Template:Cs1 config Template:Short description Template:About Template:Main other <templatestyles src="Infobox drug/styles.css"/> {{#invoke:Infobox|infobox}}Template:Template other{{#invoke:TemplatePar |check |template=Template:Infobox_drug |all= |opt= pronounce= pronounce_ref= pronounce_comment= ATC_prefix= ATC_suffix= ATC_supplemental= ATCvet= biosimilars= CAS_number_Ref= CAS_number= CAS_supplemental= ChEBI= ChEBI_Ref= ChEMBL_Ref= ChEMBL= ChemSpiderID= ChemSpiderID_Ref= chirality= class= container_only= DailyMedID= data_page= DrugBank_Ref= DrugBank= Drugs.com= duration_of_action= INN= INN_EMA= IUPAC_name= IUPHAR_ligand= KEGG_Ref= KEGG= MedlinePlus= NIAID_ChemDB= PDB_ligand= PubChemSubstance= PubChem= StdInChIKey_Ref= StdInChIKey= StdInChI_Ref= StdInChI_comment= StdInChI= UNII_Ref= UNII= DTXSID= Verifiedfields= Watchedfields= addiction_liability= alt2= altL= altR= alt= bioavailability= boiling_high= boiling_notes= boiling_point= captionLR= caption= caption2= charge= chemical_formula= chemical_formula_ref= chemical_formula_comment= class1= class2= class3= class4= class5= class6= component1= component2= component3= component4= component5= component6= density= density_notes= dependency_liability= drug_name= elimination_half-life= engvar= excretion= image2= imageL= imageR= image= image_class= image_class2= image_classL= image_classR= Jmol= legal_AU= legal_BR= legal_CA= legal_DE= legal_EU= legal_NZ= legal_UK= legal_UN= legal_US= legal_AU_comment= legal_BR_comment= legal_CA_comment= legal_DE_comment= legal_UK_comment= legal_NZ_comment= legal_US_comment= legal_UN_comment= legal_EU_comment= legal_status= licence_CA= licence_EU= licence_US= license_CA= license_EU= license_US= mab_type= melting_high= melting_notes= melting_point= metabolism= metabolites= molecular_weight= molecular_weight_round= molecular_weight_unit= molecular_weight_ref= molecular_weight_comment= onset= pregnancy_AU= pregnancy_AU_comment= pregnancy_category= protein_bound= routes_of_administration= SMILES= smiles= solubility= sol_units= source= specific_rotation= synonyms= target= tradename= type= vaccine_type= verifiedrevid= width2= widthL= widthR= width= AAN= BAN= JAN= USAN= source_tissues= target_tissues= receptors= agonists= antagonists= precursor= biosynthesis= gt_target_gene= gt_vector= gt_nucleic_acid_type= gt_editing_method= gt_delivery_method= sec_combustion= Ac=Ag=Al=Am=Ar=As=At=Au=B=Ba=Be=Bh=Bi=Bk=Br=C=Ca=Cd=Ce=Cf=Cl=Cm=Cn=Co=Cr=Cs=Cu= D=Db=Ds=Dy=Er=Es=Eu=F=Fe=Fl=Fm=Fr=Ga=Gd=Ge=H=He=Hf=Hg=Ho=Hs=I=In=Ir=K=Kr=La=Li=Lr=Lu=Lv= Mc=Md=Mg=Mn=Mo=Mt=N=Na=Nb=Nd=Ne=Nh=Ni=No=Np=O=Og=Os=P=Pa=Pb=Pd=Pm=Po=Pr=Pt=Pu=Ra=Rb=Re=Rf=Rg=Rh=Rn=Ru=S=Sb=Sc=Se=Sg=Si=Sm=Sn=Sr=Ta=Tb=Tc=Te=Th=Ti=Tl=Tm=Ts=U=V=W=Xe=Y=Yb=Zn=Zr= index_label= index2_label= index_comment= index2_comment= CAS_number2= CAS_supplemental2= ATC_prefix2= ATC_suffix2= ATC_supplemental2= PubChem2= PubChemSubstance2= IUPHAR_ligand2= DrugBank2= ChemSpiderID2= UNII2= KEGG2= ChEBI2= ChEMBL2= PDB_ligand2= NIAID_ChemDB2= SMILES2= smiles2= StdInChI2= StdInChIKey2= CAS_number2_Ref= ChEBI2_Ref= ChEMBL2_Ref= ChemSpiderID2_Ref= DrugBank2_Ref= KEGG2_Ref= StdInChI2_Ref= StdInChIKey2_Ref= UNII2_Ref= DTXSID2= QID= QID2=PLLR= pregnancy_US= pregnancy_US_comment= |cat=Pages using infobox drug with unknown parameters |format=0|errNS=0

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| _datapage = Coal tar (data page) | _vaccine_target={{#ifeq: | vaccine | | _type_not_vaccine }} | _legal_all=OTC | _ATC_prefix_supplemental=D05 | _has_EMA_link = | CAS_number=8007-45-2 | PubChem= | ChemSpiderID=none | ChEBI= | ChEMBL= | DrugBank= | KEGG= | _hasInChI_or_Key={{#if: |yes}} | UNII=R533ESO2EC | _hasJmol02 = |_hasMultipleCASnumbers = |_hasMultiplePubChemCIDs = |_hasMultipleChEBIs =

| _countSecondIDs={{#invoke:ParameterCount |main |CAS_number2 |ATC_prefix2 |PubChem2 |PubChemStructure2 |IUPHAR_ligand2 |DrugBank2 |ChemSpiderID2 |UNII2 |KEGG2 |ChEBI2 |ChEMBL2 |PDB_ligand2 |NIAID_ChemDB2 |SMILES2 |smiles2 |StdInChI2 |StdInChIKey2 |DTXCID2}} | _countIndexlabels={{#invoke:ParameterCount |main |index_label |index2_label}} | _trackListSortletter= |QID = |QID2 = |Verifiedfields= |Watchedfields= |verifiedrevid=}} Coal tar is a thick dark liquid which is a by-product of the production of coke and coal gas from coal.<ref name=CDC2002/><ref>Template:Cite book</ref> It is a type of creosote. It has both medical and industrial uses.<ref name=CDC2002/><ref name=Ric2015/> Medicinally it is a topical medication applied to skin to treat psoriasis and seborrheic dermatitis (dandruff).<ref name= WHO2008/> It may be used in combination with ultraviolet light therapy.<ref name=WHO2008>Template:Cite book</ref> Industrially it is a railroad tie preservative and used in the surfacing of roads.<ref name=Ho1991/> Coal tar was listed as a known human carcinogen in the first Report on Carcinogens from the U.S. Federal Government, issued in 1980.<ref name=ROC1980>Template:Cite book</ref>

Coal tar was discovered circa 1665 and used for medical purposes as early as the 1800s.<ref name=Ho1991>Template:Cite book</ref><ref>Template:Cite book</ref> Circa 1850, the discovery that it could be used as the main raw material for the synthesis of dyes engendered an entire industry.<ref name="bayereh">Template:Cite news</ref> It is on the World Health Organization's List of Essential Medicines.<ref name="WHO21st">Template:Cite book</ref> Coal tar is available as a generic medication and over the counter.<ref name=Ric2015>Template:Cite book</ref>

Side effects include skin irritation, sun sensitivity, allergic reactions, and skin discoloration.<ref name=WHO2008/> It is unclear if use during pregnancy is safe for the baby and use during breastfeeding is not typically recommended.<ref>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref> The exact mechanism of action is unknown.<ref name=Mai2011/> It is a complex mixture of phenols, polycyclic aromatic hydrocarbons (PAHs), and heterocyclic compounds.<ref name=CDC2002>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref> It demonstrates antifungal, anti-inflammatory, anti-itch, and antiparasitic properties.<ref name=Mai2011>Template:Cite book</ref>

CompositionEdit

Coal tar is produced through thermal destruction (pyrolysis) of coal. Its composition varies with the process and type of coal used – lignite, bituminous or anthracite.<ref name=":1">Template:Cite book</ref>

Coal tar is a mixture of approximately 10,000 chemicals, of which only about 50% have been identified.<ref>Template:Cite journal</ref>Template:Better source needed Most of the chemical compounds are polycyclic aromatic hydrocarbon:<ref>Template:Cite book</ref><ref>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref>

Others: benzene, toluene, xylenes, cumenes, coumarone, indene, benzofuran, naphthalene and methyl-naphthalenes, acenaphthene, fluorene, phenol, cresols, pyridine, picolines, phenanthracene, carbazole, quinolines, fluoranthene.<ref name=":1" /> Many of these constituents are known carcinogens.<ref>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref><ref name=":2">{{#invoke:citation/CS1|citation |CitationClass=web }}</ref>

DerivativesEdit

Various phenolic coal tar derivatives have analgesic (pain-killer) properties. These included acetanilide, phenacetin, and paracetamol aka acetaminophen.<ref name="para">Template:Cite magazine</ref> Paracetamol may be the only coal-tar derived analgesic still in use today.<ref name="rscbde05">Template:Cite news</ref> Industrial phenol is now usually synthesized from crude oil rather than coal tar.<ref name="jones11">Template:Cite journal</ref>

Coal tar derivatives are contra-indicated for people with the inherited red cell blood disorder glucose-6-phosphate dehydrogenase deficiency (G6PD deficiency), as they can cause oxidative stress leading to red blood cell breakdown.<ref name=epahema>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref>

Mechanism of actionEdit

The exact mechanism of action is unknown.<ref name="Mai2011" /> Coal tar is a complex mixture of phenols, polycyclic aromatic hydrocarbons (PAHs), and heterocyclic compounds.<ref name="CDC2002" />

It is a keratolytic agent, which reduces the growth rate of skin cells and softens the skin's keratin.<ref>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref><ref name=":1" />

UsesEdit

MedicinalEdit

Coal tar is on the World Health Organization's List of Essential Medicines, the most effective and safe medicines needed in a health system.<ref name="WHO21st"/> Coal tar is generally available as a generic medication and over the counter.<ref name="Ric2015" />

Coal tar is used in medicated shampoo, soap and ointment. It demonstrates antifungal, anti-inflammatory, anti-itch, and antiparasitic properties.<ref name="Mai2011" /> It may be applied topically as a treatment for dandruff and psoriasis, and to kill and repel head lice.<ref name="WHO2008"/> It may be used in combination with ultraviolet light therapy.<ref name="WHO2008" />

Coal tar may be used in two forms: crude coal tar (Template:Langx) or a coal tar solution (Template:Langx) also known as liquor carbonis detergens (LCD).<ref name="Mai2011"/><ref name="Pharmacyaus">Template:Cite book</ref><ref name="paghdal">Template:Cite journal</ref> Named brands include Denorex, Balnetar, Psoriasin, Tegrin, T/Gel, and Neutar. When used in the extemporaneous preparation of topical medications, it is supplied in the form of coal tar topical solution USP, which consists of a 20% w/v solution of coal tar in alcohol, with an additional 5% w/v of polysorbate 80 USP; this must then be diluted in an ointment base, such as petrolatum.

ConstructionEdit

{{#invoke:Labelled list hatnote|labelledList|Main article|Main articles|Main page|Main pages}}

Coal tar was a component of the first sealed roads. In its original development by Edgar Purnell Hooley, tarmac was tar covered with granite chips. Later the filler used was industrial slag. Today, petroleum derived binders and sealers are more commonly used. These sealers are used to extend the life and reduce maintenance cost associated with asphalt pavements, primarily in asphalt road paving, car parks and walkways.Template:Citation needed

Coal tar is incorporated into some parking-lot sealcoat products used to protect the structural integrity of the underlying pavement.<ref name="fs20113010">{{#invoke:citation/CS1|citation |CitationClass=web }}</ref> Sealcoat products that are coal-tar based typically contain 20 to 35 percent coal-tar pitch.<ref name="fs20113010"/> Research<ref name=lakes>Template:Cite journal</ref> shows it is used throughout the United States of America, however several areas have banned its use in sealcoat products,<ref name=austin>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref><ref name=dc>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref><ref name=dane>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref> including the District of Columbia; the city of Austin, Texas; Dane County, Wisconsin; the state of Washington; and several municipalities in Minnesota and others.<ref>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref><ref name="EESI">Template:Cite conference</ref>

IndustryEdit

In modern times, coal tar is mostly traded as fuel and an application for tar, such as roofing. The total value of the trade in coal tar is around US$20 billion each year.<ref>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref>

  • As a fuel.
  • For heating or to fire boilers. Like most heavy oils, it must be heated before it will flow easily.<ref>Template:Cite book</ref>
  • As a source of carbon black.<ref>{{#invoke:citation/CS1|citation

|CitationClass=web }}</ref>

  • As a binder in manufacturing graphite; a considerable portion of the materials in "green blocks" is coke oven volatiles (COV). During the baking process of the green blocks as a part of commercial graphite production, most of the coal tar binders are vaporised and are generally burned in an incinerator to prevent release into the atmosphere, as COV and coal tar can be injurious to health.<ref>{{#invoke:citation/CS1|citation

|CitationClass=web }}</ref><ref>Template:Cite book</ref>

  • As a main component of the electrode paste used in electric arc furnaces. Coal tar pitch act as the binder for solid filler that can be either coke or calcined anthracite, forming electrode paste, also widely known as Söderberg electrode paste.<ref>Template:Cite journal</ref>
  • As a feed stock for higher-value fractions, such as naphtha, creosote and pitch. In the coal gas era, companies distilled coal tar to separate these out, leading to the discovery of many industrial chemicals.
Some British companies included:<ref>Template:Cite journal</ref><ref>{{#invoke:citation/CS1|citation

|CitationClass=web }}</ref>

SafetyEdit

Side effects of coal tar products include skin irritation, sun sensitivity, allergic reactions, and skin discoloration.<ref name="WHO2008" /> It is unclear if use during pregnancy is safe for the baby and use during breastfeeding is not typically recommended.<ref>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref>

According to the National Psoriasis Foundation, coal tar is a valuable, safe and inexpensive treatment option for millions of people with psoriasis and other scalp or skin conditions.<ref name=coalcal>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref> According to the FDA, coal tar concentrations between 0.5% and 5% are considered safe<ref>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref> and effective for psoriasis.

CancerEdit

Long-term, consistent exposure to coal tar likely increases the risk of non-melanoma skin cancers.<ref>Template:Cite journal</ref> Evidence is inconclusive whether medical coal tar, which does not remain on the skin for the long periods seen in occupational exposure, causes cancer, because there is insufficient data to make a judgment.<ref name=Ro2010>Template:Cite journal</ref> While coal tar consistently causes cancer in cohorts of workers with chronic occupational exposure, animal models, and mechanistic studies,<ref name=":0" /> the data on short-term use as medicine in humans has so far failed to show any consistently significant increase in rates of cancer.<ref name=Ro2010/>

Coal tar contains many polycyclic aromatic hydrocarbons, and it is believed that their metabolites bind to DNA, damaging it.<ref name=":2" /> The PAHs found in coal tar and air pollution induce immunosenescence and cytotoxicity in epidermal cells.<ref>Template:Cite journal</ref><ref>Template:Cite journal</ref> It's possible that the skin can repair itself from this damage after short-term exposure to PAHs but not after long-term exposure.<ref name="Ro2010" /> Long-term skin exposure to these compounds can produce "tar warts", which can progress to squamous cell carcinoma.<ref name=":1" />

Coal tar was one of the first chemical substances proven to cause cancer from occupational exposure, during research in 1775 on the cause of chimney sweeps' carcinoma.<ref name=":1" /> Modern studies have shown that working with coal tar pitch, such as during the paving of roads or when working on roofs, increases the risk of cancer.<ref name=":0">Template:Cite book</ref>

The International Agency for Research on Cancer lists coal tars as Group 1 carcinogens, meaning they directly cause cancer.<ref name=":0" /><ref>Template:Cite book</ref><ref>Template:Cite book</ref> The U.S. Department of Health and Human Services lists coal tars as known human carcinogens.<ref>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref>

In response to public health concerns regarding the carcinogenicity of PAHs some municipalities, such as the city of Milwaukee, have banned the use of common coal tar-based road and driveway sealants citing concerns of elevated PAH content in groundwater.<ref>Template:Cite news</ref>

OtherEdit

Coal tar causes increased sensitivity to sunlight,<ref name="medicinenet">{{#invoke:citation/CS1|citation |CitationClass=web }}</ref> so skin treated with topical coal tar preparations should be protected from sunlight.

The residue from the distillation of high-temperature coal tar, primarily a complex mixture of three or more membered condensed ring aromatic hydrocarbons, was listed on 13 January 2010 as a substance of very high concern by the European Chemicals Agency.<ref>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref>

RegulationEdit

Exposure to coal tar pitch volatiles can occur in the workplace by breathing, skin contact, or eye contact. The Occupational Safety and Health Administration (OSHA) has set the permissible exposure limit) to 0.2 mg/m3 benzene-soluble fraction over an 8-hour workday. The National Institute for Occupational Safety and Health (NIOSH) has set a recommended exposure limit (REL) of 0.1 mg/m3 cyclohexane-extractable fraction over an 8-hour workday. At levels of 80 mg/m3, coal tar pitch volatiles are immediately dangerous to life and health.<ref>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref>

When used as a medication in the United States, coal tar preparations are considered over-the-counter drug pharmaceuticals and are subject to regulation by the Food and Drug Administration (FDA).

See alsoEdit

ReferencesEdit

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External linksEdit

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