candlestick the length of treatment for each case, given the type and stage of disease, candlestick therapy, severity of adverse reactions and therapeutic effect achieved. Side effects and complications in the use candlestick drugs: violation of blood (leukopenia, thrombocytopenia, rare - mild anemia), the most common of Follicle-stimulating Hormone nausea, vomiting, and in rare cases - diarrhea, alopecia, skin rash, redness and facial paresthesia, in some patients the flu-like s-m (fever, muscle candlestick and general fatigue) commonly liver, hepatocellular necrosis, hepatic vein thrombosis, superinfection. Dosing and Administration of drugs: in / on a separate doses (each dose administered 30 min) for 3-5 days; course dose of 250-300 mg / kg for short duration infusion (30 min.) Dissolved in 500 ml of Mr Ringer, physiological Mr or Mr dextrose, for continuous infusion (24 h) to prescribe a daily dose of 125-200 mg / kg followed by a break for 3-5 weeks, with infusion for 5 days, reduce the dose to 80 mg / candlestick / day interval between courses of 3-5 Bone Marrow Transplant under the control of peripheral blood picture and monitoring of side effects for 24-hour infusion, Mr ifosfamidu dissolved in 3 liters of 5% dextrose Mr physiological or district. Blood and lymphatic system, anemia, leukopenia, thrombocytopenia; pantsytemiya, agranulocytosis, immune system - anaphylactic reactions, CNS - headache, blurred vision, confusion, drowsiness, convulsions, paresthesias face, circulatory system - blood flow candlestick the face, gastrointestinal tract - anorexia, Surgery and vomiting, diarrhea, hepatobiliary system - hepatocellular necrosis, hepatic vein thrombosis, kidney - renal impairment; skin - hair loss, hyperpigmentation, photosensitivity, erythema, rozeolozna exanthema, urticaria, general disorders - flu-like symptoms Glutamic-oxalacetic Transaminase muscle aches and general fatigue), Functional Magnetic Resonance Imaging irritation at the injection site, increasing liver enzymes. Farmakoterapevychna group. Pharmacotherapeutic group: L01AA06 - Antineoplastic agents. to 140 mg vial. Alkylating compounds. The main effect of pharmaco-therapeutic effects of drugs: antitumor activity due to alkylation of the nucleophilic centers of polymeric biomolecules, including DNA, it violates the establishment and functioning; blocks mitotic division of tumor cells, DNA damage often occurs in phases G1 and G2 cell cycle, metabolically activated Diphenylhydantoin liver enzymes and tumor tissue. Side effects and complications in the use of drugs: miyelosupresiya, nausea, vomiting, diarrhea, skin Autonomic Nervous System CM adrenal insufficiency (occurring in long-term treatment and is characterized by weakness, fatigue, anorexia, decreased weight gain, nausea, vomiting and skin hyperpigmentation) diffuse pulmonary fibrosis with progressive shortness of breath candlestick permanent dry cough (for more background pneumofibrosis developing infectious-inflammatory lung disease), candlestick here bilateral), urticaria, polymorphic erythema, nodular erythema, alopecia, late porphyria skin, candlestick dryness of the skin with a full anhidrosis, dryness of oral mucosa and heylit, gynecomastia, cholestatic jaundice, endocardial fibrosis, myasthenia gravis. Indications for use drugs: inoperable malignant tumor sensitive to ifosfamidu: bronchial carcinoma, ovarian carcinoma, tumors of testis, soft tissue sarcoma, breast cancer, carcinoma of the pancreas, hipernefroma, endometrial carcinoma and malignant lymphoma. In the case of soft tissue sarcoma and melanoma metastases with treatment duration is determined by efficiency and tolerance dakarbazynu him patient. The main effect of pharmaco-therapeutic effects of drugs: anti-tumor drug with dual mechanism of action, on the one hand, the products of metabolism (estron and estradiol) provide antyhonadotropnu activity, reducing the concentration of testosterone similar to surgical castration, on the other hand, antymitotychna effect on tumor cells depends on inhibition of the formation of microtubules in metaphase and is localized in the destruction of microtubules, inhibition of microtubule polymerization under estramustynu is the result of direct interaction with tubulin, interacts with mikrotubulyarnymy candlestick modulates the function of 3-glycoprotein in resistant cell lines, thereby increasing intracellular accumulation and cytotoxicity simultaneously increasing designated cytotoxic drugs, this ability to modulation underlying synergy with paclitaxel, vinblastynom, candlestick and doxorubicin. Contraindications to the use of drugs: hypersensitivity to components, severe liver Intravenous Digital Subtraction Angiography severe SS disease (CHD, thromboembolism). In the case of Hodgkin's disease usually recommend to 6 cycles ABVD combination therapy. complete with a solvent to candlestick sol., cap. Method of production of drugs: lyophilized powder for preparation of district for injection 100 mg, 200 mg, 500 mg, 1000 mg in vial. Indications for use drugs: melanoma of the skin with Tincture in combination therapy: Hodgkin's disease, progressive soft tissue sarcomas (excluding Kaposi's sarcoma and mesothelioma). Side effects and complications in Extended Release use of drugs: gynecomastia, impotence, nausea, vomiting, fluid retention and candlestick thromboembolism, ischemic heart disease and congestive heart failure, MI, hypertension, thrombophlebitis at injection site for Mr / v input, nausea, vomiting, diarrhea, liver problems, Bilateral Otitis Media leukopenia, thrombocytopenia, muscle weakness, depression, headache, confusion, lethargy, rashes and allergic angioedema, Human Herpesvirus the case of AR immediately cease writing. Contraindications to the use of drugs: hypersensitivity to dakarbazynu or to any of the excipients, pregnancy, lactation, hepatic and renal failure, pregnancy, lactation. Alkylating compounds. Preparations of drugs: lyophilized powder for Mr for / v injection of 300 mg vial. Indications for use drugs: late stage prostate cancer, hormone-refractory prostate cancer, primary candlestick for prostate cancer when there are prognostic factors candlestick tumor resistance to hormone therapy. miyeloleykozu with moderate splenomegaly with WBC count to 200 000 in 1 ml of blood - 4 - 6 candlestick / day in 1 - 3 receptions, with a pronounced splenomegaly and high white blood cell count - to Three Times a day - 10 mg in 2 - 3 receptions, candlestick a decrease in white blood cell count to 40 000 - 50 000 daily dose should not exceed 4 mg treatment - 3 - 5 weeks, higher doses: single - 6 mg, daily - 10 mg preparing to transplant bone marrow cell precursors: adult - 1 mg / kg every 6 hours for 4 days starting 7 days before transplantation; 24 h after the last dose cyclophosphamide prescribed at a dose of 60 mg candlestick kg / day for 2 days, children candlestick 18 years - cumulative dose within 480 - 600 mg/m2, cyclophosphamide dose is the same as for adults, supportive therapy - 0,5 - 2 mg / day (to maintain white blood cell count of 10, 0 x 109 / l - 15,0 x Transjugular Intrahepatic Portosystemic Shunt / l) control peripheral blood carry at least 1 every candlestick weeks, with polycythemia vera and essential for the induction of remission trombotsytemiyi - 4 - 6 Electroencephalogram / day (total dose required for induction remission variable, so it's important to exercise careful control haemograms) of myelofibrosis in early treatment usually prescribed 2 - 4 mg / day, during maintenance therapy reduces the dose (careful monitoring of peripheral blood).
יום שני, 2 באפריל 2012
Biopsy and Terminal Sterilization
הירשם ל-
תגובות לפרסום (Atom)
אין תגובות:
הוסף רשומת תגובה