therapeutic efficacy of the individual oximes are not statistically
significant. Oxime HI-6 is significantly more effective than obidoxime (in a dose corresponding to
20 % of LD50), but it is less effective than trimedoxime (in a dose corresponding to 5 % LD50). The
achieved results have shown that oxime HI-6, so effective against soman, another nerve agent, is
not the most advantageous reactivator of acetylcholinesterase for the therapy of acute tabun
poisonings, though its efficacy is partly eliminated by its possible higher dosing in human medicine
due to its lower toxicity for mammals. The most suitable reactivator of acetylcholinesterase for the
elimination of acute lethal toxic effects of tabun seems to be trimedoxime. Obidoxime, which is the
most widely used reactivator of acetylcholinesterase in the therapy of poisonings by nerve agents
at present, is, like in the case of soman poisonings, a relatively least suitable oxime ensuring the
survival in lethal tabun poisonings.
Key words:
tabun – mouse – oxime HI-6 – obidoxime – trimedoxime – atropine – dose dependence
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