Jm. Verzijl et al., IN-VITRO CYANIDE RELEASE OF 4 PRUSSIAN BLUE SALTS USED FOR THE TREATMENT OF CESIUM CONTAMINATED PERSONS, Journal of toxicology. Clinical toxicology, 31(4), 1993, pp. 553-562
Prussian blue salts are used in clinical practice as an antidote for t
he treatment of humans contaminated with radioactive cesium. A decompo
sition product of these Prussian blue salts may be the highly toxic cy
anide. A method to simulate gastrointestinal cyanide-release was appli
ed to four different Prussian blue salts: K3Fe[Fe(CN)(6)], Fe-4[Fe(CN)
(6)](3), NH4Fe[Fe(CN)(6)] (pur. and unpur.). Cyanide-release was highe
r in artificial gastric juice than in water and artificial intestinal
juice. Under all conditions cyanide-release from Fe-4[Fe(CN)(6)](3) wa
s the lowest. Since Fe-4[Fe(CN)(6)](3) also binds more cesium, it appe
ars to be the most suitable Prussian blue salt for use as an antidote
after radiocesium contamination in humans.