临床药师参与3例儿童大剂量甲氨蝶呤治疗及文献分析

doi:10.20047/j.issn1673-7210.2023.21.42

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Abstract High dose Methotrexate is an important means in the treatment of blood tumors in children, which greatly improves the remission rate of the disease. However, its severe toxic and side effects bring great harm to children. In this paper, clinical pharmacists participated in the treatment of three children with high dose Methotrexate, and individualized pharmaceutical care was carried out according to the different conditions of the children. For children with high Methotrexate concentration or delayed elimination, timely and appropriate calcium folinate rescue strategy and symptomatic treatment can reduce the toxic reaction of Methotrexate. To ensure the efficacy of Methotrexate while minimizing the occurrence of serious adverse reactions. Finally, combined with the treatment process and literature analysis, the method of individualized treatment and pharmaceutical care for children with high dose Methotrexate by clinical pharmacists based on blood concentration monitoring was discussed.

Key words： High dose Methotrexate Children Therapeutic durg monitoring Pharmaceutical care

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	JIA Chenhong LI Ruihong QIN Yabin DING Xiangyu

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JIA Chenhong LI Ruihong QIN Yabin DING Xiangyu. A report of three cases and literature analysis clinical pharmacist participated in high dose Methotrexate therapy in children[J]. 中国医药导报, 2023, 20(21): 187-191.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.21.42 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I21/187

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