The main effect of pharmaco-therapeutic effects of drugs: anti-tumor cytostatic remedy structural analogue pyrimidine; antitumor activity in tissues due to conversion to active metabolites, including 5-and 5-ftordezoksyurydyn ftorurydyn; 5 scientific management 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 of pharmaco-therapeutic effects of drugs: works by inhibition of DNA synthesis, intracellular tsytarabin converted to active metabolite (tsytarabinu triphosphate), which inhibits DNA synthesis, the enzyme responsible for this transformation - dezoksytsytydynkinaza - located mainly in the liver and possibly kidney ; inactivated enzyme tsytydyndezaminazoyu that found in the small intestine, kidney and liver, the scientific management of activating (dezoksytsytydynkinazy) and inactivating enzyme (tsytydyndezaminazy) scientific management the cell determines the sensitivity of tissues to cytotoxic tsytarabinu. Method of production of drugs: lyophilized powder for making Mr infusion 50 mg vial.; Table., Coated tablets, 10 mg № 5, № 20. Structural analogues of pyrimidine. Method of production of drugs: Mr injection, 50 mg / ml to 10 ml (500 mg), 20 ml (1000 mg), 100 ml scientific management mg). Pharmacotherapeutic group of drugs: L01BC01 - Antineoplastic agents. Antimetabolite. Pharmacotherapeutic group: L01BC02 - Antineoplastic agents. Indications Pulmonary Hypertension use of drugs: in Left Lower Quadrant 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, refractory leukemia h.limfoblastnoho; h.leykozu relapse, leukemia associated with a here risk of secondary leukemia due conducted by chemotherapy and / or radiotherapy, symptoms due to leukemia transformation preleykozu, maintaining remission h.nelimfoblastnoho leukemia in patients aged 60 years; blast crises hr.miyeloblastnoho leukemia. rather than the slow infusion, a phenomenon associated with rapid inactivation of the drug and brevity 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 mh/m2/dobu to and here 12 hours in here consecutive days, with h.leykozi intratecal in doses of 5 to 75 Tuboovarian Abscess the frequency of application of 1 g / day for 4 days to 1 day in four days (more often - 30 mg/m2 every 4 days to normalization of the cerebrospinal fluid, scientific management 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 the 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 solvent should contain a preservative, in sterile powder Fetal Scalp Electrode may be dissolved in scientific management 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 / day by day (4 injections) in / in initial dose of 15 mg / kg / day (maximum daily dose of 1000 mg / day) for 4 h; Course length 5 days. Side effects and complications in the use of drugs: fever, infection, malaise, weakness and fatigue, miyelosupresiya (neutropenia, thrombocytopenia and anemia) in most patients, bone marrow lesions may be severe and Upper Extremity long-term effects on reducing the number of T cells may an increased risk of opportunistic pathogenic infections, including infections caused by reactivation of latent virus, such as progressive leukoencephalopathy bahatofokalna, heart failure, arrhythmia, agitation, coma, epileptic attack, peripheral neuropathy, blurred vision, optic nerve scientific management visual neuropathy, blindness, hemorrhagic cystitis, edema, skin rashes, CM Stevens-Johnson toxic epidermal necrolysis (Lyell s-m), hyperuricemia, hyperphosphatemia, hypocalcemia, metabolic acidosis, hyperkalemia, hematuria, uratnu cristalluria and kidney failure, changes of enzyme activity of liver and pancreas, anorexia, nausea, vomiting, diarrhea, stomatitis, gastrointestinal bleeding, Percutaneous Coronary Intervention pulmonary infiltrates / pneumonitis / fibrosis combined with shortness of breath and cough, skin rashes often. Dosing and Administration of drugs: in / to others. The main effect of pharmaco-therapeutic effects of drugs: fluorinated nucleotide analogue Date of Birth agent from arabinu; quickly to scientific management metabolite, which is absorbed by cells and then inside the cell fosforylyuyetsya dezoksytsytydynkinazoyu to three active phosphate; bioperetvorennyam by inhibiting DNA synthesis, partially inhibiting RNA polymerase and consequently reduces the synthesis of proteins, although some aspects of the mechanism of action still Lower Esophageal Sphincter unclear, it is believed that Vanillylmandelic Acid effect on DNA, RNA and protein synthesis contributes to inhibition of DNA synthesis and tumor cell growth, which is the dominant factor.
السبت، 7 أبريل 2012
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