The Clinical Importance of Drug Monitoring: Methotrexate-Induced Acute Renal Failure

Arlette G Delgado, J. Vera, M. A. Moyano, M. Serrano
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Abstract

Plasma concentrations of methotrexate (MTX) represent the best predictive value of its toxicity. Monitoring of the MTX is a common practice that allows identifying patients with acute toxicity and adjusting the dose of folinic acid, and establishing immediate corrective actions. However, the main adverse effects that must be found after a patient treated with this drug are myelosuppression, mucositis of the entire gastrointestinal tract, renal failure and in some cases neurological alterations.
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药物监测的临床重要性:甲氨蝶呤引起的急性肾功能衰竭
甲氨蝶呤(MTX)的血药浓度是其毒性的最佳预测值。监测MTX是一种常见的做法,可以识别急性毒性患者,调整亚叶酸的剂量,并立即采取纠正措施。然而,在患者接受该药治疗后,必须发现的主要不良反应是骨髓抑制、整个胃肠道粘膜炎、肾功能衰竭,在某些情况下还会出现神经系统改变。
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