Chelation therapy

Chelation therapy
Two molecules of deferasirox, an orally administered chelator, binding iron. Deferasirox is used in the treatment of transfusional iron overload in people with thalassemia.

Chelation therapy is a medical procedure that involves the administration of chelating agents to remove heavy metals from the body.[1] Chelation therapy has a long history of use in clinical toxicology[2] and remains in use for some very specific medical treatments, although it is administered under very careful medical supervision due to various inherent risks, including the mobilization of mercury and other metals through the brain and other parts of the body by the use of weak chelating agents that unbind with metals before elimination, exacerbating existing damage.[3] To avoid mobilization, some practitioners of chelation use strong chelators, such as selenium, taken at low doses over a long period of time.

Chelation therapy must be administered with care as it has a number of possible side effects, including death.[4][5] In response to increasing use of chelation therapy as alternative medicine and in circumstances in which the therapy should not be used in conventional medicine, various health organizations have confirmed that medical evidence does not support the effectiveness of chelation therapy for any purpose other than the treatment of heavy metal poisoning.[4] Over-the-counter chelation products are not approved for sale in the United States.[6]

  1. ^ Aaseth, Jan; Crisponi, Guido; Anderson, Ole (2016). Chelation Therapy in the Treatment of Metal Intoxication. Academic Press. p. 388. ISBN 978-0-12-803072-1.
  2. ^ "Chelation: Therapy or "Therapy"?". poison.org. National Capital Poison Center. 6 May 2013 [2010]. Retrieved 9 October 2013.
  3. ^ Atwood, K.C. IV; Woeckner, E.; Baratz, R.S.; Sampson, W.I. (2008). "Why the NIH Trial to Assess Chelation Therapy (TACT) should be abandoned". Medscape Journal of Medicine. 10 (5): 115. PMC 2438277. PMID 18596934.
  4. ^ a b "Chelation Therapy". American Cancer Society. 1 November 2008. Archived from the original on 5 July 2010. Retrieved 14 September 2013.
  5. ^ "Deaths Associated with Hypocalcemia from Chelation Therapy - Texas, Pennsylvania, and Oregon, 2003-2005". www.cdc.gov. Retrieved 2016-10-13.
  6. ^ Food and Drug Administration (FDA) (14 October 2010). "FDA issues warnings to marketers of unapproved 'chelation' products" (Press release). Archived from the original on January 11, 2017.