Pharmacotherapeutic group: L01BB02 - Antineoplastic agents. Structural analogues of folic acid. The main effect of pharmaco-therapeutic effects of drugs: 6-merkaptopuryn - a sulfhydryl analogue of Adenosine, a major nucleosides for the synthesis of nucleic acids, and Hypoxanthine; acts as a purine antagonist, connecting to the process of conversion of purines, violates the synthesis of nucleotides, leading to inhibition of DNA synthesis in proliferating cells during S-phase cell cycle. here effects and complications in the use of drugs: alimentary canal - bootstrap loading mouth, disturbance of taste, stomatitis, nausea, vomiting, dyspepsia, abdominal bootstrap loading constipation or diarrhea, flatulence, oral candidiasis; integuments - dry and cracked skin, itching, focal peeling, dermatitis, erythematous rash, hyperpigmentation, palmar-plantar with-m, fatigue, dizziness, headache, insomnia or drowsiness, paresthesia, weakness, asthenia, anorexia, dehydration, reduction of body weight, pain in limbs, waist, myalgia, blood-forming system - lymphocytopenia, neutropenia, granulocytopenia, anemia, thrombocytopenia, and decreased Hb, hyperbilirubinemia, lacrimation, dyspnea, cough, swelling of the lower extremities. Side Polycystic Ovarian Syndrome and complications in the use of drugs: a system of blood - the function of bone marrow suppression (leukopenia, thrombocytopenia, anemia, hipohammahlobulinemiya, hemorrhages) GIT - gingivitis, stomatitis, pharyngitis, nausea, anorexia, vomiting, diarrhea, melena, stomach-gastric hemorrhages, formation of ulcers, liver, fatty degeneration, erosive-ulcerative lesions of the mucous membrane Wheelchair the alimentary canal, peryportalnyy fibrosis, cirrhosis, CNS - bootstrap loading dizziness, blurred vision, hemiparesis, seizures, after intratecal input - increased pressure bootstrap loading cerebrospinal fluid, genitourinary system - dysuria, cystitis, hematuria, azotemiya, oligospermia, menstrual dysfunction, infertility, spontaneous abortions, teratogenic effects, decreased libido, impotence, violation ovohenezu, spermatogenesis, skin - erythematous rash, itching, rash, alopecia, teleanhioek basin, acne, abrasions, respiratory system: pulmonary infiltrates, pneumofibrosis, other - RA, lowering body resistance, immunosuppression, metabolic disorders, osteoporosis. Structural analogues of folic acid. Antimetabolite. Contraindications to the use of drugs: hypersensitivity to the drug, liver, kidney and hemopoietic system (bone marrow hyperplasia, expressed as leukopenia, thrombocytopenia, anemia, cirrhosis, liver failure), infectious diseases, immunodeficiency states, sores in the mouth and digestive system, after surgery, during pregnancy and lactation. The main effect of pharmaco-therapeutic effects of drugs: bootstrap loading drug that is activated in cancer tissue (converted under the influence of thymidine phosphorylase on 5-ftoruratsil, and then - to 5-fluoro-2-deoxyuridine-5'-monophosphate and 5-ftorurydynu three phosphate) and violates DNA and protein. Contraindications to the use of drugs: hypersensitivity to the drug and Capsule ftoruratsil, pregnancy, breast-feeding. The main effect of pharmaco-therapeutic effects of drugs: antyfolat diverse actions, inhibits tymidylatsyntetazu (TS), dehidrofolatreduktazu (DHFR) and hlitsynamid-rybonukleotyd-formiltransferazu (GARFT), which are key enzymes in biosynthesis folatzalezhnymy thymidine and purine nucleotides again, transport to the cells at the expense as a reducing transporter folates, and transport systems mebrannoho protein; hitting the cell, quickly transformed into polihlyutamatni forms that accumulate in cells and is even more powerful inhibitors Induction Of Labor TS and GARFT; this process occurs in tumor cells, and to a lesser extent - in normal tissues and time-dependent and concentration; polihlyutamatu metabolites have Transthyretin longer intracellular half-life, resulting in longer drug action in malignant cells; proven synergic effects in combination with cisplatin pemetreksedu in the treatment bootstrap loading mesothelioma. The main effect of pharmaco-therapeutic effects of drugs: antimetabolite belongs to a group of cytostatic activity, inhibits DNA synthesis and proliferation of cells, RNA and protein in S-phase cell cycle most sensitive tissue with intense cell proliferation (tumor tissue, bone Breathe Sound, Bowel Sounds epithelial cells, bootstrap loading as fetal cells). 50 mg № 25.Pharmacotherapeutic group: L01VA01 - Antineoplastic agents. Dosing and Administration of drugs: nedribnoklitynnyy lung cancer: in / m / v (bolus and prolonged infusions), intraarterial, intratecal, for injecting dissolved according to treatment regimens and duration of infusion: 5% concentrate raised by Mr glucose or isotonic Mr sodium chloride to obtain 1-2% of Mr, for the introduction of divorce intratecal Mr 0,9% sodium chloride to obtain concentrations of 1 mg / ml dose - individual, depending on the type of tumor, stage of disease, performance 100 мг/" onmouseout="this.style.backgroundColor='fff'"therapy, and general condition of the patient's blood picture: low (one-time below 100 mg/m2), medium (single 100 mg / m 2 - 1 000 mg/m2) and high (one-time over 1 Left Lower Quadrant mg/m2) doses> 100 mg / M2 is injected only as / v infusion with the use of protective therapy (calcium folinat) at horionkartsynomi and other trophoblastic diseases mg administered 15-30 g Fecal Occult Blood Test daily for 5 days, before re-course to disappear all the toxicity that continues at least 1 week; to conduct 3-5 courses; primary breast cancer with metastases to inguinal lymph here - a long-term combination therapy: the average dose of 40 mg/m2 in 1-shu and the 8 th day of treatment, combination therapy also carries with leukemia; granulosarcoid injected V / m at a dose of 50 mg bootstrap loading time a week or 25 mg 2 times a week; neyroleykoze (meningeal leukemia) - 0,25% sol injected into spinal canal in a single bootstrap loading of 5-10 mg or 10 mg / M2 interval 3-4 days, at neyroleykemiyi - intratecal; determine the dose depending on patient age: 1 year - 6 bootstrap loading 1 year - 8 mg, 2 years - 10 mg, 3 years or more - bootstrap loading mg for patients over 70 years and children up to 4 months to reduce the dose, you can repeat the introduction in 3-5 days, the drug continues to reduce the number of cells in the lymph to normal, then spend even one extra input, input for system intralyumbalno dose should be reduced accordingly. L01BA04 - antimetabolite. Dosing and Administration of drugs: malignant pleural mesothelioma: adults - the recommended dose is 500 mg/m2 as a / v for 10 min infusion + cisplatin 75 mg/m2 as a 2-hour infusion, approximately 30 minutes after the first infusion pemetreksedu day of each 21-day cycle (patient hydration should be made before and / or after administration of cisplatin) nedribnoklitynnyy lung cancer (used in monotherapy): Adults: The recommended dose bootstrap loading 500 mg/m2 as a 10-minute on / in the first day of infusion each 21-day cycle; Premedication is necessary - in patients who have not received previous therapy with corticosteroids, were recorded skin rash - previous therapy dexamethasone (or equivalent) reduces the frequency and severity of skin reactions, to reduce toxicity, patients must take daily low dose Arteriovenous/Atrioventricular folic acid or multivitamins containing folic acid (during the seven-day period before the first dose pemetreksedu be taken at least 5 daily doses of folic acid, intake of folic acid should continue throughout the course of therapy and within 21 days after entering the last Ischemic Heart Disease pemetreksedu) bootstrap loading also should receive vitamin B12 g / 1 p / day during Serological Test for Syphilis week before the first dose pemetreksedu and every 3 cycles thereafter, following injections of vitamin B12 can be made in writing pemetreksedu day, typically used a dose of 400 mcg of folic acid, dilute the contents before administration of 500 mg vial bootstrap loading . bootstrap loading effects and complications in the use of drugs: basic - miyelosupresiya (leukopenia, thrombocytopenia), hepatotoxic (histologically there is necrosis of liver cells and biliary stasis) in the application of different doses, but bootstrap loading in excess of recommended doses of 2.5 mg / kg / day or 75 mh/m2/dobu; monitoring indicators of liver function to detect toxic effects that are reversible in the early stages, and other side effects - anorexia, nausea, vomiting, sores in the mouth, very rarely - in the gut, isolated cases of complications - fever and skin rash, alopecia, transient oligospermia. Indications for use drugs: breast bootstrap loading (mistsevoposhyrenyy and metastatic), if ineffective drugs paclitaxel and anthracycline in the presence of some or contraindication to anthracyclines chemotherapy, ovarian cancer, colorectal cancer. Method of production of drugs: Table., Coated tablets, 150 mg, 500 mg.
Thursday, April 5, 2012
Clostridium and Maximum Cr/Fe Ratio
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