sodium mersalyl
Approved
Jul 28, 1972
MERSALYL (Mersal) is an organomercury compound, mercurial diuretics that superseded by safer diuretics such as thiazides, and is hardly used anymore. Due to the idiosyncratic nature of mercury toxicity, the risk of severe disease and sudden death are unpredictable and frequently show no warning signs. Mercurial diuretics cause diuresis by reducing the reabsorption sodium in the ascending loop of Henle, thus causing more water being delivered to the distal convoluted tubule. Unfortunately, earlier physicians misconstrued hallmark symptoms of mercury poisoning such as excessive salivation as signs of mercury's efficacy, including up until the early 1960s when the use of mercurial diuretics was halted in medicine. — NCATS
Clinical trial activity
1 trials · 1 clinical orgs · 2 marketing orgs
Earliest trial started Sep 15, 2025 (NCT07121439)
Timeline
1970s
- Jul 28, 1972
Central Pharmacal — Earliest FDA Approval
- Jul 28, 1972
Central Pharmacal — NDA Organization
Indications
Approved for
Mechanism of action
- Unspecified targetOTHER
Unknown
Combination products
mersalyl-theophylline
with theophylline
Approval history
- withdrawnJul 28, 1972
Chemistry & pharmacology
SMILES
[OH-].[Na+].COC(C[Hg+])CNC(=O)C1=CC=CC=C1OCC([O-])=O- Mol. weight
- 505.85 g/mol
- Chirality
- Racemic Mixture
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Discontinued
Oral
No
Parenteral
Yes
Topical
No
Sources
- NCATS5X1IO031V8 ↗
- ChEMBLCHEMBL1201330 ↗
- ChEMBLCHEMBL1200943 ↗
Also known as
- mercuramide
- mercurital
- mercusal
- mersal
- mersal
- mersalin
- mersalyl
- mersalyl
- mersalyl
- mersalyl
- mersalyl
- mersalyl
- mersalyl acid sodium salt
- mersalyl sodium
- mersalyl sodium
- salyrgan
- salyrgan
- sodium mersalyl
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07121439 | N/A | Sep 15, 2025 | University of Indonesia |
Organizations
Research & Development (1)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| University of Indonesia | Academic/Hospital | 1 | 1 | 1 | 2025 |
Marketing (2)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Central Pharmacal | For profit | NDA | Jul 28, 1972 |
| Watson Pharmaceuticals | For profit | MKTG | — |