Clinical and Forensic Toxicology News: September 2020

An AACC/CAP Educational Newsletter for Toxicology Laboratories
CFTN is registered with the U.S. Library of Congress, ISSN 2374-9679

Read the September 2020 issue of CFTN

Hydroxychloroquine and Chloroquine: Old Drugs Repurposed as Treatments for COVID-19 (page 1)

Hydroxychloroquine and chloroquine have gained substantial media and healthcare attention following reports of their efficacy against SARS-CoV-2 in early in vitro and small, uncontrolled clinical trials. Subsequent larger studies, including randomized control trials, have shown mixed efficacy against COVID-19 infection, and the actual effectiveness of these medications for SARS-CoV-2 is still controversial. This report will discuss what is known about the pharmacology and toxicity of hydroxychloroquine and chloroquine and the unique challenges presented by the use of these drugs for COVID-19.

FDA Alerts Consumers to Toxic Hand Sanitizers (page 6)

To help prevent the spread of COVID-19, the Centers for Disease Control and Prevention (CDC) recommends using hand sanitizers that contain at least 60% ethanol, or 70% isopropanol, when soap and water are not available. On June 19, 2020, the FDA issued an alert to warn consumers to the presence of methanol in some hand sanitizers. Since then the FDA has issued additional alerts, is constantly expanding the list of potentially contaminated hand sanitizers, and has reported findings of 1-propanol in other hand sanitizers, as well.

Phosphatidylethanol: A Long-Term Biomarker for Ethanol Exposure (page 8)

Alcohol use disorders are a major health concern across the globe. Testing for ethanol exposure is important for patient care to identify individuals with alcohol use disorders. There is a clinical need for a direct alcohol biomarker that is highly specific and with a longer window of detection for acute and chronic exposure.

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