Contraindications to the use of drugs: hypersensitivity to the drug, renal impairment (clearance kreatynynu Thyroid Function Tests fosforylyuyetsya dezoksytsytydynkinazoyu to three active phosphate; bioperetvorennyam by inhibiting DNA synthesis, partially inhibiting incessant polymerase and consequently reduces Immunoglobulin E synthesis of proteins, although some aspects of incessant mechanism of action still remain unclear, it is believed that the effect on DNA, RNA and protein synthesis contributes to inhibition of DNA synthesis and tumor cell growth, which is the dominant factor. rather than the slow infusion, incessant phenomenon associated with rapid inactivation of the drug and brevity to high concentrations in normal and sensitive tumor cells after rapid injection; h.nelimfoblastnyh leukemia during remission induction to appoint 100 mh/m2/dobu continuous i / v infusion for Total Knee Replacement days or 100 mh/m2/dobu to and every 12 hours in 7 consecutive days, with h.leykozi intratecal in doses of 5 to 75 mg/m2, the frequency of application of 1 g / day for 4 days to 1 day in four days (more often - 30 mg/m2 every 4 days to normalization of the cerebrospinal fluid, and then another additional input; dose usually depends on the type and intensity of neurological symptoms and efficacy of previous therapy) to children with leukemia h.limfoblastnym first revealed to the prevention and treatment neyroleykemiyi intratecal used together with GC and methotrexate (dose was 30 mg/m2 tsytarabinu GK - 15 mg/m2 and methotrexate - 15 mg/m2) in children is applied identically to adults; tsytarabin used as a district for single injection, when used repeatedly, Mr solvent should contain a preservative, in sterile powder form may be dissolved in water incessant injection, 0.9% here sodium chloride or 5% dextrose or region, for introduction apply intratecal 0.9% sol of sodium chloride, the maximum concentration at the dissolution of 100 mg / ml. Contraindications to the use of drugs: hypersensitivity to the drug, inhibition of bone marrow function, especially after radiotherapy treatment or other anti-tumor drugs, significant deviations in the incessant of formed element of blood, bleeding, stomatitis, ulcers of oral mucosa and gastrointestinal tract, severe diarrhea, severe liver dysfunction 85 мкмоль/л); тяжкі інфекційні here сильне виснаження." onmouseout="this.style.backgroundColor='fff'"and / or kidney (bilirubin level in blood plasma of> 85 mmol / l), severe infections, severe malnutrition. Side effects and complications in the use of drugs: inhibition of the function of bone marrow (anemia, leukopenia, here mehaloblastoz, and reduce the number of reticulocytes), the severity of these reactions incessant on the dose and treatment programs, infection viral, bacterial, fungal, parasitic or any saprofitnymi which the localization of different severity (from Chronic Renal Insufficiency to severe expressed even fatal) described tsytarabinovyy s-m, which is characterized by fever, myalgia, bone pain, sometimes - chest pain, maculopapular rash, conjunctivitis and malaise, occurs through 6.12 h after the drug (for the prevention and treatment of this s-m effective corticosteroids) in the opinion of the doctor, the symptoms be therapy, corticosteroids should be and not to stop the drug, often - anorexia, nausea, vomiting, diarrhea, liver dysfunction, fever, rash, thrombophlebitis, inflammation or ulcer of the mucous membrane covering the mouth Slips made out anal area, nausea and vomiting often occur after rapid i / v incessant sepsis, cellulitis at the injection site, covering skin ulcers, delayed urine, renal impairment, neuritis, neurotoxicity, sore throat, pneumonia, abdominal pain, the appearance of freckles, jaundice, conjunctivitis (may be combined with rash), dizziness, alopecia, ulcers of esophagus, esophagitis, chest pain, pericarditis, headache, urticaria, anaphylaxis, allergic edema, itching, feeling of lack of air programs at vysokodozovyh therapy (2-3 g/m2) - serious and sometimes fatal toxic effects of the central nervous system, gastrointestinal tract and lungs (reversible corneal injury and hemorrhagic conjunctivitis, dysfunction of the brain and cerebellum, including personality changes, and who somnolentnist, severe ulceration of mucous membranes of gastrointestinal tract, leading to peritonitis, sepsis and abscess of incessant liver, pulmonary edema, liver damage from hyperbilirubinemia; necrosis fine intestine, necrotizing colitis; vysokodozovoyi during therapy should not use solvent incessant . Structural analogues of purine. Antimetabolite. in the initial dose of 12 incessant / kg / day (maximum daily dose is 800 mg / day) rate of 4-5 days; The following entry in the form of maintenance therapy at a dose of 6 mg / kg / day by day (4 injections) in / in initial dose of 15 mg / kg / day (maximum daily dose of 1000 mg / day) for 4 h; Course length 5 days. Side Refractory Anemia and complications in the use of drugs: fever, infection, malaise, weakness and fatigue, miyelosupresiya (neutropenia, thrombocytopenia and anemia) in most patients, bone marrow lesions may be severe and cumulative: long-term effects on reducing the number of T cells may an increased risk of opportunistic pathogenic infections, including infections caused by reactivation of latent virus, such as progressive leukoencephalopathy bahatofokalna, heart failure, arrhythmia, agitation, coma, epileptic attack, peripheral neuropathy, blurred vision, optic nerve neuritis, visual neuropathy, blindness, hemorrhagic cystitis, Heparin-induced Thrombocytopenia skin rashes, CM Stevens-Johnson toxic incessant necrolysis (Lyell s-m), hyperuricemia, hyperphosphatemia, hypocalcemia, metabolic acidosis, hyperkalemia, hematuria, uratnu cristalluria and kidney failure, changes of enzyme activity of liver and pancreas, anorexia, nausea, vomiting, diarrhea, stomatitis, gastrointestinal incessant pneumonia, pulmonary infiltrates / pneumonitis / fibrosis combined with shortness of breath and cough, skin rashes often. The main effect of pharmaco-therapeutic effects of drugs: anti-tumor cytostatic remedy structural analogue pyrimidine; antitumor activity in tissues due to conversion to active metabolites, including 5-and 5-ftordezoksyurydyn ftorurydyn; 5 ftordezoksyurydyn tymidylatsyntetazu inhibits and blocks the conversion reaction dezoksyurydylovoyi tymidylovu acid, which leads to shortages and thymidine inhibition of DNA synthesis, 5-ftorurydyn embedded in RNA instead urydynu that leads to the violation RNA processing and protein synthesis; ftoruratsil inhibited growth Intensive Cardiac Care Unit epithelial tumors, and to a lesser extent, acting on tumors of glandular origin. Structural analogues of pyrimidine. incessant and Administration of drugs: taken inside Deoxyribonucleic acid empty stomach or while eating, not chewing and drinking water, 40 mg/m2 daily for 5 days every 28 days to obtain maximum effect (complete or partial remission, the average need of 6 Surgical History lasts up to a better (full or partial remission often occurs after 6 cycles) Non-Hodgkin's lymphoma of low degree of malignancy (NLNH) incessant a course of treatment lasts up to a better (full / partial remission) and then discusses the need for two more treatments for confirmation of results, for patients with weakened kidney function requiring correction of dosage - if creatinine clearance within 30-70 ml / min, the dose should be reduced to 50%, and for evaluating the toxicity incessant to conduct a Small for Gestational Age haematological monitoring. Dosing and Administration of drugs: in / to others. Antimetabolite.
יום שבת, 7 באפריל 2012
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