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Dimefox. Profile from Hazardous Substances Data Base.


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DIMEFOX
CASRN: 115-26-4
For other data, click on the Table of Contents

Human Health Effects:

Human Toxicity Excerpts:

AMT TOO SMALL FOR CHEM DETECTION CAN CAUSE BLURRED VISION. PREDOMINANT EFFECTS ARE ON PERIPHERAL TISSUE & NOT ON CNS.
[Gosselin, R.E., R.P. Smith, H.C. Hodge. Clinical Toxicology of Commercial Products. 5th ed. Baltimore: Williams and Wilkins, 1984.,p. II-299]**PEER REVIEWED**

In a study lasting 70 days, whole blood cholinesterase was not inhibited in a total of four men and women who ingested the compound at a dosage of 0.002 mg/kg/day, but it was reduced about 25% by a dosage of 0.0034 mg/kg/day. In another study, a dosage of 0.004 mg/kg/day gradually caused a 40% reduction in whole blood cholinesterase by the 49th day of exposure when inhibition stabilized until dosing ended on the 95th day. This effect was entirely due to lowering of red cell cholinesterase since the plasma enzyme remained unchanged. Whole-blood activity recovered to 90% of normal within 56 days after dosing stopped ... .
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 974]**PEER REVIEWED**

SYMPTOMATOLOGY: 1. NAUSEA...VOMITING, ABDOMINAL CRAMPS, DIARRHEA, EXCESSIVE SALIVATION... 2. HEADACHE, GIDDINESS, VERTIGO & WEAKNESS. 3. RHINORRHEA & SENSATION OF TIGHTNESS IN CHEST ARE COMMON IN INHALATION EXPOSURE. 4. BLURRING OR DIMNESS OF VISION, MIOSIS... TEARING, CILIARY MUSCLE SPASM, LOSS OF ACCOMMODATION & OCULAR PAIN... MYDRIASIS...SOMETIMES SEEN...PROBABLY DUE TO SYMPATHO-ADRENAL DISCHARGE. 5. LOSS OF MUSCLE COORDINATION, SLURRING OF SPEECH, FASCICULATIONS & TWITCHING OF MUSCLES (PARTICULARLY OF TONGUE & EYELIDS), & GENERALIZED PROFOUND WEAKNESS. 6. MENTAL CONFUSION, DISORIENTATION & DROWSINESS. /PARATHION/
[Gosselin, R.E., R.P. Smith, H.C. Hodge. Clinical Toxicology of Commercial Products. 5th ed. Baltimore: Williams and Wilkins, 1984.,p. II-299]**PEER REVIEWED**

SYMPTOMATOLOGY: 7. DIFFICULTY IN BREATHING, EXCESSIVE SECRETION OF SALIVA & OF RESP TRACT MUCUS, ORONASAL FROTHING, CYANOSIS, PULMONARY RALES & RHONCHI & HYPERTENSION, (PRESUMABLY DUE TO ASPHYXIA). 8. RANDOM JERKY MOVEMENTS, INCONTINENCE, CONVULSIONS, & COMA. 9. DEATH PRIMARILY DUE TO RESP ARREST ARISING FROM FAILURE OF RESP CENTER, PARALYSIS OF RESP MUSCLES, INTENSE BRONCHOCONSTRICTION OR ALL THREE. /PARATHION/
[Gosselin, R.E., R.P. Smith, H.C. Hodge. Clinical Toxicology of Commercial Products. 5th ed. Baltimore: Williams and Wilkins, 1984.,p. II-299]**PEER REVIEWED**

...HAZARDS OF VAPOR TOXICITY ARE HIGH.
[Worthing, C. R. (ed.). Pesticide Manual. 6th ed. Worcestershire, England: British Crop Protection Council, l979. 196]**PEER REVIEWED**

Caution: A highly toxic cholinesterase inhibitor.
[Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 542]**PEER REVIEWED**

All the organophosphorus insecticides have a cumulative effect by progressive inhibition of cholinesterase ... /Organophosphorus insecticides/
[Clarke, M. L., D. G. Harvey and D. J. Humphreys. Veterinary Toxicology. 2nd ed. London: Bailliere Tindall, 1981. 148]**PEER REVIEWED**

The symptoms of chronic poisoning due to organophosphorus pesticides include headache, weakness, feeling of heaviness in head, decline of memory, quick onset of fatigue, disturbed sleep, loss of appetite, & loss of orientation. Psychic disorders, nystagmus, trembling of the hands & other nervous system disorders can be observed in certain cases. Sometimes neuritis, paresis & paralysis develop. /Organophosphorus pesticides/
[International Labour Office. Encyclopedia of Occupational Health and Safety. Vols. I&II. Geneva, Switzerland: International Labour Office, 1983. 1639]**PEER REVIEWED**

Organophosphate insecticides ... are potent cholinesterase enzyme inhibitors that act by interfering with the metabolism of acetylcholine, which results in accumulation of acetylcholine at neuroreceptor transmission sites. Exposure produces a broad spectrum of clinical effects indicative of massive overstimulation of the chlorinergic system, including muscarinic effects (parasympathetic), nicotinic effects (sympathetic and motor), and CNS effects. These effects present clinically as feeling of headache, weakness, dizziness, blurred vision, psychosis, respiratory difficulty, paralysis, convulsions, and coma. Typical findings are given by the mnemonic "SLUD." which stands for salivation, lacrimation, urination, and defecation. A small percentage of patients may fail to demonstrate miosis, a classic diagnostic hallmark. Onset of clinical manifestation of organophosphate poisoning usually occurs within 12 hr of exposure. /Organophosphate insecticides/
[Amdur, M.O., J. Doull, C.D. Klaasen (eds). Casarett and Doull's Toxicology. 4th ed. New York, NY: Pergamon Press, 1991. 936]**PEER REVIEWED**

A woman at 34 to 35 weeks' gestation presented in acute respiratory distress with cyanosis and tachypnea and bilateral rhonchi and crepitation. Her heart rate was 78 beats per min and her blood pressure 120/80 mm Hg, with a fetal heart rate of 140 beats per min. The mother was salivating markedly and her pupils were reduced to "pinpoint size." An uncorrected metabolic acidosis was diagnosed. Serum and erythrocyte acetylcholinesterase determinations were near zero. Cholinesterase inhibitor poisoning was felt to be the likely cause of her disorders. Administration of atropine 2.4 mg iv bolus with infusion of 0.02 mg/kg/hr lead to unacceptable fetal tachycardia. The woman had shown increased cooperativeness and secretion control until the atropine had to be stopped. A cesarean section was performed for delivery of a hypotonic infant with a 1 min Apgar score of 3. The baby was mechanically ventilated for 2 days and required atropine therapy at 0.1 mg/kg/hr for 8 days. The mother required 8 days of mechanical ventilation and 11 days of atropine therapy. In this case, the infant appeared relatively less poisoned than the mother by a presumed organophosphate exposure. /Organophosphate poisoning/
[Haddad, L.M., Clinical Management of Poisoning and Drug Overdose. 2nd ed. Philadelphia, PA: W.B. Saunders Co., 1990. 430]**PEER REVIEWED**

A follow-up study of 232 people three years after a history of organophosphorus pesticide poisoning disclosed only one person with slight residual blurring of vision that might have been related to the earlier poisoning, though at the time of poisoning over one third of the people had blurring, which lasted only a day or two after exposure was discontinued. The possile exceptional case had findings suggestive of basilar artery insufficiency, rather than effects of poisoning. /Organophosphorus pesticide poisoning/
[Grant, W.M. Toxicology of the Eye. 3rd ed. Springfield, IL: Charles C. Thomas Publisher, 1986. 679]**PEER REVIEWED**

The effects of acute intoxication by anti-cholinesterase agents are manifested by muscarinic and nicotinic signs and symptoms and, except for compounds of extremely low lipid solubility, by signs referable to the CNS. Local effects are due to the action of vapors or aerosols at their site of contact with the eyes or respiratory tract, or due to the local absorption after liquid contamination of the skin or mucous membranes, including those of the gastrointestinal tract. Systemic effects appear within minutes after inhalation of vapors or aerosols. In contrast, the onset of symptoms is delayed after gastrointestinal and percutaneous absorption. The duration of effects is determined largely by the properties of the compound: its lipid solubility, whether it must be activated, the stability of the organophosphorus-AChE bond, and whether "aging" of the phosphorylated enzyme has occurred. /Anticholinesterase agents/
[Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996. 169]**PEER REVIEWED**

Ocular effects include marked miosis, ocular pain, conjunctival congestion, diminished vision, ciliary spasm, and brow ache. With acute systemic absorption, miosis may not be evident due to sympathetic discharge in response to the hypotension. /Anticholinesterase agents/
[Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996. 170]**PEER REVIEWED**

In addition to rhinorrhea and hyperemia of the upper respiratory tract, respiratory effects consist of "tightness" in the chest and wheezing respiration, caused by the combination of bronchoconstriction and increased bronchial secretion. /Anticholinesterase agents/
[Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996. 170]**PEER REVIEWED**

Gastrointestinal symptoms occur earliest after ingestion, and include anorexia, nausea and vomiting, abdominal cramps, and diarrhea. /Anticholinesterase agents/
[Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996. 170]**PEER REVIEWED**

With percutaneous absorption of liquid, localized sweating and muscular fasciculation in the immediate vicinity are generally the earliest manifestations. /Anticholinesterase agents/
[Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996. 170]**PEER REVIEWED**

... Severe intoxication is manifested by extreme salivation, involuntary defecation and urination, sweating, lacrimation, penile erection, bradycardia, and hypotension. /Anticholinesterase agents/
[Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996. 170]**PEER REVIEWED**

The time of death after a single acute exposure may range from less than 5 minutes to nearly 24 hours, depending upon the dose, route, agent, and other factors. The cause of death is primarily respiratory failure, usually accompanied by a secondary cardiovascular component. Muscarinic, nicotinic, and central actions all contribute to respiratory embarrassment; effects include laryngospasm, bronchoconstriction, increased tracheobronchial and salivary secretion, compromised voluntary control of the diaphragm and intercostal muscles, and central respiratory depression. Blood pressure may fall to alarmingly low levels and cardiac irregularities intervene. These effects usually result from hypoxemia; they often are reversed by assisted pulmonary ventilation. /Anticholinesterase agents/
[Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996. 170]**PEER REVIEWED**

ACCUMULATION OF ACETYLCHOLINE IN CNS IS BELIEVED TO BE RESPONSIBLE FOR TENSION, ANXIETY, RESTLESSNESS, INSOMNIA, HEADACHE, EMOTIONAL INSTABILITY, & NEUROSIS, EXCESSIVE DREAMING & NIGHTMARES, APATHY, & CONFUSION ... DESCRIBED AFTER ORGANOPHOSPHATE POISONING. /ORGANOPHOSPHATE INSECTICIDES/
[Doull, J., C.D.Klassen, and M.D. Amdur (eds.). Casarett and Doull's Toxicology. 3rd ed., New York: Macmillan Co., Inc., 1986. 528]**PEER REVIEWED**

Three clinical syndromes of organophosphate toxicity have been described: immediate, intermediate (1 to 4 days), and delayed (8 to 14 days) after exposure. /Organophosphates and related compounds/
[Bronstein, A.C., P.L. Currance; Emergency Care for Hazardous Materials Exposure. 2nd ed. St. Louis, MO. Mosby Lifeline. 1994. 260]**PEER REVIEWED**

The usual symptoms include headache, giddiness, nervousness, blurred vision, weakness, nausea, cramps, diarrhea, and discomfort in the chest. Signs include sweating, miosis, tearing, salivation and other excessive respiratory tract secretion, vomiting, cyanosis, papilledema, uncontrollable muscle twitches followed by muscular weakness, convulsions, coma, loss of reflexes, and loss of sphincter control. The last four signs are seen only in severe cases but do not preclude a favorable outcome if treatment is prompt and energetic. Cardiac arrhythmias, various degrees of heart block, and cardiac arrest may occur ... /Organic phosphorus pesticides/
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 938]**PEER REVIEWED**

Acute emphysema, pulmonary edema, pink froth in the trachea and bronchi, and considerable congestion of the organs are found at autopsy. Slight microscopic changes may occur in the liver and kidneys ... Petechial hemorrhages in the organs may be present, especially if convulsions occurred during life. The findings are not diagnostic. In a few cases in which death occurred unexpectedly after several days of survival, multiple pericapillary and periprecapillary hemorrhages were noted in the myocardium and medulla oblongata ... . /Organic phosphorous pesticides/
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 950]**PEER REVIEWED**

... The serum cholinesterase activity of 14 men and 16 women at seven approximately equal intervals throughout one 24 hr day was measured. The lowest average value, ... was 92% of the mean of all values at other sampling times. The next lowest value was 98.7% of the same mean. /It was/ concluded that the small variation observed did not take the form of a regular curve but was entirely individual without correspondence to hour. /Organic phosphorus pesticides/
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 943]**PEER REVIEWED**


Human Toxicity Values:

The no-effect dosage of dimefox based on the most sensitive criterion, red cell cholinesterase, is 0.002 mg/kg/day in humans.
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 974]**PEER REVIEWED**


Drug Warnings:

Food and Environmental Agents: Effect on Breast-Feeding: Reported Sign or Symptom in Infant or Effect on Lactation: Fluorides: None. /from Table 7/
[Report of the American Academy of Pediatrics Committee on Drugs in Pediatrics 93 (1): 142 (1994)]**PEER REVIEWED**


Medical Surveillance:

Workers handling & applying pesticides must undergo an annual medical examination at the beginning of each agricultural season. Contraindications /meaning further clinical evaluations/ for work with /organophosphorus pesticides/ are organic diseases of the central nervous system, mental disorders & epilepsy, pronounced endocrine & vegetative disorders, pulmonary tuberculosis, bronchial asthma, chronic respiratory diseases, cardiovascular diseases & circulatory disorders, gastrointestinal diseases (peptic ulcer), gastroenterocolitis, diseases of liver & kidneys, eye diseases (chronic conjunctivitis & keratitis). The blood cholinesterase activity must be determined before work starts. In the event of prolonged work periods, this activity should be determined at intervals of 3-4 days. Persons exhibiting a fall in cholinesterase activity of 25% or more must be transferred to other work where they are not exposed to organophosphorus pesticides until this activity is completely restored. Persons with initial signs of indisposition should /be protected from exposure from/ pesticides. /Organophosphorus pesticides/
[International Labour Office. Encyclopedia of Occupational Health and Safety. Vols. I&II. Geneva, Switzerland: International Labour Office, 1983. 1646]**PEER REVIEWED**

... Surveillance of workers could be carried out through measurement of blood or urinary levels of the cmpd to which they are exposed, or through measurement of a metabolite. /Organic phosphorus pesticides/
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 949]**PEER REVIEWED**

... There is no change in red blood cell cholinesterase activity in adults associated with age. ... Activity of this enzyme increases progressively during the first year of life, it is higher in children under 3 yr of age than in older children, and it is markedly higher in 5 yr old children than in 3 yr olds. /Organic phosphorus pesticides/
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 943]**PEER REVIEWED**

Cholinesterase activity of plasma is significantly higher in men than in women, and this is true no matter which of several choline esters are used as substrate in measuring the enzyme activity. According to some, the difference is confined to young people. There is no sex difference in the red cell enzyme activity. Serum cholinesterase activity of blacks tends to be lower than whites of the same sex. /Organic phosphorus pesticides/
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 943]**PEER REVIEWED**


Populations at Special Risk:

Young persons under 18 yr, expectant or nursing mothers, /alcoholics/, or persons for whom work with toxic chemicals is contraindicated on account of their state of health /are at elevated risk from the toxic effects of organophosphorus pesticides. Those individuals with/ organic diseases of the CNS, mental disorders & epilepsy, pronounced endocrine & vegetative disorders, pulmonary tuberculosis, bronchial asthma, chronic respiratory diseases, cardiovascular diseases and circulatory disorders, gastrointestinal diseases (peptic ulcer), gastroenterocolitis, diseases of the liver & kidneys, eye diseases (chronic conjunctivitis and keratitis) /are at elevated risk from exposure/. /Organophosphorus pesticides/
[International Labour Office. Encyclopedia of Occupational Health and Safety. Vols. I&II. Geneva, Switzerland: International Labour Office, 1983. 1646]**PEER REVIEWED**

Those individuals who are exposed to organophosphorus pesticides with pre-existing/ organic diseases of the central nervous system, mental disorders & epilepsy, pronounced endocrine & vegetative disorders, pulmonary tuberculosis, bronchial asthma, chronic respiratory diseases, cardiovascular diseases & circulatory disorders, gastrointestinal diseases (peptic ulcer), gastroenterocolitis, diseases of liver & kidneys, eye diseases (chronic conjunctivitis & keratitis) /are at elevated risk from exposure/. The blood cholinesterase activity must be determined before work starts. In the event of prolonged work periods, this activity should be determined at intervals of 3-4 days. Persons exhibiting a fall in cholinesterase activity of 25% or more must be transferred to other work where they are not exposed to organophosphorus pesticides until this activity is completely restored. Persons with initial signs of indisposition should cease work with pesticides. /Organophosphorus pesticides/
[International Labour Office. Encyclopedia of Occupational Health and Safety. Vols. I&II. Geneva, Switzerland: International Labour Office, 1983. 1646]**PEER REVIEWED**


Probable Routes of Human Exposure:

DIMEFOX IS INCL ON LIST OF COMPD CONSIDERED MOST DANGEROUS TO PESTICIDE APPLIERS. /FROM TABLE/
[Sunshine, I. (ed.). CRC Handbook of Analytical Toxicology. Cleveland: The Chemical Rubber Co., 1969. 563]**PEER REVIEWED**

Occupational exposure to dimefox may occur through inhalation and dermal contact with this pesticide during and after its application or at workplaces where dimefox is produced. (SRC)
**PEER REVIEWED**


Minimum Fatal Dose Level:

5. 5= EXTREMELY TOXIC: PROBABLE ORAL LETHAL DOSE (HUMAN) 5-50 MG/KG, BETWEEN 7 DROPS & 1 TEASPOONFUL FOR 70 KG PERSON (150 LB).
[Gosselin, R.E., R.P. Smith, H.C. Hodge. Clinical Toxicology of Commercial Products. 5th ed. Baltimore: Williams and Wilkins, 1984.,p. II-299]**PEER REVIEWED**

Emergency Medical Treatment:

 

Emergency Medical Treatment:

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The following Overview, *** DIMEFOX ***, is relevant for this HSDB record chemical.

Life Support:
  o   This overview assumes that basic life support measures
      have been instituted.                           
Clinical Effects:
  SUMMARY OF EXPOSURE
   0.2.1.1 ACUTE EXPOSURE
     o   Dimefox is an organophosphate compound.  The following
         are symptoms from organophosphates in general, which
         are due to the anticholinesterase activity of this
         class of compounds.  All of these effects may not be
         documented for dimefox, but could potentially occur in
         individual cases.
     o   MUSCARINIC (PARASYMPATHETIC) EFFECTS may include
         bradycardia, bronchospasm, bronchorrhea, salivation,
         lacrimation, diaphoresis, vomiting, diarrhea, and
         miosis.  NICOTINIC (SYMPATHETIC AND MOTOR) EFFECTS may
         include tachycardia, hypertension, fasciculations,
         muscle cramps, weakness, and RESPIRATORY PARALYSIS.
         CENTRAL EFFECTS may include CNS depression, agitation,
         confusion, delirium, coma, and seizures.
     o   Children may exhibit different predominant signs and
         symptoms than adults:  CNS depression, stupor,
         flaccidity, dyspnea, and coma are the most common signs
         in children.
  VITAL SIGNS
   0.2.3.1 ACUTE EXPOSURE
     o   Fever, bradycardia and hypotension, or tachycardia and
         hypertension may occur.
  HEENT
   0.2.4.1 ACUTE EXPOSURE
     o   Miosis, lacrimation, and blurred vision are common;
         mydriasis may occur in severe poisonings.  Opsoclonus
         has been reported in one case.  Salivation commonly
         occurs.
   0.2.4.2 CHRONIC EXPOSURE
     o   Decreased visual acuity and persistent photophobia may
         be seen.
  CARDIOVASCULAR
   0.2.5.1 ACUTE EXPOSURE
     o   Bradycardia, hypotension, and chest pain may occur.
         Tachycardia and hypertension may also be noted.
         Arrhythmias and conduction defects may occur in severe
         poisonings.  Myocarditis may develop.
  RESPIRATORY
   0.2.6.1 ACUTE EXPOSURE
     o   Dyspnea, rales, bronchorrhea, bronchospasm, or
         tachypnea may be noted.  Noncardiogenic pulmonary edema
         may occur in severe cases.  Chemical pneumonitis may be
         seen.
     o   Bronchospasm may occur in previously sensitized
         asthmatics or as a pharmacological muscarinic effect.
     o   Acute respiratory insufficiency is the main cause of
         death in acute poisonings.
     o   Most organophosphate compounds can release toxic and
         irritating fumes on thermal decomposition.  Exposure to
         such fumes could cause chemical pneumonitis,
         bronchospasm, or noncardiogenic pulmonary edema.
  NEUROLOGIC
   0.2.7.1 ACUTE EXPOSURE
     o   Headache, dizziness, muscle spasms and profound
         weakness are common.  Alterations of level of
         consciousness, anxiety, paralysis, seizures and coma
         may occur.  Seizures may be more common in children.
     o   Peripheral neuropathy of the mixed sensory-motor type
         may be delayed by 6 to 21 days following exposure to
         some organophosphates.  Recovery may be slow or
         incomplete.
     o   Dyskinesias may develop.  Abnormal neuropsychiatric
         tests and EEGs may persist for months after acute
         exposure.
  GASTROINTESTINAL
   0.2.8.1 ACUTE EXPOSURE
     o   Vomiting, hypersalivation, diarrhea, fecal incontinence
         and abdominal pain may occur.
     o   Intussusception has been reported in a single pediatric
         organophosphate poisoning case.
  GENITOURINARY
   0.2.10.1 ACUTE EXPOSURE
     o   Increased urinary frequency or, in severe cases,
         urinary incontinence has occurred.
     o   Immune-complex nephropathy with proteinuria and/or
         amorphous crystalluria may be possible.
  ACID-BASE
   0.2.11.1 ACUTE EXPOSURE
     o   Metabolic acidosis has occurred in several severe
         poisonings.
  HEMATOLOGIC
   0.2.13.1 ACUTE EXPOSURE
     o   Alteration in prothrombin time and/or tendency to
         bleeding may occur.  Clinically significant bleeding or
         hypercoagulability are rare.
     o   The hallmark of organophosphate poisoning is the
         inhibition of plasma pseudocholinesterase or
         erythrocyte acetylcholinesterase, or both.
  DERMATOLOGIC
   0.2.14.1 ACUTE EXPOSURE
     o   Sweating is a consistent but not universal sign.
   0.2.14.2 CHRONIC EXPOSURE
     o   Dermal sensitization may occur.
  MUSCULOSKELETAL
   0.2.15.1 ACUTE EXPOSURE
     o   Muscle weakness, fatigability and fasciculations are
         common findings and may be delayed by several days.
         Paralysis may supervene.
  ENDOCRINE
   0.2.16.1 ACUTE EXPOSURE
     o   Hyperglycemia and glycosuria without ketosis may be
         present.
  PSYCHIATRIC
   0.2.18.1 ACUTE EXPOSURE
     o   Decreased vigilance, defects in expressive language and
         cognitive function, impaired memory, depression,
         anxiety or irritability and psychosis have been
         reported, more commonly in persons having other
         clinical signs of organophosphate poisoning or
         pre-existing psychological conditions.
     o   Psychosis may be noted following acute poisoning.
     o   Abnormal neuropsychiatric tests and EEGs may persist
         for months after acute exposure.
  IMMUNOLOGIC
   0.2.19.2 CHRONIC EXPOSURE
     o   Chronic skin exposure to some organophosphates may lead
         to dermal sensitization.
  REPRODUCTIVE HAZARDS
    o   Most of the organophosphates have not been teratogenic
        in animals but some have caused lower fetal or birth
        weights and/or higher neonatal mortality.
    o   Sporadic reports of human birth defects related to
        organophosphates have not been fully verified.
    o   No information about possible male reproductive effects
        was found in available references at the time of this
        review.
  CARCINOGENICITY
   0.2.21.2 HUMAN OVERVIEW
     o   In in vitro experiments, dimefox interacted with
         nitrite to form potentially carcinogenic
         dimethylnitrosamine.
     o   The widely used organophosphates are thought not to be
         carcinogenic; however, some controversy exists in this
         area.
  GENOTOXICITY
    o   Cytogenetic studies of organophosphate-exposed workers
        have suggested possible increases in frequencies of
        chromosome aberrations, but the evidence is not
        compelling.
    o   Two generations of an Israeli family who had been
        chronically exposed to organophosphates had 100-fold
        amplification of the "silent" allele of the CHE gene on
        chromosome 3; the absence of amplification of other
        genes on chromosome 3 suggests that the amplification of
        the CHE gene was a specific response to exposure to the
        organophosphate.
  OTHER
   0.2.23.1 ACUTE EXPOSURE
     o   Delayed toxicity can occur from acute exposure to
         highly lipophilic organophosphates.
Laboratory:
  o   Determine plasma and red blood cell cholinesterase
      activities.  While there may be poor correlation between
      cholinesterase values and clinical effects, depression in
      excess of 50% activity is generally associated with severe
      symptoms.  Correlation between cholinesterase levels and
      clinical effects in milder poisonings may be poor.
  o   If respiratory tract irritation, excessive bronchial
      secretions, or bronchospasm occur following exposure,
      monitor arterial blood gases and chest x-ray.
Treatment Overview:
  ORAL EXPOSURE
    o   Inducing emesis is CONTRAINDICATED because of possible
        respiratory depression and seizures.
    o   GASTRIC LAVAGE:  Consider after ingestion of a
        potentially life-threatening amount of poison if it can
        be performed soon after ingestion (generally within 1
        hour).  Protect airway by placement in Trendelenburg and
        left lateral decubitus position or by endotracheal
        intubation.  Control any seizures first.
     1.  CONTRAINDICATIONS:  Loss of airway protective reflexes
         or decreased level of consciousness in unintubated
         patients; following ingestion of corrosives;
         hydrocarbons (high aspiration potential); patients at
         risk of hemorrhage or gastrointestinal perforation; and
         trivial or non-toxic ingestion.
    o   ACTIVATED CHARCOAL/CATHARTIC:  Administer charcoal
        slurry, aqueous or mixed with saline cathartic or
        sorbitol.  The FDA suggests 240 mL of diluent/30 g of
        charcoal.  Usual charcoal dose is 25 to 100 grams in
        adults and adolescents, 25 to 50 grams in children (1 to
        12 years old), and 1 gram/kilogram in infants less than
        1 year old.
     1.  Routine use of cathartics is NOT recommended.  If used,
         administer only ONE dose of cathartic.  Administer one
         dose of a cathartic, mixed with charcoal or given
         separately.  See "Treatment:  Prevention of Absorption"
         in the main document.
    o   Suction oral secretions until atropinization.
    o   ATROPINE THERAPY - If symptomatic, administer IV
        atropine until atropinization is achieved.  Adult - 2 to
        5 mg every 10 to 15 minutes; Child - 0.05 mg/kg every 10
        to 15 minutes.  Atropinization may be required for hours
        to days depending on severity.
    o   PRALIDOXIME (Protopam, 2-PAM):  Treat moderate to severe
        poisoning (fasciculations, muscle weakness, respiratory
        depression, coma, seizures) with 2-PAM in addition to
        atropine; most effective if given within 48 hours, but
        has had efficacy up to 6 days.  May require
        administration for several days.
     1.  INITIAL DOSE:  ADULT:  1 to 2 g in 100 to 150 ml 0.9%
         saline IV over 30 min.   CHILD:  20 to 50 mg/kg as a 5%
         solution IV over 30 min.
     2.  Repeat these doses in 1 hour and then every 6 to 12
         hours if  muscle weakness or fasciculations persist, or
         begin continuous infusion.
     3.  CONTINUOUS INFUSION:  Administer as a 2.5% solution in
         0.9% saline.  ADULT:   500 mg/hour.  CHILD:  9 to 19
         mg/kg/hour.
    o   CONTRAINDICATIONS - Succinylcholine and other
        cholinergic agents.
    o   SEIZURES:  Administer a benzodiazepine IV; DIAZEPAM
        (ADULT:  5 to 10 mg,  repeat every 10 to 15 min as
        needed.  CHILD:  0.2 to 0.5 mg/kg, repeat every  5 min
        as needed) or LORAZEPAM (ADULT:  4 to 8 mg; CHILD:  0.05
        to 0.1 mg/kg).
     1.  Consider phenobarbital if seizures recur after diazepam
         30 mg (adults)  or 10 mg (children > 5 years).
     2.  Monitor for hypotension, dysrhythmias, respiratory
         depression, and need  for endotracheal intubation.
         Evaluate for hypoglycemia, electrolyte disturbances,
         hypoxia.
    o   PULMONARY EDEMA (NONCARDIOGENIC):  Maintain ventilation
        and oxygenation and evaluate with frequent arterial
        blood gas or pulse oximetry monitoring.  Early use of
        PEEP and mechanical ventilation may be needed.
    o   HYPOTENSION:  Infuse 10 to 20 mL/kg isotonic fluid,
        place in Trendelenburg position.  If hypotension
        persists, administer dopamine (5 to 20 mcg/kg/min) or
        norepinephrine (0.1 to 0.2 mcg/kg/min), titrate to
        desired response.
    o   See treatment of oral exposure in the main body of this
        document for complete information.
  INHALATION EXPOSURE
    o   INHALATION:  Move patient to fresh air.  Monitor for
        respiratory distress.  If cough or difficulty breathing
        develops, evaluate for respiratory tract irritation,
        bronchitis, or pneumonitis.  Administer oxygen and
        assist ventilation as required.  Treat bronchospasm with
        beta2  agonist and corticosteroid aerosols.
    o   If respiratory tract irritation or respiratory
        depression is evident, monitor arterial blood gases,
        chest x-ray, and pulmonary function tests.
    o   Carefully observe patients with inhalation exposure for
        the development of any systemic signs or symptoms and
        administer symptomatic treatment as necessary.
    o   Suction oral secretions until atropinization.
    o   Treatment should include recommendations listed in the
        ORAL EXPOSURE section when appropriate.
    o   CONTRAINDICATIONS - Succinylcholine and other
        cholinergic agents are contraindicated.
    o   See treatment of inhalation exposure in the main body of
        this document for complete information.
  EYE EXPOSURE
    o   DECONTAMINATION:  Irrigate exposed eyes with copious
        amounts of tepid water for at least 15 minutes.  If
        irritation, pain, swelling, lacrimation, or photophobia
        persist, the patient should be seen in a health care
        facility.
    o   Patients symptomatic following exposure should be
        observed in a controlled setting until all signs and
        symptoms have fully resolved.
    o   Suction oral secretions until atropinization.
    o   Treatment should include recommendations listed in the
        ORAL EXPOSURE section when appropriate.
    o   CONTRAINDICATIONS - Succinylcholine and other
        cholinergic agents are contraindicated.
    o   See treatment of eye exposure in the main body of this
        document for complete information.
  DERMAL EXPOSURE
    o   Systemic effects can occur from dermal exposure to
        organophosphates.
    o   Remove contaminated clothing and jewelry; wash skin,
        hair and nails vigorously with repeated soap washings.
        Leather absorbs pesticides; all contaminated leather
        should be discarded.  Rescue personnel and bystanders
        should avoid direct contact  with contaminated skin,
        clothing, or other objects.
    o   Treatment should include recommendations listed in the
        ORAL EXPOSURE section when appropriate.
    o   Some chemicals can produce systemic poisoning by
        absorption through intact skin.  Carefully observe
        patients with dermal exposure for the development of any
        systemic signs or symptoms and administer symptomatic
        treatment as necessary.
    o   CONTRAINDICATIONS - Succinylcholine and other
        cholinergic agents are contraindicated.
    o   See treatment of dermal exposure in the main body of
        this document for complete informtion.
Range of Toxicity:
  o   Acute toxicity is variable and depends strongly upon the
      kinetics of absorption and whether or not metabolic
      activation is required.  Sudden absorption of a less toxic
      compound may have a more severe effect than gradual
      absorption of a more toxic agent.
  o   No cholinesterase inhibition occurred in volunteers who
      ingested 0.002 mg/kg of dimefox daily for 70 days.  A 25%
      reduction in cholinesterase activity was observed in
      volunteers who ingested 0.0034 mg/kg of dimefox daily for
      70 days.
   1.  With daily ingestion of 0.004 mg/kg of dimefox,
       volunteers gradually developed a 40% decrease in
       cholinesterase activity over the first 49 days of the
       study.  Continuing this dose through the 95th day did not
       result in any further cholinesterase inhibition.
  o   Rats fed 0.024, 0.095, and 0.475 mg/kg of dimefox daily
      for 28 days developed a dose-related decrease in
      cholinesterase activity.  Rats fed 0.01 and 0.25 mg/kg of
      dimefox daily for 6 days developed ataxia and decreased
      maximum motor nerve conduction velocity in the tail nerve.

[Rumack BH: POISINDEX(R) Information System. Micromedex, Inc., Englewood, CO, 2001; CCIS Volume 110, edition exp November, 2001. Hall AH & Rumack BH (Eds):TOMES(R) Information System. Micromedex, Inc., Englewood, CO, 2001; CCIS Volume 110, edition exp November, 2001.] **PEER REVIEWED**

Antidote and Emergency Treatment:

A comatose patient who is diaphoretic, has pinpoint pupils and the odor of an insecticide on clothing or breath, and is noted to have muscle fasciculations represents the classic presentation of organophosphate poisoning. ... Specific steps in management include the following. 1. Decontamination. ... 2 Airway. Establish an airway if necessary. ... 3. Respiratory Status. Respiratory distress, in fact, is commonly found in these patients from multiple causes. ... 4. Cardiac Monitoring. ... 5. Cholinesterase Level. ... 6. Pralidoxime. Pralidoxime is the treatment of choice for organophosphate poisoning and should be used for nearly all patients with clinically significant orgnophosphate poisoning, particularly whose patients with muscular fasciculations and weakness. ... 7. Atropine. Atropine is the physiologic antidote for organophosphate poisoning. A trial dose of atropine should be instituted on clinical ground when one suspects organophosphate intoxication. /Organophosphate poisoning/
[Haddad, L.M., Clinical Management of Poisoning and Drug Overdose. 2nd ed. Philadelphia, PA: W.B. Saunders Co., 1990. 1079]**PEER REVIEWED**

For immediate first aid: ensure that adequate decontamination has been carried out. If victim is not breathing, start artificial respiration, preferably with a demand-valve resuscitator, bag-valve-mask device, or pocket mask as trained. Perform CPR if necessary. Immediately flush contaminated eyes with gently flowing water. Do not induce vomiting. If vomiting occurs, lean patient forward or place on left side (head-down position, if possible) to maintain an open airway and prevent aspiration. Keep victim quiet and maintain normal body temperature. Obtain medical attention. /Organophosphates and related compounds/
[Bronstein, A.C., P.L. Currance; Emergency Care for Hazardous Materials Exposure. 2nd ed. St. Louis, MO. Mosby Lifeline. 1994. 258]**PEER REVIEWED**

For basic treatment: Establish a patent airway. Suction if necessary. Aggressive airway control may be needed. Watch for signs of respiratory insufficiency and assist ventilations if necessary. Administer oxygen by nonrebreather mask at 10 to 15 L/min. Monitor for pulmonary edema and treat if necessary ... Monitor for shock and treat if necessary ... Anticipate seizures and treat if necessary ... For eye contamination, flush eyes immediately with water. Irrigate each eye continuously with normal saline during transport ... Do not use emetics. For ingestion, rinse mouth and administer ... water for dilution if the patient can swallow, has a strong gag reflex, and does not drool. Administer activated charcoal ... /Organophosphates and related compounds/
[Bronstein, A.C., P.L. Currance; Emergency Care for Hazardous Materials Exposure. 2nd ed. St. Louis, MO. Mosby Lifeline. 1994. 259]**PEER REVIEWED**

Preservative-free atropine should be used to avoid toxicity from preservative agents. Mydriasis may occur early in the administration of atropine; however the endpoint for atropine administration is the drying of pulmonary secretions. /Organophosphates and related compounds/
[Bronstein, A.C., P.L. Currance; Emergency Care for Hazardous Materials Exposure. 2nd ed. St. Louis, MO. Mosby Lifeline. 1994. 260]**PEER REVIEWED**

Never give morphine, theophylline, and theophylline ethylenediamine ... Large amounts of iv fluids generally are contraindicated because of the threat of pulmonary edema. /Organic phosphorous pesticides/
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 952]**PEER REVIEWED**

Succinylcholine, other cholinergic agents, and aminophylline are contraindicated. /Organophosphates and related compounds/
[Bronstein, A.C., P.L. Currance; Emergency Care for Hazardous Materials Exposure. 2nd ed. St. Louis, MO. Mosby Lifeline. 1994. 260]**PEER REVIEWED**


Animal Toxicity Studies:

Non-Human Toxicity Excerpts:

MARKED DIFFERENCE IN SUSCEPTIBILITY OF SEXES IS...SEEN IN CASE OF MANY ORGANO-PHOSPHORUS INSECTICIDES. ...DIMEFOX.../IS/ SLIGHTLY MORE TOXIC TO MALES.
[Garner's Veterinary Toxicology. 3rd ed., rev. by E.G.C. Clarke and M.L. Clarke. Baltimore: Williams and Wilkins, 1967. 20]**PEER REVIEWED**

Repeated intraperitoneal administration of dimefox to rats at a rate of 0.5 mg/kg/day killed half of them within 10 doses; 0.1 mg/kg/day produced marked inhibition of cholinesterase, but no deaths following 30 injections. The no-effect dosages of dimefox based on the most sensitive criterion, red cell cholinesterase, are 0.003 /and/ 0.006...mg/kg/day in rat /&/ pig...
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 972]**PEER REVIEWED**

FOR 28 DAYS FEMALE RATS WERE FED 0.024 MG/KG/DAY, 0.095 MG/KG/DAY & 0.475 MG/KG/DAY, RESPECTIVELY RESULTING IN ABOUT 50% INHIBITION OF RBC CHOLINESTERASE CHE & NO EFFECT ON PLASMA CHE, 75% REDN OF RBC CHE & 25% REDN OF PLASMA CHE; ALM COMPLETE INHIBITION OF RBC CHE & 75% REDN OF PLASMA CHE RESPECTIVELY. /FROM TABLE/
[Hayes, W.J., Jr., E.R. Laws Jr., (eds.). Handbook of Pesticide Toxicology Volume 1. General Principles. New York, NY: Academic Press, Inc., 1991. 79]**PEER REVIEWED**

Toxic to bees.
[Hartley, D. and H. Kidd (eds.). The Agrochemicals Handbook. Old Woking, Surrey, United Kingdom: Royal Society of Chemistry/Unwin Brothers Ltd., 1983.,p. A150/OCT 83]**PEER REVIEWED**

Vapor toxicity hazard is high.
[Farm Chemicals Handbook 1997. Willoughby, OH: Meister Publishing Co., 1997.,p. C130]**PEER REVIEWED**

In adult cattle the minimum toxic oral dose of organophosphate pesticides varies from 1 to 125 mg/kg; the minimum toxic dermal concentration varies from 0.5 to 3%, but these figures are not sacred. The literature is not complete with regard to animal toxicity of organophosphates; even if it were, toxicity values would not be reliable because of the number of factors that influence toxicity of these chemicals under different conditions of use. /Organophosphorus pesticides/
[Booth, N.H., L.E. McDonald (eds.). Veterinary Pharmacology and Therapeutics. 5th ed. Ames, Iowa: Iowa State University Press, 1982. 985]**PEER REVIEWED**

Biologic factors also influence toxicity of organophosphates. Species is very important here. ... Age of the animal is another biologic factor that alters toxicity of organophosphate pesticides. Compounds that do not require enzymatic activation are more toxic in very young animals in which the enzymes of pesticide degradation are deficient. Compounds that require enzymatic activation are not so toxic for very young animals because the enzymes of activation are deficient during the early weeks of life. Sex of the animals can also alter toxicity of organophosphates ... . /Organophosphate pesticides/
[Booth, N.H., L.E. McDonald (eds.). Veterinary Pharmacology and Therapeutics. 5th ed. Ames, Iowa: Iowa State University Press, 1982. 986]**PEER REVIEWED**

Some anticholinesterase organic phosphorous compounds interfere with temperature control and make the body temperature of rats and mice abnormally dependent on the environmental temperature ... No such effect was observed in guinea pigs or rabbits. The effect in rats .. and in mice ... was partially prevented by atropine, suggesting that it is related to cholinesterase inhibition. /Organic phosphorous pesticides/
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 929]**PEER REVIEWED**

The cause of death in poisoning by organic phosphorous compounds is usually respiratory failure and consequent anoxia but may be cardiovascular in origin. Four factors (excessive secretion of the respiratory tract, bronchoconstriction, weakness of the muscles of respiration, and failure of the respiratory center) may contribute to respiratory failure. ... In a few instances, death has followed profound brain damage that occurred, usually early in the course of poisoning, as a result of severe anoxia ... . /Organic phosphorous pesticides/
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 930]**PEER REVIEWED**

Some organic phosphorous compounds produce an immediate /CNS depressant/ effect, ranging from incoordination to deep anesthesia following iv injection. At the same time respiration may be affected. A large dosage is required for all compounds for which the effect has been demonstrate and, by necessity, all of them are of low toxicity. /Organic phosphorous pesticides/
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 971]**PEER REVIEWED**

Although some anticholinergic compounds are teratogenic, most are not. /Organic phosphorous pesticides/
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 971]**PEER REVIEWED**


Non-Human Toxicity Values:

LD50 Rat oral 7.5 mg/kg
[Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 542]**PEER REVIEWED**

LD50 Rat ip 5.0 mg/kg
[Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 542]**PEER REVIEWED**

LD50 Rat oral 1-2 mg/kg
[Farm Chemicals Handbook 1997. Willoughby, OH: Meister Publishing Co., 1997.,p. C130]**PEER REVIEWED**

LD50 Rat dermal 5 mg/kg
[Farm Chemicals Handbook 1997. Willoughby, OH: Meister Publishing Co., 1997.,p. C130]**PEER REVIEWED**

LD50 Mouse ip 1.4 mg/kg
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 974]**PEER REVIEWED**

LD50 Guinea pig ip 2.5 mg/kg
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 974]**PEER REVIEWED**

LD50 Dog ip 5-10 mg/kg
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 974]**PEER REVIEWED**

The no-effect dosages of dimefox based on the most sensitive criterion, red cell cholinesterase, are 0.003 and 0.006 mg/kg/day in the rat and pig, respectively.
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 974]**PEER REVIEWED**


Metabolism/Pharmacokinetics:

Metabolism/Metabolites:

Plasma and tissue enzymes are responsible for hydrolysis /of organophosphorus compounds/ to the corresponding phosphoric and phosphonic acids. However, oxidative enzymes are also involved in the metabolism of some organophosphorus compounds. /Anticholinesterase agents/
[Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996. 169]**PEER REVIEWED**

The organophosphorus anticholinesterase agents are hydrolyzed in the body by a group of enzymes known as A-esterases or paraoxonases. These enzymes are found in the plasma and liver and hydrolyze a large number of organophosphorus compounds ... by cleaving the phosphoester, anhydride, P-F, or P-CN bonds. /Anticholinesterase agents/
[Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996. 169]**PEER REVIEWED**


Absorption, Distribution & Excretion:

Following oral administration to rats, elimination is via the urine.
[Hartley, D. and H. Kidd (eds.). The Agrochemicals Handbook. Old Woking, Surrey, United Kingdom: Royal Society of Chemistry/Unwin Brothers Ltd., 1983.,p. A150/OCT 83]**PEER REVIEWED**

Most organophosphate compounds are ... absorbed from skin, conjunctiva, gastrointestinal tract, & lung. /Organophosphate compounds/
[Ellenhorn, M.J. and D.G. Barceloux. Medical Toxicology - Diagnosis and Treatment of Human Poisoning. New York, NY: Elsevier Science Publishing Co., Inc. 1988. 1071]**PEER REVIEWED**

The rate of dermal absorption /of organophosphorus pesticides/ may be ... influenced by the solvent used. /Organophosphorus pesticides/
[Clarke, M. L., D. G. Harvey and D. J. Humphreys. Veterinary Toxicology. 2nd ed. London: Bailliere Tindall, 1981. 147]**PEER REVIEWED**

Many of the organophosphorus insecticides are excreted in the milk ... /Organophosphorus insecticides/
[Clarke, M. L., D. G. Harvey and D. J. Humphreys. Veterinary Toxicology. 2nd ed. London: Bailliere Tindall, 1981. 148]**PEER REVIEWED**

Following their absorption, most organophosphorus cmpd are excreted almost entirely as hydrolysis products in the urine. /Anticholinesterase agents/
[Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996. 169]**PEER REVIEWED**

TOXICANTS CAN BE ABSORBED BY INHALATION, INGESTION, AND SKIN PENETRATION. ... ALL UNDERGO HYDROLYTIC DEGRADATION IN LIVER AND OTHER TISSUES, USUALLY WITHIN HR OF ABSORPTION. DEGRADATION PRODUCTS ARE OF LOW TOXICITY, AND ARE EXCRETED IN URINE AND FECES. /ORGANOPHOSPHATE CHOLINESTERASE-INHIBITING PESTICIDES/
[Morgan, D.P. Recognition and Management of Pesticide Poisonings. EPA 540/9-80-005. Washington, DC: U.S. Government Printing Office, Jan. 1982. 2]**PEER REVIEWED**

/THEY/ ... ARE RAPIDLY ABSORBED THROUGH MUCOUS MEMBRANE OF DIGESTIVE SYSTEM, RESPIRATORY SYSTEM & THE SKIN, & CONVEYED BY THE BLOOD TO VARIOUS BODY TISSUES. ... THE MAIN ROUTE OF ELIMINATION ... /IS/ THE KIDNEYS. /ORGANOPHOSPHORUS PESTICIDES/
[International Labour Office. Encyclopedia of Occupational Health and Safety. Vols. I&II. Geneva, Switzerland: International Labour Office, 1983. 1638]**PEER REVIEWED**

Organic phosphorous insecticides are absorbed by the skin, as well as by the respiratory and GI tracts. Absorption by the skin tends to be slow, but, because the insecticides are difficult to remove, such absorption is frequently prolonged. Skin absorption is somewhat greater at higher temperatures and may be much greater in the presence of dermatitis. /Organic phosphorous pesticides/
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 937]**PEER REVIEWED**


Mechanism of Action:

Unmetabolized dimefox is a moderately strong inhibitor of cholinesterase in vitro; the molar concentration required to cause 50% inhibition is 4x10-5. ... Its action is mainly peripheral, that on the brain being slower in onset.
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 974]**PEER REVIEWED**

The signs of poisoning due to organophosphorus cmpd are those due to accumulation of acetylcholine & hence overstimulation of parasympathetic nervous system. It is usual to divide them under 3 headings: muscarinic, nicotinic & central. Muscarinic signs ... consist of hypersalivation, lacrimation, sweating & nasal discharge. Miosis, dyspnea, vomiting, diarrhea & frequency of urination ... Nicotinic effects consist of fasciculation of muscles, weakness & paralysis. Central nervous system effects include nervousness, apprehension, ataxia, convulsions & coma. Death is due to resp failure, or sometimes cardiac arrest. There is little difference between signs produced by different organophosphorus compounds, but route of absorption may influence one system more than another. /Organophosphorus cmpd/
[Clarke, M. L., D. G. Harvey and D. J. Humphreys. Veterinary Toxicology. 2nd ed. London: Bailliere Tindall, 1981. 153]**PEER REVIEWED**

The characteristic pharmacological effects of the anti-ChE agents are due primarily to the prevention of hydrolysis of ACh by AChE at sites of cholinergic transmission. Transmitter thus accumulates, and the response to ACh that is liberated by cholinergic impulses or that is spontaneously released from the nerve ending is enhanced. With most of the organophosphorus agents ... virtually all the acute effects of moderate doses are attributable to this action. /Anticholinesterase agents/
[Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996. 163]**PEER REVIEWED**

The cardiovascular actions of anticholinesterase agents are complex, since they reflect both ganglionic and postganglionic effects of accumulated ACh on the heart and blood vessels. The predominant effect on the heart from the peripheral action of accumulated ACh is bradycardia, resulting in a fall in cardiac output. Higher doses usually cause a fall in blood pressure, often as a consequence of effects of anticholinesterase agents on the medullary vasomotor centers of the CNS. /Anticholinesterase agents/
[Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996. 168]**PEER REVIEWED**

Organophosphorus derivatives act by combining with and inactivating the enzyme acetylcholinesterase. ... The inactivation of cholinesterase by cholinesterase inhibitor pesticides allows the accumulation of large amounts of acetylcholine, with resultant widespread effects that may be ... separated into 4 categories: (1) Potentiation of postganglionic parasympathetic activity. ... (2) Persistent depolarization of skeletal muscle ... (3) Initial stimulation following depression of cells of central nervous system ... (4) Variable ganglionic stimulation or blockade ... /Cholinesterase inhibitor pesticides/
[Dreisbach, R.H. Handbook of Poisoning. 12th ed. Norwalk, CT: Appleton and Lange, 1987. 113]**PEER REVIEWED**

The main feature of the toxic mechanism of organophosphorus pesticides is inhibition of the esterase enzyme activity, in particular of cholinesterase, which plays an important physiological part. Organophosphorus pesticides can also indirectly interact with the biochemical receptors of acetylcholine. /Organophosphorus pesticides/
[International Labour Office. Encyclopedia of Occupational Health and Safety. Vols. I&II. Geneva, Switzerland: International Labour Office, 1983. 1638]**PEER REVIEWED**

Phosphorylated enzymes, like acetylated acetylcholinesterase, are esters and may be hydrolyzed by nucleophilic agents, including water. The rate at which phosphorylated enzymes are reactivated by water is extremely low, compared to the rate for acetylcholinesterase combined with acetate. When inhibition is by isopropyl phosphate, the rate is essentially zero. /Organic phosphorous pesticides/
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 932]**PEER REVIEWED**

Organophosphates poison insects and humans primarily by phosphorylation of the acetylcholinesterase enzyme at nerve endings. /Organophosphate Cholinesterase-inhibiting pesticides/
[Morgan, D.P. Recognition and Management of Pesticide Poisonings. EPA 540/9-80-005. Washington, DC: U.S. Government Printing Office, Jan. 1982. 2]**PEER REVIEWED**


Interactions:

Some phenothiazines may antagonize & some may potentiate the toxic anticholinesterase effects of ... /organophosphorus insecticides/. /Organophosphate cholinesterase inhibitors/
[Martin, E. W. (ed.). Hazards of Medication. 2nd ed. Philadelphia: J.B. Lippincott Co., l978. 552]**PEER REVIEWED**

In long term therapy, adrenocorticoids antagonize the antiglaucoma effects of anticholinesterases (incr ocular pressure). ... Anticholinergics antagonize the miotic (antiglaucoma) & other muscarinic effects of anticholinesterases on the autonomic & central nervous systems. Tricyclic antidepressants (anticholinergic effects) antagonize the antiglaucoma (miotic) effects of anticholinesterases in glaucoma. ... Antihistamines with anticholinergic effects antagonize the miotic (antiglaucoma) & CNS effects of anticholinesterases. Anticholinesterases potentiate tranquilizing & behavioral changes induced by antihistamines. The actions of anticholinesterase agents on autonomic effector cells, & to some extent those on CNS, are antagonized by atropine, an antidote of choice. Barbiturates are potentiated by anticholinesterases. ... Dexpanthenol potentiates the effects of anticholinesterases. Fluorophosphate insecticides potentiate the effects of other anticholinesterases. /Anticholinesterases/
[Martin, E. W. (ed.). Hazards of Medication. 2nd ed. Philadelphia: J.B. Lippincott Co., l978. 422]**PEER REVIEWED**

BARBITURATES ARE POTENTIATED BY ANTICHOLINESTERASES. ALTHOUGH BARBITURATES MAY BE USED CAUTIOUSLY IN TREATING CONVULSIONS, EXTREME CARE IS ESSENTIAL IN HANDLING POISONINGS DUE TO ANTICHOLINESTERASES, PARTICULARLY ORGANOPHOSPHORUS PESTICIDES. ECHOTHIOPHATE, A CHOLINESTERASE INHIBITOR USED AS MIOTIC, POTENTIATES OTHER SUCH INHIBITORS ... USED FOR OTHER PURPOSES (ADDITIVE EFFECTS) OR POSSIBLY SYNERGISTIC. THOSE EXPOSED TO ORGANOPHOSPHATE INSECTICIDES MUST TAKE STRICT PRECAUTIONS. ... ORGANOPHOSPHORUS INSECTICIDES: ADDITIVE ANTICHOLINESTERASE EFFECTS. HAZARDOUS. PATIENTS ON ANTICHOLINESTERASES (EVEN TOPICAL, SUCH AS EYE DROPS) SHOULD AVOID AREAS WHERE ORGANOPHOSPHORUS INSECTICIDES ... RECENTLY ... USED. /ANTICHOLINESTERASE/
[Martin, E. W. (ed.). Hazards of Medication. 2nd ed. Philadelphia: J.B. Lippincott Co., l978. 422]**PEER REVIEWED**

ANTICHOLINESTERASE (ORGANOPHOSPHORUS) INSECTICIDES ANTAGONIZE POLARIZING MUSCLE RELAXANTS. PHENOTHIAZINES /AND THIOXANTHENES/: ... MAY ENHANCE TOXIC EFFECTS OF ORGANOPHOSPHORUS INSECTICIDES. /INSECTICIDES, ORGANOPHOSPHORUS/
[Martin E. Hazards of Medication: A Manual on Drug Interactions, Incompatibilities, Contraindications and Adverse Effects. Philadelphia: J.B. Lippincott Co., 1971. 637]**PEER REVIEWED**


Pharmacology:

Drug Warnings:

Food and Environmental Agents: Effect on Breast-Feeding: Reported Sign or Symptom in Infant or Effect on Lactation: Fluorides: None. /from Table 7/
[Report of the American Academy of Pediatrics Committee on Drugs in Pediatrics 93 (1): 142 (1994)]**PEER REVIEWED**


Interactions:

Some phenothiazines may antagonize & some may potentiate the toxic anticholinesterase effects of ... /organophosphorus insecticides/. /Organophosphate cholinesterase inhibitors/
[Martin, E. W. (ed.). Hazards of Medication. 2nd ed. Philadelphia: J.B. Lippincott Co., l978. 552]**PEER REVIEWED**

In long term therapy, adrenocorticoids antagonize the antiglaucoma effects of anticholinesterases (incr ocular pressure). ... Anticholinergics antagonize the miotic (antiglaucoma) & other muscarinic effects of anticholinesterases on the autonomic & central nervous systems. Tricyclic antidepressants (anticholinergic effects) antagonize the antiglaucoma (miotic) effects of anticholinesterases in glaucoma. ... Antihistamines with anticholinergic effects antagonize the miotic (antiglaucoma) & CNS effects of anticholinesterases. Anticholinesterases potentiate tranquilizing & behavioral changes induced by antihistamines. The actions of anticholinesterase agents on autonomic effector cells, & to some extent those on CNS, are antagonized by atropine, an antidote of choice. Barbiturates are potentiated by anticholinesterases. ... Dexpanthenol potentiates the effects of anticholinesterases. Fluorophosphate insecticides potentiate the effects of other anticholinesterases. /Anticholinesterases/
[Martin, E. W. (ed.). Hazards of Medication. 2nd ed. Philadelphia: J.B. Lippincott Co., l978. 422]**PEER REVIEWED**

BARBITURATES ARE POTENTIATED BY ANTICHOLINESTERASES. ALTHOUGH BARBITURATES MAY BE USED CAUTIOUSLY IN TREATING CONVULSIONS, EXTREME CARE IS ESSENTIAL IN HANDLING POISONINGS DUE TO ANTICHOLINESTERASES, PARTICULARLY ORGANOPHOSPHORUS PESTICIDES. ECHOTHIOPHATE, A CHOLINESTERASE INHIBITOR USED AS MIOTIC, POTENTIATES OTHER SUCH INHIBITORS ... USED FOR OTHER PURPOSES (ADDITIVE EFFECTS) OR POSSIBLY SYNERGISTIC. THOSE EXPOSED TO ORGANOPHOSPHATE INSECTICIDES MUST TAKE STRICT PRECAUTIONS. ... ORGANOPHOSPHORUS INSECTICIDES: ADDITIVE ANTICHOLINESTERASE EFFECTS. HAZARDOUS. PATIENTS ON ANTICHOLINESTERASES (EVEN TOPICAL, SUCH AS EYE DROPS) SHOULD AVOID AREAS WHERE ORGANOPHOSPHORUS INSECTICIDES ... RECENTLY ... USED. /ANTICHOLINESTERASE/
[Martin, E. W. (ed.). Hazards of Medication. 2nd ed. Philadelphia: J.B. Lippincott Co., l978. 422]**PEER REVIEWED**

ANTICHOLINESTERASE (ORGANOPHOSPHORUS) INSECTICIDES ANTAGONIZE POLARIZING MUSCLE RELAXANTS. PHENOTHIAZINES /AND THIOXANTHENES/: ... MAY ENHANCE TOXIC EFFECTS OF ORGANOPHOSPHORUS INSECTICIDES. /INSECTICIDES, ORGANOPHOSPHORUS/
[Martin E. Hazards of Medication: A Manual on Drug Interactions, Incompatibilities, Contraindications and Adverse Effects. Philadelphia: J.B. Lippincott Co., 1971. 637]**PEER REVIEWED**

Minimum Fatal Dose Level:

5. 5= EXTREMELY TOXIC: PROBABLE ORAL LETHAL DOSE (HUMAN) 5-50 MG/KG, BETWEEN 7 DROPS & 1 TEASPOONFUL FOR 70 KG PERSON (150 LB).
[Gosselin, R.E., R.P. Smith, H.C. Hodge. Clinical Toxicology of Commercial Products. 5th ed. Baltimore: Williams and Wilkins, 1984.,p. II-299]**PEER REVIEWED**


Environmental Fate & Exposure:

Environmental Fate/Exposure Summary:

Dimefox's use as an insecticide and acaricide will result in its release to the environment. If released to the atmosphere, dimefox is expected to exist solely in the vapor phase in the ambient atmosphere based on its measured vapor pressure of 0.11 mm Hg at 20 deg C. Vapor-phase dimefox will be readily degraded in the atmosphere by reaction with photochemically-produced hydroxyl radicals (estimated half-life 6.4 hours). If released to soil, an estimated Koc of 9.8 suggests dimefox will have very high mobility in soil. Dimefox is not expected to volatilize from dry or wet soil surfaces based on the measured vapor pressure and an estimated Henry's Law constant of 2.2X10-8 atm-cu m/mole, respectively. If released into water, dimefox is not expected to adsorb to suspended solids and sediment in water based on an estimated Koc of 9.8. Volatilization, hydrolysis, and bioconcentration are not expected to be environmentally important processes in aquatic systems. Occupational exposure to dimefox may occur through inhalation or dermal contact with this pesticide during or after its application or at workplaces where it is produced. (SRC)
**PEER REVIEWED**


Probable Routes of Human Exposure:

DIMEFOX IS INCL ON LIST OF COMPD CONSIDERED MOST DANGEROUS TO PESTICIDE APPLIERS. /FROM TABLE/
[Sunshine, I. (ed.). CRC Handbook of Analytical Toxicology. Cleveland: The Chemical Rubber Co., 1969. 563]**PEER REVIEWED**

Occupational exposure to dimefox may occur through inhalation and dermal contact with this pesticide during and after its application or at workplaces where dimefox is produced. (SRC)
**PEER REVIEWED**


Natural Pollution Sources:

Dimefox is of anthropogenic origin, and is not known to be produced by natural sources. (SRC)
**PEER REVIEWED**


Artificial Pollution Sources:

Dimefox's use as an insecticide and acaricide(1) will result in its release to the environment(SRC).
[(1) Tomlin C; The Pesticide Manual. A World Compendium. Incorporating the Agrochemicals Handbook. 10th ed. Bath, UK: The Bath Press (1994)]**PEER REVIEWED**


Environmental Fate:

TERRESTRIAL FATE: Based on a recommended classification scheme(1), an estimated Koc value of 9.8(SRC), determined from a structure estimation method(2), indicates that dimefox is expected to have very high mobility in soil(SRC). Volatilization of dimefox from moist soil surfaces is not expected(SRC) given an estimated Henry's Law constant of 2.2X10-8 atm-cu m/mole(SRC), determined from experimental values for water solubility(3) and vapor pressure(4). Dimefox is not expected to volatilize from dry soil surfaces based on a measured vapor pressure of 0.11 mm Hg(4).
[(1) Swann RL et al; Res Rev 85: 23 (1983) (2) Meylan WM et al; Environ Sci Technol 26: 1560-7 (1992) (3) Yalkowsky SH, Dannenfelser RM; Aquasol Database of Aqueous Solubility. Ver 5. College of Pharmacy, Univ of Ariz - Tucson, AZ. PC Ver (1992) (4) Hartley D, Kidd H; The Agrochemicals Handbook, 2nd ed, Lechworth, Herts, England: The Royal Society of Chemistry (1987)]**PEER REVIEWED**

AQUATIC FATE: Based on a recommended classification scheme(1), an estimated Koc value of 9.8(SRC), determined from a structure estimation method(2), indicates that dimefox is not expected to adsorb to suspended solids and sediment in water(SRC). Dimefox is not expected to volatilize from water surfaces(3,SRC) based on an estimated Henry's Law constant of 2.2X10-8 atm-cu m/mole(4,5,SRC). According to a classification scheme(6), an estimated BCF value of 0.28(3,SRC), from an estimated log Kow(7,SRC), suggests that bioconcentration in aquatic organisms is low(SRC). Hydrolysis is not expected to be an environmentally important removal process(8,9,SRC).
[(1) Swann RL et al; Res Rev 85: 23 (1983) (2) Meylan WM et al; Environ Sci Technol 26: 1560-67 (1992) (3) Lyman WJ et al; Handbook of Chemical Property Estimation Methods. Washington DC: Amer Chem Soc pp. 4-9, 5-4, 5-10, 15-1 to 15-29 (1990) (4) Yalkowsky SH, Dannenfelser RM; Aquasol Database of Aqueous Solubility. Ver 5. College of Pharmacy, Univ of Ariz - Tucson, AZ. PC Ver (1992) (5) Hartley D, Kidd H; The Agrochemicals Handbook, 2nd ed, Lechworth, Herts, England: The Royal Society of Chemistry (1987) (6) Franke C et al; Chemosphere 29: 1501-14 (1994) (7) Meylan WM, Howard PH; J Pharm Sci 84: 83-92 (1995) (8) Spencer EY; Guide to Chemicals Used in Crop Protection 5th ed. Publication 1093, Research Institute, Canada Department of Agriculture, Ontario, Canada p. 184 (1968) (9) Ruzicka JH et al; J Chromatogr 31: 37-47 (1967)]**PEER REVIEWED**

ATMOSPHERIC FATE: According to a model of gas/particle partitioning of semivolatile organic compounds in the atmosphere(1), dimefox, which has a measured vapor pressure of 0.11 mm Hg at 20 deg C(2), is expected to exist solely as a vapor in the ambient atmosphere. Vapor-phase dimefox is degraded in the atmosphere by reaction with photochemically-produced hydroxyl radicals(SRC); the half-life for this reaction in air is estimated to be about 6.4 hours(3,SRC).
[(1) Bidleman TF; Environ Sci Technol 22: 361-367 (1988) (2) Hartley D, Kidd H; The Agrochemicals Handbook, 2nd ed, Lechworth, Herts, England: The Royal Society of Chemistry (1987) (3) Meylan WM, Howard PH; Chemosphere 26: 2293-99 (1993)]**PEER REVIEWED**


Environmental Biodegradation:

Little oxidation of dimefox occurred when exposed to the green alga, Chlorella pyrenoidosa, at a concentration of 1000 ppm(1).
[(1) Ware GW, Roan CC; Res Rev 33: 15-45 (1970)]**PEER REVIEWED**


Environmental Abiotic Degradation:

The rate constant for the vapor-phase reaction of dimefox with photochemically-produced hydroxyl radicals has been estimated as 6.0X10-11 cu cm/molecule-sec at 25 deg C(SRC) using a structure estimation method(1,SRC). This corresponds to an atmospheric half-life of about 6.4 hours at an atmospheric concentration of 5X10+5 hydroxyl radicals per cu cm(1,SRC). Dimefox is resistant to hydrolysis with a half-life of greater than ten years at pH 7(2). The hydrolysis half-life of dimefox at 70 deg C in ethanol, pH 6 buffer solution, was 8.8 days(3). Dimefox is not expected to undergo direct photolysis in the environment due to its lack of ability to absorb light in the environmental spectrum(SRC).
[(1) Meylan WM, Howard PH; Chemosphere 26: 2293-99 (1993) (2) Spencer EY; Guide to Chemicals Used in Crop Protection 5th ed. Publication 1093, Research Institute, Canada Department of Agriculture, Ontario, Canada p. 184 (1968) (3) Ruzicka JH et al; J Chromatogr 31: 37-47 (1967)]**PEER REVIEWED**


Environmental Bioconcentration:

An estimated BCF value of 0.28 was calculated for dimefox(SRC), using an estimated log Kow of -0.43(1,SRC) and a recommended regression-derived equation(2). According to a classification scheme(3), this BCF value suggests that bioconcentration in aquatic organisms is low(SRC).
[(1) Meylan WM, Howard PH; J Pharm Sci 84: 83-92 (1995) (2) Lyman WJ et al; Handbook of Chemical Property Estimation Methods. Washington DC: Amer Chem Soc pp. 5-4, 5-10 (1990) (3) Franke C et al; Chemosphere 29: 1501-14 (1994)]**PEER REVIEWED**


Soil Adsorption/Mobility:

Using a structure estimation method based on molecular connectivity indices(1), the Koc for dimefox can be estimated to be about 9.8(SRC). According to a recommended classification scheme(2), this estimated Koc value suggests that dimefox is expected to have very high mobility in soil(SRC).
[(1) Meylan WM et al; Environ Sci Technol 26: 1560-67 (1992) (2) Swann RL et al; Res Rev 85: 23 (1983)]**PEER REVIEWED**


Volatilization from Water/Soil:

The Henry's Law constant for dimefox is estimated as 2.2X10-8 atm-cu m/mole(SRC) from its experimental values for vapor pressure, 0.11 mm Hg(1), and water solubility, 1X10+6 mg/l(2). This value indicates that dimefox will be essentially nonvolatile from water surfaces(3,SRC). Dimefox's Henry's Law constant(1,2,SRC) indicates that volatilization from moist soil surfaces is not expected (SRC). Dimefox is not expected to volatilize from dry soil surfaces based on a measured vapor pressure of 0.11 mm Hg(1).
[(1) Hartley D, Kidd H; The Agrochemicals Handbook, 2nd ed, Lechworth, Herts, England: The Royal Society of Chemistry (1987) (2) Yalkowsky SH, Dannenfelser RM; Aquasol Database of Aqueous Solubility. Ver 5. College of Pharmacy, Univ of Ariz - Tucson, AZ. PC Ver (1992) (3) Lyman WJ et al; Handbook of Chemical Property Estimation Methods. Washington DC: Amer Chem Soc pp. 15-1 to 15-29 (1990)]**PEER REVIEWED**


Environmental Standards & Regulations:

CERCLA Reportable Quantities:

Releases of CERCLA hazardous substances are subject to the release reporting requirement of CERCLA section 103, codified at 40 CFR part 302, in addition to the requirements of 40 CFR part 355. Dimefox is an extremely hazardous substance (EHS) subject to reporting requirements when stored in amounts in excess of its threshold planning quantity (TPQ) of 500 lbs.
[40 CFR 355 (7/1/97)]**QC REVIEWED**


Chemical/Physical Properties:

Molecular Formula:

C4-H12-F-N2-O-P
**PEER REVIEWED**


Molecular Weight:

154.13
[Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 542]**PEER REVIEWED**


Color/Form:

Colorless liquid
[Hartley, D. and H. Kidd (eds.). The Agrochemicals Handbook. 2nd ed. Lechworth, Herts, England: The Royal Society of Chemistry, 1987.,p. A150/OCT83]**PEER REVIEWED**


Odor:

FISHY ODOR
[Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 542]**PEER REVIEWED**


Boiling Point:

86 DEG C @ 15 MM HG; 67 DEG C @ 4.0 MM HG
[Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 542]**PEER REVIEWED**


Corrosivity:

Corrosive to metals
[Hartley, D. and H. Kidd (eds.). The Agrochemicals Handbook. 2nd ed. Lechworth, Herts, England: The Royal Society of Chemistry, 1987.,p. A150/OCT 83]**PEER REVIEWED**


Density/Specific Gravity:

1.1151 @ 20 DEG C/4 DEG C
[Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 542]**PEER REVIEWED**


Solubilities:

FREELY SOL IN ETHER, BENZENE
[Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 542]**PEER REVIEWED**

MISCIBLE WITH MOST ORG SOLVENTS
[Worthing, C. R. (ed.). Pesticide Manual. 6th ed. Worcestershire, England: British Crop Protection Council, l979. 196]**PEER REVIEWED**

Miscible with water at 20 deg C.
[Yalkowsky SH, Dannenfelser RM; Aquasol Database of Aqueous Solubility. Version 5. College of Pharmacy, Univ of Ariz - Tucson, AZ. PC Version (1992)]**PEER REVIEWED**


Spectral Properties:

Index of Refraction: 1.4267 at 20 deg C/D
[Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 542]**PEER REVIEWED**


Vapor Pressure:

0.11 mm Hg at 20 deg C
[Hartley, D. and H. Kidd (eds.). The Agrochemicals Handbook. 2nd ed. Lechworth, Herts, England: The Royal Society of Chemistry, 1987.,p. A150/OCT83]**PEER REVIEWED**


Other Chemical/Physical Properties:

IT HAS CHLOROFORM/WATER PARTITION COEFFICIENT 15:1 IN FAVOR OF CHLOROFORM
[Worthing, C. R. (ed.). Pesticide Manual. 6th ed. Worcestershire, England: British Crop Protection Council, l979. 196]**PEER REVIEWED**

Vapor pressure: 0.36 mm Hg at 25 deg C
[Worthing, C. R. (ed.). Pesticide Manual. 6th ed. Worcestershire, England: British Crop Protection Council, l979. 196]**PEER REVIEWED**

Decomposes more rapidly in acidic media than in alkaline media.
[Hartley, D. and H. Kidd (eds.). The Agrochemicals Handbook. 2nd ed. Lechworth, Herts, England: The Royal Society of Chemistry, 1987.,p. A150/OCT83]**PEER REVIEWED**

Resistant to hydrolysis with half-life over ten years at pH 7.
[Spencer EY; Guide to Chemicals Used in Crop Protection 5th ed. Publication 1093, Research Institute, Canada Department of Agriculture, Ontario, Canada p. 184 (1968)]**PEER REVIEWED**

Slowly oxidized by vigorous oxidizing agents and rapidly decomposed by chlorine.
[Martin, H. and C.R. Worthing (eds.). Pesticide Manual. 5th ed. Worcestershire, England: British Crop Protection Council, 1977. 196]**PEER REVIEWED**


Chemical Safety & Handling:

DOT Emergency Guidelines:

Health: Highly toxic, may be fatal if inhaled, swallowed or absorbed through skin. Contact with molten substance may cause severe burns to skin and eyes. Avoid any skin contact. Effects of contact or inhalation may be delayed. Fire may produce irritating, corrosive and/or toxic gases. Runoff from fire control or dilution water may be corrosive and/or toxic and cause pollution. /Organophosphorus pesticide, liquid, poisonous; Organophosphorus pesticide, liquid, toxic; Organophosphorus pesticide, solid, poisonous; Organophosphorus pesticide, solid, toxic/
[U.S. Department of Transportation. 1996 North American Emergency Response Guidebook. A Guidebook for First Responders During the Initial Phase of aHazardous Materials/Dangerous Goods Incident. U.S. Department of Transportation (U.S. DOT) Research and Special Programs Administration, Office of HazardousMaterials Initiatives and Training (DHM-50), Washington, D.C. (1996).,p. G-152]**PEER REVIEWED**

Fire or explosion: Combustible material: may burn but does not ignite readily. Containers may explode when heated. Runoff may pollute waterways. Substance may be transported in a molten form. /Organophosphorus pesticide, liquid, poisonous; Organophosphorus pesticide, liquid, toxic; Organophosphorus pesticide, solid, poisonous; Organophosphorus pesticide, solid, toxic/
[U.S. Department of Transportation. 1996 North American Emergency Response Guidebook. A Guidebook for First Responders During the Initial Phase of aHazardous Materials/Dangerous Goods Incident. U.S. Department of Transportation (U.S. DOT) Research and Special Programs Administration, Office of HazardousMaterials Initiatives and Training (DHM-50), Washington, D.C. (1996).,p. G-152]**PEER REVIEWED**

Public safety: CALL Emergency Response Telephone Number. ... Isolate spill or leak area immediately for at least 25 to 50 meters (80 to 160 feet) in all directions. Keep unauthorized personnel away. Stay upwind. Keep out of low areas. /Organophosphorus pesticide, liquid, poisonous; Organophosphorus pesticide, liquid, toxic; Organophosphorus pesticide, solid, poisonous; Organophosphorus pesticide, solid, toxic/
[U.S. Department of Transportation. 1996 North American Emergency Response Guidebook. A Guidebook for First Responders During the Initial Phase of aHazardous Materials/Dangerous Goods Incident. U.S. Department of Transportation (U.S. DOT) Research and Special Programs Administration, Office of HazardousMaterials Initiatives and Training (DHM-50), Washington, D.C. (1996).,p. G-152]**PEER REVIEWED**

Protective clothing: Wear positive pressure self-contained breathing apparatus (SCBA). Wear chemical protective clothing which is specifically recommended by the manufacturer. Structural firefighters' protective clothing is recommended for fire situations ONLY; it is not effective in spill situations. /Organophosphorus pesticide, liquid, poisonous; Organophosphorus pesticide, liquid, toxic; Organophosphorus pesticide, solid, poisonous; Organophosphorus pesticide, solid, toxic/
[U.S. Department of Transportation. 1996 North American Emergency Response Guidebook. A Guidebook for First Responders During the Initial Phase of aHazardous Materials/Dangerous Goods Incident. U.S. Department of Transportation (U.S. DOT) Research and Special Programs Administration, Office of HazardousMaterials Initiatives and Training (DHM-50), Washington, D.C. (1996).,p. G-152]**PEER REVIEWED**

Evacuation: ... Fire: If tank, rail car or tank truck is involved in a fire, ISOLATE for 800 meters (1/2 mile) in all directions; also, consider initial evacuation for 800 meters (1/2 mile) in all directions. /Organophosphorus pesticide, liquid, poisonous; Organophosphorus pesticide, liquid, toxic; Organophosphorus pesticide, solid, poisonous; Organophosphorus pesticide, solid, toxic/
[U.S. Department of Transportation. 1996 North American Emergency Response Guidebook. A Guidebook for First Responders During the Initial Phase of aHazardous Materials/Dangerous Goods Incident. U.S. Department of Transportation (U.S. DOT) Research and Special Programs Administration, Office of HazardousMaterials Initiatives and Training (DHM-50), Washington, D.C. (1996).,p. G-152]**PEER REVIEWED**

Fire: Small fires: Dry chemical, CO2 or water spray. Large fires: Water spray, fog or regular foam. Move containers from fire area if you can do it without risk. Dike fire control water for later disposal; do not scatter the material. Do not use straight streams. Fire involving tanks or car/trailer loads: Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. Do not get water inside containers. Cool containers with flooding quantities of water until well after fire is out. Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. ALWAYS stay away from the ends of tanks. For massive fire, use unmanned hose holders or monitor nozzles; if this is impossible, withdraw from area and let fire burn. /Organophosphorus pesticide, liquid, poisonous; Organophosphorus pesticide, liquid, toxic; Organophosphorus pesticide, solid, poisonous; Organophosphorus pesticide, solid, toxic/
[U.S. Department of Transportation. 1996 North American Emergency Response Guidebook. A Guidebook for First Responders During the Initial Phase of aHazardous Materials/Dangerous Goods Incident. U.S. Department of Transportation (U.S. DOT) Research and Special Programs Administration, Office of HazardousMaterials Initiatives and Training (DHM-50), Washington, D.C. (1996).,p. G-152]**PEER REVIEWED**

Spill or leak: Do not touch damaged containers or spilled material unless wearing appropriate protective clothing. Stop leak if you can do it without risk. Prevent entry into waterways, sewers, basements or confined areas. Cover with plastic sheet to prevent spreading . Absorb or cover with dry earth, sand or other non-combustible material and transfer to containers. DO NOT GET WATER INSIDE CONTAINERS. /Organophosphorus pesticide, liquid, poisonous; Organophosphorus pesticide, liquid, toxic; Organophosphorus pesticide, solid, poisonous; Organophosphorus pesticide, solid, toxic/
[U.S. Department of Transportation. 1996 North American Emergency Response Guidebook. A Guidebook for First Responders During the Initial Phase of aHazardous Materials/Dangerous Goods Incident. U.S. Department of Transportation (U.S. DOT) Research and Special Programs Administration, Office of HazardousMaterials Initiatives and Training (DHM-50), Washington, D.C. (1996).,p. G-152]**PEER REVIEWED**

First aid: Move victim to fresh air. Call emergency medical care. Apply artificial respiration if victim is not breathing. Do not use mouth-to-mouth method if victim ingested or inhaled the substance; induce artificial respiration with the aid of a pocket mask equipped with a one-way valve or other proper respiratory medical device. Administer oxygen if breathing is difficult. Remove and isolate contaminated clothing and shoes. In case of contact with substance, immediately flush skin or eyes with running water for at least 20 minutes. For minor skin contact, avoid spreading material on unaffected skin. Keep victim warm and quiet. Effects of exposure (inhalation, ingestion or skin contact) to substance may be delayed. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. /Organophosphorus pesticide, liquid, poisonous; Organophosphorus pesticide, liquid, toxic; Organophosphorus pesticide, solid, poisonous; Organophosphorus pesticide, solid, toxic/
[U.S. Department of Transportation. 1996 North American Emergency Response Guidebook. A Guidebook for First Responders During the Initial Phase of aHazardous Materials/Dangerous Goods Incident. U.S. Department of Transportation (U.S. DOT) Research and Special Programs Administration, Office of HazardousMaterials Initiatives and Training (DHM-50), Washington, D.C. (1996).,p. G-152]**PEER REVIEWED**

Health: Toxic; may be fatal if inhaled, ingested or absorbed through skin. Inhalation or contact with some of these materials will irritate or burn skin and eyes. Fire will produce irritating, corrosive and/or toxic gases. Vapors may cause dizziness or suffocation. Runoff from fire control or dilution water may cause pollution. /Organophosphorus pesticide, liquid, flammable, poisonous; Organophosphorus pesticide, liquid, flammable, toxic; Organophosphorus pesticide, liquid, poisonous, flammable; Organophosphorus pesticide, liquid, toxic, flammable/
[U.S. Department of Transportation. 1996 North American Emergency Response Guidebook. A Guidebook for First Responders During the Initial Phase of aHazardous Materials/Dangerous Goods Incident. U.S. Department of Transportation (U.S. DOT) Research and Special Programs Administration, Office of HazardousMaterials Initiatives and Training (DHM-50), Washington, D.C. (1996).,p. G-131]**PEER REVIEWED**

Fire or explosion: Highly flammable: Will be easily ignited by heat, sparks or flames. Vapors may form explosive mixtures with air. Vapors may travel to source of ignition and flash back. Most vapors are heavier than air. They will spread along ground and collect in low or confined areas (sewers, basements, tanks). Vapor explosion and poison hazard indoors, outdoors or in sewers. Some may polymerize (P) explosively when heated or involved in a fire. Runoff to sewer may create fire or explosion hazard. Containers may explode when heated. Many liquids are lighter than water. /Organophosphorus pesticide, liquid, flammable, poisonous; Organophosphorus pesticide, liquid, flammable, toxic; Organophosphorus pesticide, liquid, poisonous, flammable; Organophosphorus pesticide, liquid, toxic, flammable/
[U.S. Department of Transportation. 1996 North American Emergency Response Guidebook. A Guidebook for First Responders During the Initial Phase of aHazardous Materials/Dangerous Goods Incident. U.S. Department of Transportation (U.S. DOT) Research and Special Programs Administration, Office of HazardousMaterials Initiatives and Training (DHM-50), Washington, D.C. (1996).,p. G-131]**PEER REVIEWED**

Public safety: Call Emergency Response Telephone Number. ... Isolate spill or leak area immediately for at least 100 to 200 meters (330 to 660 feet) in all directions. Keep unauthorized personnel away. Stay upwind. Keep out of low areas. Ventilate closed spaces before entering. /Organophosphorus pesticide, liquid, flammable, poisonous; Organophosphorus pesticide, liquid, flammable, toxic; Organophosphorus pesticide, liquid, poisonous, flammable; Organophosphorus pesticide, liquid, toxic, flammable/
[U.S. Department of Transportation. 1996 North American Emergency Response Guidebook. A Guidebook for First Responders During the Initial Phase of aHazardous Materials/Dangerous Goods Incident. U.S. Department of Transportation (U.S. DOT) Research and Special Programs Administration, Office of HazardousMaterials Initiatives and Training (DHM-50), Washington, D.C. (1996).,p. G-131]**PEER REVIEWED**

Protective clothing: Wear positive pressure self-contained breathing apparatus (SCBA). Wear chemical protective clothing which is specifically recommended by the manufacturer. It may provide little or no thermal protection. Structural firefighters' protective clothing is recommended for fire situations only; it is not effective in spill situations. /Organophosphorus pesticide, liquid, flammable, poisonous; Organophosphorus pesticide, liquid, flammable, toxic; Organophosphorus pesticide, liquid, poisonous, flammable; Organophosphorus pesticide, liquid, toxic, flammable/
[U.S. Department of Transportation. 1996 North American Emergency Response Guidebook. A Guidebook for First Responders During the Initial Phase of aHazardous Materials/Dangerous Goods Incident. U.S. Department of Transportation (U.S. DOT) Research and Special Programs Administration, Office of HazardousMaterials Initiatives and Training (DHM-50), Washington, D.C. (1996).,p. G-131]**PEER REVIEWED**

Evacuation: ... Fire: If tank, rail car or tank truck is involved in a fire, isolate for 800 meters (1/2 mile) in all directions; also, consider initial evacuation for 800 meters (1/2 mile) in all directions. /Organophosphorus pesticide, liquid, flammable, poisonous; Organophosphorus pesticide, liquid, flammable, toxic; Organophosphorus pesticide, liquid, poisonous, flammable; Organophosphorus pesticide, liquid, toxic, flammable/
[U.S. Department of Transportation. 1996 North American Emergency Response Guidebook. A Guidebook for First Responders During the Initial Phase of aHazardous Materials/Dangerous Goods Incident. U.S. Department of Transportation (U.S. DOT) Research and Special Programs Administration, Office of HazardousMaterials Initiatives and Training (DHM-50), Washington, D.C. (1996).,p. G-131]**PEER REVIEWED**

Fire: CAUTION: All these products have a very low flash point. Use of water spray when fighting fire may be inefficient. Small fires: Dry chemical, CO2, water spray or alcohol-resistant foam. Large fires: Water spray, fog or alcohol-resistant foam. Move containers from fire area if you can do it without risk. Dike fire control water for later disposal; do not scatter the material. Do not use straight streams. Fire involving tanks or car/trailer loads: Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. Cool containers with flooding quantities of water until well after fire is out. Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. ALWAYS stay away from the ends of tanks. For massive fire use unmanned hose holders or monitor nozzles; if this is impossible, withdraw from area and let fire burn. /Organophosphorus pesticide, liquid, flammable, poisonous; Organophosphorus pesticide, liquid, flammable, toxic; Organophosphorus pesticide, liquid, poisonous, flammable; Organophosphorus pesticide, liquid, toxic, flammable/
[U.S. Department of Transportation. 1996 North American Emergency Response Guidebook. A Guidebook for First Responders During the Initial Phase of aHazardous Materials/Dangerous Goods Incident. U.S. Department of Transportation (U.S. DOT) Research and Special Programs Administration, Office of HazardousMaterials Initiatives and Training (DHM-50), Washington, D.C. (1996).,p. G-131]**PEER REVIEWED**

Spill or leak: Fully encapsulating, vapor protective clothing should be worn for spills and leaks with no fire. ELIMINATE all ignition sources (no smoking, flares, sparks or flames in immediate area). All equipment used when handling the product must be grounded. Do not touch or walk through spilled material. Stop leak if you can do it without risk. Prevent entry into waterways, sewers, basements or confined areas. A vapor suppressing foam may be used to reduce vapors. Small spills: Absorb with earth, sand or other non-combustible material and transfer to containers for later disposal. Use clean non-sparking tools to collect absorbed material. Large spills: Dike far ahead of liquid spill for later disposal. Water spray may reduce vapor; but may not prevent ignition in closed spaces. /Organophosphorus pesticide, liquid, flammable, poisonous; Organophosphorus pesticide, liquid, flammable, toxic; Organophosphorus pesticide, liquid, poisonous, flammable; Organophosphorus pesticide, liquid, toxic, flammable/
[U.S. Department of Transportation. 1996 North American Emergency Response Guidebook. A Guidebook for First Responders During the Initial Phase of aHazardous Materials/Dangerous Goods Incident. U.S. Department of Transportation (U.S. DOT) Research and Special Programs Administration, Office of HazardousMaterials Initiatives and Training (DHM-50), Washington, D.C. (1996).,p. G-131]**PEER REVIEWED**

First aid: Move victim to fresh air. Call emergency medical care. Apply artificial respiration if victim is not breathing. Do not use mouth-to-mouth method if victim ingested or inhaled the substance; induce artificial respiration with the aid of a pocket mask equipped with a one-way valve or other proper respiratory medical device. Administer oxygen if breathing is difficult. Remove and isolate contaminated clothing and shoes. In case of contact with substance, immediately flush skin or eyes with running water for at least 20 minutes. Wash skin with soap and water. Keep victim warm and quiet. Effects of exposure (inhalation, ingestion or skin contact) to substance may be delayed. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. /Organophosphorus pesticide, liquid, flammable, poisonous; Organophosphorus pesticide, liquid, flammable, toxic; Organophosphorus pesticide, liquid, poisonous, flammable; Organophosphorus pesticide, liquid, toxic, flammable/
[U.S. Department of Transportation. 1996 North American Emergency Response Guidebook. A Guidebook for First Responders During the Initial Phase of aHazardous Materials/Dangerous Goods Incident. U.S. Department of Transportation (U.S. DOT) Research and Special Programs Administration, Office of HazardousMaterials Initiatives and Training (DHM-50), Washington, D.C. (1996).,p. G-131]**PEER REVIEWED**


Fire Fighting Procedures:

If material on fire or involved in fire: Do not extinguish fire unless flow can be stopped or safely confined. Use water in flooding quantities as fog. Solid streams of water may be ineffective. Cool all affected containers with flooding quantities of water. Apply water from as far a distance as possible. Use "alcohol" foam, carbon dioxide or dry chemical. /Organophosphorus pesticides, liquid, NOS/
[Association of American Railroads. Emergency Handling of Hazardous Materials in Surface Transportation. Washington, DC: Association of American Railroads, Bureau of Explosives, 1994. 806]**PEER REVIEWED**


Other Hazardous Reaction:

A portion of even the most flammable materials is likely to be lost by vaporization. ... The smoke from an open fire used to destroy pesticides will contain some of the poison. Burning should be attempted only in an isolated place. Inhalation of smoke must be avoided. /Pesticides/
[Hayes, W.J., Jr., E.R. Laws Jr., (eds.). Handbook of Pesticide Toxicology Volume 1. General Principles. New York, NY: Academic Press, Inc., 1991. 434]**PEER REVIEWED**


Protective Equipment & Clothing:

IT HAS HIGH VAPOR PRESSURE & SHOULD BE HANDLED IN ENCLOSED PLACES WITH RESPIRATOR.
[Spencer, E. Y. Guide to the Chemicals Used in Crop Protection. 7th ed. Publication 1093. Research Institute, Agriculture Canada, Ottawa, Canada: Information Canada, 1982. 213]**PEER REVIEWED**

Respiratory protection (supplied-air respirator with full facepiece or self-contained breathing apparatus) should be available where these compounds are manufactured or used and should be worn in case of emergency and overexposure. /Phosphorus compounds/
[International Labour Office. Encyclopedia of Occupational Health and Safety. Vols. I&II. Geneva, Switzerland: International Labour Office, 1983. 1684]**PEER REVIEWED**

WORKERS HANDLING AND APPLYING ORGANOPHOSPHATE PESTICIDES (OPP) MUST ... BE GIVEN PERSONAL PROTECTIVE EQUIPMENT COMPRISING OVERALLS MADE OF A TIGHT FABRIC OR POLYVINYL CHLORIDE, GLOVES, AND RUBBER BOOTS. THEY MUST WEAR A RESPIRATOR WITH AN ACTIVATED-CARBON GAS FILTER CARTRIDGE AFFORDING PROTECTION FOR A DETERMINED NUMBER OF WORKING HOURS. THE EYES SHOULD BE PROTECTED BY GOGGLES. THE SIGNALMEN FOR AERIAL DUSTING OPERATIONS SHOULD BE EQUIPPED WITH A HAT AND CAPE MADE OF POLYVINYL CHLORIDE OR A FABRIC IMPREGNATED WITH A WATER REPELLENT. /PESTICIDES, ORGANOPHOSPHORUS/
[International Labour Office. Encyclopedia of Occupational Health and Safety. Vols. I&II. Geneva, Switzerland: International Labour Office, 1983. 1645]**PEER REVIEWED**


Preventive Measures:

In some situations where personnel may become accidently contaminated ... it is necessary to provide shower bath in addition to the usual washing facilities. Special arrangements for cleaning clothing & overalls may be necessary ... /Pesticides/
[International Labour Office. Encyclopedia of Occupational Health and Safety. Vols. I&II. Geneva, Switzerland: International Labour Office, 1983. 1619]**PEER REVIEWED**

Special aircraft should preferably be used for spraying or dusting toxic organophosphorus pesticides. ... aerial spraying or dusting gives rise to clouds which spread over larger surfaces than clouds produced by ground application. Aerial spraying should therefore be carried out on windless days only. Residential areas, water supply sources, etc must be avoided. ... When aircraft approaches, signalmen /guiding the aircraft/ should leave the windward side. ... The local population should be informed about the site & time of aerial pesticide treatment. Access of unauthorized persons & especially children to the area to be treated must be ... forbidden. Warning signs should be placed at the limits of the area. Ground spraying must be carried out with compressed-air spraying equipment towed by tractors with closed cabs. /Organophosphorus pesticides/
[International Labour Office. Encyclopedia of Occupational Health and Safety. Vols. I&II. Geneva, Switzerland: International Labour Office, 1983. 1645]**PEER REVIEWED**

Small packages of pesticides are preferable for individual application in order to limit the quantities to be weighed & metered. A special vessel with long stirring rod for dilution & suspension of the poison must be available in order to reduce manual handling to a minimum. The strict observance of hygiene rules--no smoking & no food intake during work. Thorough washing with soap after work, changing protective clothing before going home--is of utmost importance. /Organophosphorus pesticides/
[International Labour Office. Encyclopedia of Occupational Health and Safety. Vols. I&II. Geneva, Switzerland: International Labour Office, 1983. 1645]**PEER REVIEWED**

Containers ... should be cleaned with a suspension of bleaching powder in water or with other alkaline soln after soaking for 24 hr and then be rinsed with hot water. /Organophosphorus pesticides/
[International Labour Office. Encyclopedia of Occupational Health and Safety. Vols. I&II. Geneva, Switzerland: International Labour Office, 1983. 1645]**PEER REVIEWED**

Parathion and possibly other organophosphate insecticide residues may persist in clothing, despite repeated laundering. /Organophosphates and related compounds/
[Bronstein, A.C., P.L. Currance; Emergency Care for Hazardous Materials Exposure. 2nd ed. St. Louis, MO. Mosby Lifeline. 1994. 260]**PEER REVIEWED**

Do not drink alcoholic beverages before or during spraying since alcohol promotes absorption of organic phosphates. /Organic phosphates/
[Farm Chemicals Handbook 1997. Willoughby, OH: Meister Publishing Co., 1997.,p. C252]**PEER REVIEWED**

If material not on fire and not involved in fire: Keep sparks, flames, and other sources of ignition away. Keep material out of water sources and sewers. Build dikes to contain flow as necessary. Use water spray to knock-down vapors. /Organophosphorus pesticides, liquid, NOS/
[Association of American Railroads. Emergency Handling of Hazardous Materials in Surface Transportation. Washington, DC: Association of American Railroads, Bureau of Explosives, 1994. 806]**PEER REVIEWED**

Personnel protection: Keep upwind. Wear appropriate chemical protective gloves, boots and goggles. Do not handle broken packages unless wearing appropriate personal protective equipment. Wear positive pressure self-contained breathing apparatus when fighting fires involving this material. /Organophosphorus pesticides, liquid, NOS/
[Association of American Railroads. Emergency Handling of Hazardous Materials in Surface Transportation. Washington, DC: Association of American Railroads, Bureau of Explosives, 1994. 806]**PEER REVIEWED**


Stability/Shelf Life:

AQ SOLN ARE STABLE
[Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 542]**PEER REVIEWED**

DIMEFOX IS RESISTANT TO HYDROLYSIS BY ALKALI. IT IS HYDROLYZED BY ACIDS, SLOWLY OXIDIZED BY VIGOROUS OXIDIZING AGENTS, AND RAPIDLY OXIDIZED BY CHLORINE.
[Hayes, W.J., Jr., E.R. Laws, Jr., (eds.). Handbook of Pesticide Toxicology. Volume 2. Classes of Pesticides. New York, NY: Academic Press, Inc., 1991. 974]**PEER REVIEWED**


Shipment Methods and Regulations:

No person may /transport,/ offer or accept a hazardous material for transportation in commerce unless that person is registered in conformance ... and the hazardous material is properly classed, described, packaged, marked, labeled, and in condition for shipment as required or authorized by ... /the hazardous materials regulations (49 CFR 171-177)./
[49 CFR 171.2 (7/1/96)]**PEER REVIEWED**

The International Air Transport Association (IATA) Dangerous Goods Regulations are published by the IATA Dangerous Goods Board pursuant to IATA Resolutions 618 and 619 and constitute a manual of industry carrier regulations to be followed by all IATA Member airlines when transporting hazardous materials.
[IATA. Dangerous Goods Regulations. 38th ed. Montreal, Canada and Geneva, Switzerland: International Air Transport Association, Dangerous Goods Board, January, 1997. 190]**PEER REVIEWED**

The International Maritime Dangerous Goods Code lays down basic principles for transporting hazardous chemicals. Detailed recommendations for individual substances and a number of recommendations for good practice are included in the classes dealing with such substances. A general index of technical names has also been compiled. This index should always be consulted when attempting to locate the appropriate procedures to be used when shipping any substance or article.
[IMDG; International Maritime Dangerous Goods Code; International Maritime Organization p.3097-1, 6193, 6194, 6195 (1988)]**PEER REVIEWED**


Storage Conditions:

...MUST BE STORED IN ITS SEALED ORIGINAL CONTAINERS, IN WELL-AIRED, FRESH & DRY STOREHOUSES OR IN SHADED & POSSIBLY WELL-AIRED PLACES. IT IS RECOMMENDED THAT THE PRODUCT'S TEMP...NOT EXCEED 25-30 DEG C, & KEEP...AWAY FROM SOURCES OF HEAT, FREE FLAMES OR SPARK-GENERATING EQUIPMENT. CONTAINERS MUST BE STACKED IN SUCH A WAY AS TO PERMIT FREE CIRCULATION OF AIR...AT BOTTOM & INSIDE OF PILES. STORAGE AREAS MUST BE LOCATED AT SUITABLE DISTANCE FROM INHABITED BUILDINGS, ANIMAL SHELTERS, & FOOD STORES; MOREOVER, THEY MUST BE INACCESSIBLE TO UNAUTHORIZED PERSONS, CHILDREN, & DOMESTIC ANIMALS. /PROTHOATE/
[Farm Chemicals Handbook 1997. Willoughby, OH: Meister Publishing Co., 1997.,p. C307]**PEER REVIEWED**

Rooms used for storage only should be soundly constructed & fitted with secure locks. Floors should be kept clear & pesticides clearly identified. If repacking is carried out in storage rooms, adequate light should be available; floors should be impervious & sound ... . /Pesticides/
[International Labour Office. Encyclopedia of Occupational Health and Safety. Vols. I&II. Geneva, Switzerland: International Labour Office, 1983. 1617]**PEER REVIEWED**

Pesticides containers must be provided with labels indicating the degree of toxicity of the product they contain. The labels must not only give a short description of how to use the prepn, but also state basic precautions to be taken when applying it. /Organophosphorus pesticides/
[International Labour Office. Encyclopedia of Occupational Health and Safety. Vols. I&II. Geneva, Switzerland: International Labour Office, 1983. 1645]**PEER REVIEWED**

Pesticides of any degree of toxicity should be transported in containers which are clearly labelled, leak-proof, and not easily damaged. They should never be transported /or stored/ beside, or above any type of food, and all spillages should be immediately reported. /Pesticides/
[International Labour Office. Encyclopedia of Occupational Health and Safety. Vols. I&II. Geneva, Switzerland: International Labour Office, 1983. 1616]**PEER REVIEWED**


Disposal Methods:

SRP: At the time of review, criteria for land treatment or burial (sanitary landfill) disposal practices are subject to significant revision. Prior to implementing land disposal of waste residue (including waste sludge), consult with environmental regulatory agencies for guidance on acceptable disposal practices.
**PEER REVIEWED**

All organic pesticides, whether of botanical or synthetic origin, can be destroyed by incineration. /Organic pesticides/
[Hayes, W.J., Jr., E.R. Laws Jr., (eds.). Handbook of Pesticide Toxicology Volume 1. General Principles. New York, NY: Academic Press, Inc., 1991. 434]**PEER REVIEWED**

Manufacturers or formulators of very large amounts of pesticides may find it advantageous to build incinerators adequate to destroy all organic pesticides and equipped with scrubbers to remove acid wastes. /Organic pesticides/
[Hayes, W.J., Jr., E.R. Laws Jr., (eds.). Handbook of Pesticide Toxicology Volume 1. General Principles. New York, NY: Academic Press, Inc., 1991. 434]**PEER REVIEWED**


Occupational Exposure Standards:

Manufacturing/Use Information:

Major Uses:

SYSTEMIC ACARICIDE
[Worthing, C. R. (ed.). Pesticide Manual. 6th ed. Worcestershire, England: British Crop Protection Council, l979. 196]**PEER REVIEWED**

SYSTEMIC INSECTICIDE (NOT USED IN US)
[SRI]**PEER REVIEWED**


Manufacturers:

NOT PRODUCED COMMERCIALLY IN US
[SRI]**PEER REVIEWED**


Methods of Manufacturing:

REACTION OF DIMETHYLAMINE AND POTASSIUM FLUORIDE WITH PHOSPHORUS OXYCHLORIDE
[SRI]**PEER REVIEWED**

PREPD BY FLUORINATION OF BIS(DIMETHYLAMIDO)PHOSPHORYL CHLORIDE.
[Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 542]**PEER REVIEWED**

By interaction of dimethylamine, phosphoryl chloride, and potassium fluoride in chloroform (Brit patent 688,760).
[Spencer EY; Guide to Chemicals Used in Crop Protection 5th ed. Publication 1093, Research Institute, Canada Department of Agriculture, Ontario, Canada p. 184 (1968)]**PEER REVIEWED**


General Manufacturing Information:

IT IS COMPATIBLE WITH OTHER PESTICIDES BUT TECHNICAL PRODUCT SLOWLY ATTACKS METALS.
[Worthing, C. R. (ed.). Pesticide Manual. 6th ed. Worcestershire, England: British Crop Protection Council, l979. 196]**PEER REVIEWED**

THIS COMPD...HAS BEEN USED TO CONTROL MEALYBUG VECTOR OF SWOLLEN SHOOT DISEASE OF CACAO BY IMPLANTING SOL CAPSULES ABOUT ROOTS. BECAUSE OF ITS VOLATILITY, DIMEFOX HAS VERY SHORT RESIDUAL ACTIVITY & IS NOT SUITED FOR FOLIAGE APPLICATION.
[White-Stevens, R. (ed.). Pesticides in the Environment: Volume 1, Part 1, Part 2. New York: Marcel Dekker, Inc., 1971. 99]**PEER REVIEWED**

/ITS/...MAIN USE IS FOR SOIL TREATMENT OF HOPS AGAINST APHIDS & RED SPIDER MITES, BEING EFFECTIVE, @ NON-PHYTOTOXIC CONCN, FOR 6-8 WK.
[Worthing, C. R. (ed.). Pesticide Manual. 6th ed. Worcestershire, England: British Crop Protection Council, l979. 196]**PEER REVIEWED**

A systemic pesticide, primarily for ornamental and non-food plants.
[Lewis, R.J., Sr (Ed.). Hawley's Condensed Chemical Dictionary. 12th ed. New York, NY: Van Nostrand Rheinhold Co., 1993 409]**PEER REVIEWED**


Formulations/Preparations:

TERRA SYTAM BUTANOL SOLN CONTAINING 50% WT/VOL DIMEFOX TOGETHER WITH 17% TOTAL OF SCHRADAN & HEXAMETHYL PYROPHOSPHORAMIDE, WHICH ACTS AS SYNERGIST. S-14 IS 20% AQ DILUTION OF TERRA SYSTAM.
[Spencer, E. Y. Guide to the Chemicals Used in Crop Protection. 7th ed. Publication 1093. Research Institute, Agriculture Canada, Ottawa, Canada: Information Canada, 1982. 213]**PEER REVIEWED**

SOLN.../CONTAINS/ 50 WT/VOL; 10% FOR S 14/10*.
[Farm Chemicals Handbook 1984. Willoughby, Ohio: Meister Publishing Co., 1984.,p. C-79]**PEER REVIEWED**


U. S. Production:

(1972) NOT PRODUCED COMMERCIALLY IN US
[SRI]**PEER REVIEWED**

(1975) NONE
[SRI]**PEER REVIEWED**


Laboratory Methods:

Analytic Laboratory Methods:

PRODUCT ANALYSIS FOR DIMEFOX...IS PREFERABLY BY GLC (DETAILS OF METHOD ARE AVAILABLE FROM WACKER-CHEMIE GMBH) OR BY SELECTIVE ACID HYDROLYSIS AT VARIOUS TEMPERATURES AND THE DETERMINATION OF AMINE IN THE SEPARATED FRACTIONS (CIPAC HANDBOOK, 1970, 1, 329). RESIDUE ANALYSIS FOR DIMEFOX IS BY GLC WITH FLAME IONIZATION DETECTION (WACKER-CHEMIE GMBH).
[Worthing, C. R. (ed.). Pesticide Manual. 6th ed. Worcestershire, England: British Crop Protection Council, l979. 196]**PEER REVIEWED**

GENERAL SAMPLE, SPECTROPHOTOMETRY, WAVELENGTH 560 NM. DUPEE, LP ET AL, J AGR FOOD CHEM 4, 233 (1956).
[Sunshine, I. (ed.). CRC Handbook of Analytical Toxicology. Cleveland: The Chemical Rubber Co., 1969. 511]**PEER REVIEWED**

RESIDUES /ARE DETERMINED/...BY GLC USING THERMIONIC DETECTION. ANALYSIS BY FLAME SPECTROPHOTOMETRY, HAOB, H ET AL, DEUT LEBENSM-RUNDSCH, 66, 317-322, 1970 (GERMAN), DEJONCKHEERE, W ET AL, PESTIC SCI, 4, 549, 1974.
[Spencer, E. Y. Guide to the Chemicals Used in Crop Protection. 7th ed. Publication 1093. Research Institute, Agriculture Canada, Ottawa, Canada: Information Canada, 1982. 213]**PEER REVIEWED**

RESIDUE ANALYSIS IS BY EXTRACTION, CHROMATOGRAPHIC SEPARATION & ULTIMATE PHOSPHORUS DETERMINATION VIA MOLYBDENUM BLUE COMPLEX: FIELD, K & LAWS, EQ, ANALYST, LOND, 1957, 82, 667.
[Martin, H. and C.R. Worthing (eds.). Pesticide Manual. 4th ed. Worcestershire, England: British Crop Protection Council, 1974. 196]**PEER REVIEWED**

Analysis of products: alkaline decomposition with heating and titration of the dimethylamine distilled off (CIPC handbook 1970, 1, 329); elemental analysis: calculated 18.18% N; 12.33% F; 20.10% P.
[Hartley, D. and H. Kidd (eds.). The Agrochemicals Handbook. 2nd ed. Lechworth, Herts, England: The Royal Society of Chemistry, 1987.,p. A150/OCT83]**PEER REVIEWED**

Analysis of residues: gas chromatographic determination with flame-ionization detection (Wacker-Chemie GmbH, Munich)
[Hartley, D. and H. Kidd (eds.). The Agrochemicals Handbook. 2nd ed. Lechworth, Herts, England: The Royal Society of Chemistry, 1987.,p. A150/OCT83]**PEER REVIEWED**


Special References:

Synonyms and Identifiers:

Synonyms:

S-14
**PEER REVIEWED**

T-2002
**PEER REVIEWED**

BFP
**PEER REVIEWED**

BFPO
**PEER REVIEWED**

BIS(DIMETHYLAMIDO)FLUOROPHOSPHATE
**PEER REVIEWED**

BIS(DIMETHYLAMIDO)PHOSPHORYL FLUORIDE
**PEER REVIEWED**

BIS(DIMETHYLAMINO)FLUOROPHOSPHATE
**PEER REVIEWED**

BISDIMETHYLAMINOFLUOROPHOSPHINE OXIDE
**PEER REVIEWED**

CR 409
**PEER REVIEWED**

DIFO
**PEER REVIEWED**

DMF
**PEER REVIEWED**

ENT 19,109
**PEER REVIEWED**

FLUOPHOSPHORIC ACID DI(DIMETHYLAMIDE)
**PEER REVIEWED**

FLUORURE DE N,N,N',N'-TETRAMETHYLE PHOSPHORODIAMIDE [FRENCH]
**PEER REVIEWED**

HANANE
**PEER REVIEWED**

PESTOX 14
**PEER REVIEWED**

PESTOX IV
**PEER REVIEWED**

PESTOX XIV
**PEER REVIEWED**

PHOSPHINE OXIDE, BIS(DIMETHYLAMINO)FLUORO-
**PEER REVIEWED**

PHOSPHORODIAMIDIC FLUORIDE, TETRAMETHYL-
**PEER REVIEWED**

TERRA-SYSTAM
**PEER REVIEWED**

TERRA-SYTAM
**PEER REVIEWED**

TERRASYTUM
**PEER REVIEWED**

N,N,N',N'-TETRAMETHYL-DIAMIDOFOSFORZUUR-FLUORIDE [DUTCH]
**PEER REVIEWED**

TETRAMETHYLDIAMIDOPHOSPHORIC FLUORIDE
**PEER REVIEWED**

N,N,N',N'-TETRAMETHYL-DIAMIDO-PHOSPHORSAEURE-FLUORID [GERMAN]
**PEER REVIEWED**

TETRAMETHYLPHOSPHORODIAMIDIC FLUORIDE
**PEER REVIEWED**

N,N,N',N'-TETRAMETHYLPHOSPHORODIAMIDIC FLUORIDE
**PEER REVIEWED**

N,N,N',N'-TETRAMETIL-FOSFORODIAMMIDO-FLUORURO [ITALIAN]
**PEER REVIEWED**

TETRA SYTAM
**PEER REVIEWED**

TL 792
**PEER REVIEWED**

WACKER S 14/10
**PEER REVIEWED**


Formulations/Preparations:

TERRA SYTAM BUTANOL SOLN CONTAINING 50% WT/VOL DIMEFOX TOGETHER WITH 17% TOTAL OF SCHRADAN & HEXAMETHYL PYROPHOSPHORAMIDE, WHICH ACTS AS SYNERGIST. S-14 IS 20% AQ DILUTION OF TERRA SYSTAM.
[Spencer, E. Y. Guide to the Chemicals Used in Crop Protection. 7th ed. Publication 1093. Research Institute, Agriculture Canada, Ottawa, Canada: Information Canada, 1982. 213]**PEER REVIEWED**

SOLN.../CONTAINS/ 50 WT/VOL; 10% FOR S 14/10*.
[Farm Chemicals Handbook 1984. Willoughby, Ohio: Meister Publishing Co., 1984.,p. C-79]**PEER REVIEWED**


Shipping Name/ Number DOT/UN/NA/IMO:

IMO 6.1; Organophosphorus pesticides, liquid, toxic, not otherwise specified; Organophosphorus pesticides, liquid, toxic, flammable, not otherwise specified, flashpoint between 23 deg C and 61 deg C; Organophosphorus pesticides, solid, toxic, not otherwise specified

UN 3018; Organophosphorus pesticides, liquid, toxic, not otherwise specified

UN 3017; Organophosphorus pesticides, liquid, toxic, flammable, not otherwise specified, flashpoint between 23 deg C and 61 deg C

UN 2784; Organophosphorus pesticides, liquid, flammable, toxic, not otherwise specified, flashpoint less than 23 deg C

IMO 3.2; Organophosphorus pesticides, liquid, flammable, toxic, not otherwise specified, flashpoint less than 23 deg C


Standard Transportation Number:

49 216 74; Organophosphorus pesticide, liquid, not otherwise specified (compounds and preparations) (insecticides, other than agricultural, NEC)

49 216 75; Organophosphorus pesticide, liquid, not otherwise specified (compounds and preparations) (agricultural insecticides, NEC, liquid)

49 105 44; Organophosphorus pesticide, liquid, not otherwise specified (compounds and preparations) (insecticides, other than agricultural, NEC)

49 105 45; Organophosphorus pesticide, liquid, not otherwise specified (compounds and preparations) (agricultural insecticides, NEC, liquid)


RTECS Number:

NIOSH/TD4025000


Administrative Information:

Hazardous Substances Databank Number: 1775

Last Revision Date: 20010809

Last Review Date: Reviewed by SRP on 9/18/1997

Update History:

Complete Update on 08/09/2001, 1 field added/edited/deleted.
Complete Update on 02/08/2000, 1 field added/edited/deleted.
Complete Update on 02/02/2000, 1 field added/edited/deleted.
Complete Update on 11/18/1999, 1 field added/edited/deleted.
Complete Update on 09/21/1999, 1 field added/edited/deleted.
Complete Update on 08/26/1999, 1 field added/edited/deleted.
Complete Update on 10/20/1998, 1 field added/edited/deleted.
Complete Update on 09/11/1998, 1 field added/edited/deleted.
Complete Update on 06/03/1998, 50 fields added/edited/deleted.
Field Update on 06/02/1998, 1 field added/edited/deleted.
Field Update on 10/23/1997, 1 field added/edited/deleted.
Field Update on 05/08/1997, 1 field added/edited/deleted.
Field Update on 05/01/1997, 2 fields added/edited/deleted.
Complete Update on 10/15/1996, 1 field added/edited/deleted.
Complete Update on 01/21/1996, 1 field added/edited/deleted.
Complete Update on 11/10/1995, 1 field added/edited/deleted.
Complete Update on 12/28/1994, 1 field added/edited/deleted.
Complete Update on 10/27/1994, 2 fields added/edited/deleted.
Complete Update on 09/16/1994, 1 field added/edited/deleted.
Complete Update on 03/25/1994, 1 field added/edited/deleted.
Field update on 12/22/1992, 1 field added/edited/deleted.
Complete Update on 01/23/1992, 1 field added/edited/deleted.
Complete Update on 05/21/1990, 2 fields added/edited/deleted.
Field update on 05/18/1990, 1 field added/edited/deleted.
Complete Update on 10/03/1986