(57) This invention pertains generally to the field of chemical synthesis and purification,
and more specifically to methods of synthesizing and purifying certain 3,7-diamino-phenothiazin-5-ium
compounds (referred to herein as "diaminophenothiazinium compounds") including Methythioninium
Chloride (MTC) (also known as Methylene Blue). In one embodiment, the method comprises
the steps of, in order: nitrosylation (NOS); nitrosyl reduction (NR); thiosulfonic
acid formation (TSAF); oxidative coupling (OC); Cr(VI) reduction (CR); isolation and
purification of zwitterionic intermediate (IAPOZI); ring closure (RC); chloride salt
formation (CSF); one of: sulphide treatment (ST); dimethyldithiocarbamate treatment
(DT); carbonate treatment (CT); ethylenediaminetetraacetic acid treatment (EDTAT);
organic extraction (OE); and recrystallisation (RX). The present invention also pertains
to the resulting (high purity) compounds, compositions comprising them (e.g., tablets,
capsules), and their use in methods of inactivating pathogens, and methods of medical
treatment and diagnosis, etc., for example, for tauopathies, Alzheimer's disease (AD),
skin cancer, melanoma, viral diseases, bacterial diseases, or protozoal diseases.

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