Formulary Monographs [PENICILLAMINE, 6400]

PENICILLAMINE
HEAVY METAL ANTAGONISTS
Acute copper (or lead) poisoning, Wilson's disease. Third line drug for rheumatoid arthritis (to reduce cystine levels).
Epigastric pain, nausea, rash c.f. prescribing in renal disease p.
34
Adult: 1-2g daily in divided doses (In R. A: 125mg-250mg with doses increases over a 3-4 mth period to a maximum of 1.5g). Pediatric: 2.5-10mg/kg twice daily .