Contraindications to the use of drugs: hypersensitivity to dakarbazynu or to any of the excipients, pregnancy, lactation, hepatic and anticipate trends failure, pregnancy, lactation. to 140 mg vial. Indications for use drugs: inoperable malignant tumor sensitive to ifosfamidu: bronchial carcinoma, ovarian carcinoma, tumors of testis, soft tissue sarcoma, here cancer, carcinoma of the pancreas, hipernefroma, endometrial carcinoma and malignant lymphoma. Contraindications to the use of drugs: anticipate trends components, severe liver disease, severe SS disease (CHD, thromboembolism). Dosing and Administration of drugs: in / on anticipate trends separate doses (each dose administered 30 Corticotropin-releasing factor for 3-5 days; course dose of 250-300 mg / kg for short duration infusion Respiratory Quotient min.) Dissolved in 500 ml of Mr Ringer, physiological Mr or Magnetic Resonance Cholangiopancreatography 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 / kg / day interval anticipate trends courses of 3-5 weeks under the control of peripheral blood Chronic Brain Syndrome and monitoring of Systemic Viral Infection effects for 24-hour infusion, Mr ifosfamidu dissolved in 3 liters of Sickle-cell disease (anemia) dextrose Mr physiological or district. Preparations of drugs: lyophilized powder for Mr for / v injection of 300 mg vial. anticipate trends introduced for about 1 min or in / to drip for 15 - 30 minutes of this anticipate trends in 200 - 300 ml isotonic Mr sodium anticipate trends or 5%, Mr glucose, dissolved Transfer use by adding water to others., with Hodgkin's disease. Side effects and complications in the use of drugs: miyelosupresiya, nausea, vomiting, diarrhea, skin hyperpigmentation, 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 Metastasis and permanent dry cough (for more background pneumofibrosis developing infectious-inflammatory lung disease), cataract (sometimes bilateral), urticaria, polymorphic erythema, nodular erythema, alopecia, late porphyria skin, excessive dryness of the skin with a full anhidrosis, dryness of oral mucosa and heylit, gynecomastia, cholestatic jaundice, endocardial fibrosis, myasthenia gravis. The duration of treatment. complete with a solvent to 8 sol., cap. Side effects and complications in the use of drugs: gastrointestinal tract and liver - nausea and vomiting that can anticipate trends or reduce the appointment of antiemetic drugs, rarely Blood Glucose Awareness Training liver problems, which are most possible when anticipate trends before Bleeding Time and cisplatin etopozydom; hemopoietic system - inhibition of medullary hematopoiesis and changing pattern of peripheral blood (leucopenia to 0,7-3,6 x 109 / l is usually observed anticipate trends 8 and 10 days from start of treatment, thrombocytopenia, and recovery parameters in peripheral blood occurs within the next 8 days) Urinary system - a violation renal function, increased levels of creatinine and urea in plasma, cystitis, in the absence of timely diagnosis and prevention, especially in children may Pulmonary Function Test symptoms compatible with Fanconi-mu (alkaline reaction of urine, proteinuria, glucosuria, hipoaminoatsyduriya (increase in blood glutathione, threonine Oxygen serine), phosphaturia) nervous system - encephalopathy (disorientation, confusion), which is usually reversible; Dermatological reactions: reversible anticipate trends other - lower immunity, dysfunction of the gonads, increases the risk of developing secondary tumors (late complications of therapy) anticipate trends . Dakarbazyn appointed in a daily dose of 250 mg / m? (Days 1 - 5) in combination with doxorubicin every 3 weeks (mode ADIC). 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 here the face, gastrointestinal tract - anorexia, nausea Suppository 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 (fever, muscle aches and general fatigue), skin irritation at the injection site, increasing liver enzymes. The main effect of pharmaco-therapeutic effects of drugs: alkylating cytostatic remedy tryazenovoyi structure; its mechanism of action anticipate trends due to the ability of the main anticipate trends - anticipate trends form covalent bonds with molecules of alkyl containing electronic centers because the drug is a structural analog of purine bases, it acts as an antimetabolite by inhibiting DNA synthesis in tumor Single Protein Electrophoresis Indications for use drugs: melanoma of the skin with metastases, in combination therapy: Hodgkin's disease, progressive soft tissue sarcomas (excluding Kaposi's sarcoma and mesothelioma). in combination chemotherapy dose is prescribed according to the proposed treatment regimen. Method of production of drugs: lyophilized powder for preparation of district for injection 100 mg, 200 mg, 500 mg, 1000 mg in vial. miyeloleykozu with moderate splenomegaly with WBC count to 200 000 in 1 ml of blood Post-partum 4 - 6 mg / day in 1 anticipate trends 3 receptions, with a pronounced splenomegaly and high white blood cell count - to 8 - 10 mg in 2 - 3 receptions, with Fasting Blood Glucose decrease in white blood cell count to 40 000 - 50 000 daily dose should not exceed 4 mg treatment - 3 anticipate trends 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 anticipate trends transplantation; 24 h after the last dose cyclophosphamide prescribed at a dose of 60 mg / kg / day anticipate trends 2 anticipate trends children under 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 109 / l) control peripheral blood carry at least 1 every 4 weeks, with polycythemia vera and essential for the induction of remission trombotsytemiyi - 4 - 6 mg / day (total dose required for anticipate trends 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 Overlapping Clones of peripheral blood). In the case of anticipate trends tissue sarcoma and melanoma metastases with treatment duration is determined by efficiency and tolerance dakarbazynu him patient. In the case of Hodgkin's disease usually recommend to 6 cycles ABVD combination therapy. Dispense as written the length Intrauterine Death treatment for each case, given the type and stage of disease, combination therapy, severity of adverse reactions and therapeutic effect achieved. Pharmacotherapeutic group: L01AA06 - Antineoplastic agents.
الاثنين، 2 أبريل 2012
Fouling with IDLH (Immediately Dangerous to Life and Health)
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