Obsolete toxic topical inorganic mercury compound

Ammoniated mercury (obsolete) (الزئبق الأمونيومي)

Ammoniated mercury is a mercury compound formerly used in skin ointments as an antiseptic or treatment for selected lesions. It can be absorbed through skin and cause serious kidney and nervous-system poisoning, so current health authorities advise against using mercury-containing skin products.

This medicine is used under close medical supervision, usually by a specialist. Never start, stop or change it without your doctor.

What it is used for

  • Historical use as a topical antiseptic for selected skin infections or lesions; this is no longer recommended
  • Historical use for skin lightening or blemishes; it is not currently regarded as safe or effective

How it is used

  • Do not start or apply this ointment; ask a doctor or pharmacist for a safer alternative
  • If you used it, stop further exposure, wash hands and exposed skin thoroughly, and contact a clinician or poison centre for advice
  • Prevent others from touching the ointment or contaminated towels and clothing, especially children and pregnant people
  • Seal the pack inside a leak-proof bag or container and ask the hazardous-waste service how to dispose of it

Possible side effects

  • Rash, itching, inflammation or skin discolouration
  • Tremor, numbness, mood or memory change, or altered vision or hearing
  • Kidney injury with reduced urine, swelling or raised blood pressure
  • Poisoning of household members through contact or contaminated towels and clothing

Who should not use it

  • Any routine therapeutic or cosmetic skin use because of mercury-poisoning risk
  • Pregnancy, breastfeeding or use in children
  • Application to broken or inflamed skin or over a large area
  • Allergy to mercury compounds or any ointment ingredient

Before and while using it

  • Mercury can accumulate with repeated use and toxicity may appear after exposure has continued
  • Babies, children and pregnant people are especially vulnerable to effects on brain and nervous-system development
  • Household members can be exposed even when they did not apply the ointment themselves
  • Tremor, confusion, weakness, numbness, reduced urine or swelling needs urgent medical assessment with disclosure of mercury exposure
  • Do not heat or burn the pack or empty it into a sink, toilet or ordinary rubbish
  • A clinician may arrange mercury and kidney tests according to exposure and symptoms; do not attempt a home detoxification remedy

Medicine interactions

  • Any other mercury-containing medicine or product adds cumulative exposure; stop the exposure source and seek advice
  • Tell the clinician about medicines that can affect the kidneys because mercury poisoning can increase kidney-injury risk

Pregnancy and breastfeeding

  • Do not use it during pregnancy because mercury can harm fetal brain and nervous-system development
  • Do not use it while breastfeeding because mercury can enter milk and harm the infant; seek assessment after exposure

How to store it

  • Do not keep it for use; keep the pack tightly closed and double-contained away from children and animals until safe disposal
  • Treat the pack and contaminated towels or clothing as mercury-containing waste under the responsible service's instructions

Get medical help straight away if

  • Your face, lips or tongue swell, or you find it hard to breathe.
  • You get a severe rash, blistering or peeling skin.
  • A side effect worries you or doesn’t go away: contact your doctor or pharmacist.

Questions about this medicine?

Talk to a doctor by video, or send your question by text.

Source: Standard international medicine references

This guide is general information and doesn’t replace advice from your doctor or pharmacist. Don’t start, stop or change a medicine without asking them, and always read the leaflet in the pack.