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Overview of Alkylating Agents in Medicine
May 12, 2025
Alkylating Agents Lecture Notes
Introduction
Focus on alkylating agents: primarily formaldehyde and glutaraldehyde.
Alkylating agents work by removing hydrogen atoms and adding alkyl groups.
Inactivates enzymes and damages nucleic acids (DNA and RNA).
Formaldehyde
Commonly known as an embalming fluid or preservative in dissection specimens.
Used in a 37% solution known as
formalin
.
Can be used as a gaseous disinfectant.
Not an antiseptic
due to carcinogenic properties.
Damages living tissues.
Irritating and can cause skin issues upon contact.
Key use: preservatives in laboratory specimens.
Glutaraldehyde
More effective than formaldehyde, used at about 2% concentration.
Known under the brand name
Cydex
.
Functions as a chemical sterilizing agent.
Ethylene Oxide
Only gaseous sterilant regularly discussed.
Used for sterilizing packaged materials.
Formerly used in large sterilizing chambers.
OPA (Ortho-Phthalaldehyde)
Newer alternative replacing glutaraldehyde.
Found in newer formulations of Cydex.
More effective against mycobacterium causing tuberculosis.
Less irritating and has a less offensive odor.
Conclusion
Alkylating agents include formaldehyde, glutaraldehyde, ethylene oxide, and OPA.
They serve as powerful disinfectants and sterilants, though not suitable as antiseptics due to potential tissue damage.
Continuous development aims to find agents that are more effective, less irritating, and safer for use.
End of Lecture Notes
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