Drug: gold sodium thiomalate; aurothiomalate

The most common adverse reaction to gold sodium thiomalate is dermatitis (skin inflammation), pruritus (itching), stomatitis (inflammation affecting the structures in the mouth such as cheeks, gums, tongue, lips, throat). Because gold sodium thiomalate can cause serious kidney and bone marrow problems, all patients require regular monitoring with blood and urine tests. Reference: FDA Prescribing Information
Last Editorial Review: 1/31/2013

Source: http://www.medicinenet.com

Yes

Source: http://www.medicinenet.com

Injectable solution: 25 and 50 mg/ml.

Source: http://www.medicinenet.com

Gold sodium thiomalate should be stored at 20 C to 25 C (68 F to 77 F) and protected from light.

Source: http://www.medicinenet.com

The usual initial adult dose is 10 mg by intramuscular injection followed by 25 mg for the second dose, then 25 to 50 mg weekly until gold toxicity or substantial clinical improvement occurs, or a cumulative dose of 1 g has been administered. The usual dose for children is based on the weight of the child and is proportional to the adult dose. The maximum single dose for children younger than 12 years of age is 50 mg. After an initial test dose of 10 mg, one dosage regimen recommended for children is 1 mg/kg per week.

Source: http://www.medicinenet.com

There are no adequate studies in pregnant women. Gold sodium thiomalate should be used during pregnancy only if the benefit to the mother justifies the potential risk to the fetus.

Source: http://www.medicinenet.com

Gold sodium thiomalate has been found in the breast milk of nursing mothers. Due to the potential for serious adverse reactions in nursing infants, decisions should be made whether to discontinue nursing or to discontinue the drug.

Source: http://www.medicinenet.com

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