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Active pharmaceutical ingredient

Sodium Thiosulfate

Sodium Thiosulfate is a versatile active pharmaceutical ingredient commonly utilized in compounded formulations for its detoxifying and antioxidant properties.

Compounded to order
Prescription required
Warwick, Rhode Island

About this ingredient

Sodium thiosulfate is a versatile active pharmaceutical ingredient widely utilized in various compounded formulations due to its multifaceted therapeutic properties. It is primarily known for its role as an antidote in cyanide poisoning, where it acts by converting cyanide to thiocyanate, a less toxic compound that is excreted in the urine. This mechanism underscores its importance in emergency medicine, providing a critical intervention in life-threatening situations.

Beyond its use as an antidote, sodium thiosulfate exhibits potential benefits in dermatology and nephrology. In dermatological applications, it is often employed for its antifungal and anti-inflammatory properties, making it effective in treating conditions such as tinea versicolor and calciphylaxis. Its ability to chelate calcium ions is particularly beneficial in managing calciphylaxis, a serious condition often seen in patients with chronic kidney disease.

In nephrology, sodium thiosulfate is explored for its role in reducing vascular calcification, a common complication in patients undergoing dialysis. Its chelating properties help in mitigating the deposition of calcium in blood vessels, thereby potentially improving cardiovascular outcomes. Additionally, sodium thiosulfate is being investigated for its antioxidant properties, which may offer protective effects against oxidative stress-related damage in various tissues.

As a compounding pharmacy, understanding the diverse applications of sodium thiosulfate allows for the creation of tailored formulations that meet specific patient needs. Its inclusion in compounded medications can enhance therapeutic outcomes, particularly in complex cases where standard treatments may be insufficient. By leveraging the unique properties of sodium thiosulfate, healthcare providers can offer more personalized and effective treatment options to their patients.

Available formulations

Compounded formulations containing this ingredient

Each of these is compounded to order at our Warwick, Rhode Island pharmacy and requires a prescription.

Compounding formulary

Formulas we compound with this ingredient

A sample of preparations from our formulary. Strengths and dose forms are customised to the prescription.

Common questions

Frequently asked questions

What is topical sodium thiosulfate used for?

Prescribers use it most often for calcium deposits in the skin, called calcinosis cutis, and historically for the fungal rash tinea versicolor. Sodium thiosulfate makes calcium salts more soluble, which is the rationale for applying it over deposits, and it releases sulfur on the skin, which gives mild antifungal and keratolytic activity. Your prescriber decides whether it fits your situation.

Related

Related active ingredients

Other salt forms of this molecule, and ingredients commonly compounded alongside it.

Important information

This page describes an active pharmaceutical ingredient, not a finished drug product. Bayview Pharmacy compounds preparations containing it only on a prescriber's order for an individual patient.

Compounded preparations are not FDA-approved, and the FDA has not evaluated them for safety, effectiveness, or manufacturing quality. Nothing on this page is a claim that any preparation is effective for any condition.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Talk to a compounding pharmacist

Our pharmacists work with prescribers to build preparations around a patient's dose, form and tolerances. Ask us what is possible with this ingredient.