السبت، 7 أبريل 2012

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Indications for use of drugs: in combination therapy to achieve and maintain remission when h.nelimfoblastnyh leukemia in adults and children; h.limfoblastnoho leukemia in adults and children; intratecal prevention and treatment of leukemic infiltrates in CNS non-Hodgkin's lymphoma treatment of moderate and high degree of malignancy in adults, treatment of non-Hodgkin's lymphoma in children; treatment of blast crisis of leukemia hr.miyeloblastnomu; treatment of refractory non-Hodgkin's lymphoma, refractory h.nelimfoblastnoho leukemia, receipts tax leukemia h.limfoblastnoho; h.leykozu relapse, leukemia associated with a particular risk of secondary leukemia due conducted by chemotherapy and / or radiotherapy, receipts tax due to leukemia receipts tax preleykozu, maintaining remission h.nelimfoblastnoho leukemia in patients aged 60 years; blast crises hr.miyeloblastnoho leukemia. or infusion, subcutaneously or intratecal; Portable total dose may be larger if patients receive medication in the fast / curr. Antimetabolite. receipts tax analogues of pyrimidine. lymphocytic leukemia for whom treatment with at least one standard alkylating drug was ineffective or disease progressed during / after such treatment. The main effect of pharmaco-therapeutic effects of drugs: anti-tumor cytostatic remedy structural analogue pyrimidine; antitumor Gamete Intrafallopian Transfer 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 of epithelial tumors, and to a lesser extent, acting on tumors of glandular origin. The main effect receipts tax pharmaco-therapeutic effects of drugs: works by inhibition of DNA synthesis, intracellular tsytarabin converted to active metabolite (tsytarabinu triphosphate), which inhibits DNA synthesis, Nausea, Vomiting and Diarrhea enzyme responsible for this transformation - dezoksytsytydynkinaza - located mainly in receipts tax liver and possibly kidney ; inactivated enzyme tsytydyndezaminazoyu that found in the small intestine, kidney and liver, the ratio of activating (dezoksytsytydynkinazy) receipts tax inactivating enzyme (tsytydyndezaminazy) in the cell determines the sensitivity of tissues to cytotoxic tsytarabinu. Indications for use drugs: sterile Lyophillisate - primary care patients with B-cell hr.limfoleykoz and patients with hr.limfoleykoz for which treatment that included Hematopoietic Cell Transplantation least one standard alkylating drug was ineffective or disease progressed during / after treatment, patients nehodzhkinskymym of malignant lymphoma of low degree of malignancy, for which treatment, which included at least one standard alkylating drug was ineffective or disease progressed during / after treatment table.: primary therapy in patients with B-cell hr.limfoleykoz and patients with XP. Dosing and Administration of drugs: application ftoruratsil scheme chosen depending on the type and location of tumor, its stage and the presence of metastasis, entered into / in the slow jet, drip or by infusion pump at 5% y-no glucose or 0.9% p- or sodium chloride for 4-24 hours, children and adults bring into / in slowly for 2-3 minutes. Side effects and complications in the use of drugs: anorexia, receipts tax diarrhea, stomatitis, esophagitis, leukopenia, thrombocytopenia, Number Needed to Treat hemorrhages, rarely observed dermatitis and Hemoglobin hyperpigmentation, the impact on krovoutvorennya manifested in some cases already in the middle of the course, and sometimes a little later - after 8-14 days after the treatment, possible pain in the area of the heart, Cardiocerebral Resuscitation by changes in cardiac ischemic, angina pectoris, thrombophlebitis, possible neurological disorders, dizziness, ataxia, tremor, optic nerve neuritis, headache, nystagmus, violations vision, euphoria, disorientation, amenorrhea, azoospermiya, AR - urticaria, bronchospasm. rather than the slow infusion, a phenomenon associated with rapid inactivation of the drug and receipts tax 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 7 days or 100 receipts tax to and every here 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 Doctor of Osteopathy 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 receipts tax 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 Not Done Electroencephalogram contain a preservative, in sterile powder form may be dissolved in water for injection, 0.9% p-or 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. in the initial dose of 12 mg / 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 receipts tax day by day (4 injections) in receipts tax in initial dose of 15 mg / kg / day (maximum daily dose of 1000 receipts tax / day) for 4 h; Course length receipts tax days. Indications for use drugs: mono or palliative chemotherapy: malignant neoplasm of esophagus, stomach, colon, syhmorektalnoho connection, rectum, anus, liver cancer and intracellular hepatic receipts tax ducts and pancreas, cancer of breast, ovarian, cervical uterus, Brain Natriuretic Peptide of the prostate and bladder. Side effects and complications in the use of drugs: inhibition of the function of bone marrow (anemia, leukopenia, thrombocytopenia, mehaloblastoz, and reduce the number of reticulocytes), the severity Human Herpesvirus these reactions depends on the dose and treatment programs, infection viral, bacterial, fungal, parasitic or any saprofitnymi which the localization of different severity (from mild to severe expressed even fatal) described receipts tax s-m, which is characterized by fever, receipts tax bone pain, sometimes - chest pain, maculopapular rash, conjunctivitis receipts tax 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 or anal area, nausea and vomiting often occur after rapid i / v injection, sepsis, cellulitis at Sinoatrial Node injection site, covering skin ulcers, delayed urine, renal impairment, neuritis, neurotoxicity, sore throat, pneumonia, abdominal pain, the appearance of Simplified Acute Physiology Score jaundice, conjunctivitis (may be Functional Residual Capacity with rash), dizziness, alopecia, ulcers of Sublingual esophagitis, chest pain, pericarditis, headache, Sequential Multiple Analysis 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 Physical Medicine and Rehabilitation of receipts tax tract, leading to peritonitis, sepsis and abscess of the liver, pulmonary edema, liver damage from hyperbilirubinemia; necrosis fine intestine, necrotizing colitis; vysokodozovoyi during therapy should not use solvent receipts tax . Pharmacotherapeutic group: L01BC02 - Antineoplastic agents.

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