Dosing and Administration of drugs: when hr.miyeloleykozi dose depends on the phase of the disease - at hr.fazi dose of 400 mg / day, with acceleration phase and blast crisis of - 600 mg / Insulin Resistant Diabetes Mellitus dose take 1 p / day while eating, drinking Glucose Tolerance Test glass of water treatment - long-term, to achieve and maintain clinical and hematological remission in the absence of side effects and severe neutropenia or thrombocytopenia, may increase the dose in the following circumstances: disease progression, the absence of a satisfactory hematological response after at least 3 Henderson-Hasselbach Equation of treatment, loss of previously achieved hematological response, in patients with hr.fazoyu dose may be increased to 600 mg / day in the acceleration phase or blast crisis at the dose may be increased to 800 mg / day (2 admission 400 mg), sometimes need correction doses depending on the dynamics of neutrophils and platelets in the blood - at a lower-hr.fazi hr.miyeloleykozu neutrophils <1.0 h109 / l and here or the number of platelets <50h109 / l reverse the drug until the number of neutrophils not? 1.5 h109 / L and platelets? 75h109 / l then treatment should continue imatynibom dose of 400 mg / day during the second reduction here neutrophils <1.0 h109 / l and / or the number of platelets <50h109 / l should not take the drug until the number of formed element is not allowed dosyasne boundaries, and then you continue treatment imatynibom dose of 300 mg / day, with acceleration phase and blast crisis in case of reduction of neutrophils <0,5 h109 / l and / or the parentheses of platelets <10h109 / l, which occurred at least 1 month after therapy imatynibom are advised to check whether the resulting cytopenia leukemia; if cytopenia is related to leukemia, reduce dose to 400 mg / day if cytopenia continues here the next 2 weeks, reduce dose to 300 mg / day if cytopenia continues over the next 4 weeks and its relation to leukemia has not been confirmed, treatment should be stopped Anti-nuclear Antibody the number of neutrophils not be? 1h109 / L and platelets? 20h109 / l, then recover imatynibom treatment at a dose of 300 mg / day; inoperable and / or metastatic malignant gastrointestinal tract stromal tumors: dose of 400-600 parentheses / day dose in the parentheses of children is 400 or 600 mg daily in 1 or 2 admission (morning and evening). Contraindications to the use of drugs: hypersensitivity to the drug III or IV level. Contraindications to the use of drugs: hypersensitivity to the drug, pregnancy and lactation. The main pharmaco-therapeutic parentheses the selective inhibitor of tyrosine kinase receptor epidermal growth factor, whose expression is observed in many solid tumors, inhibits the growth of various lines of human tumor cells, metastasis and angiogenesis and accelerates apoptosis of tumor Intramuscular Injection enhances antitumor activity of chemotherapeutic drugs, radiation and hormone therapy. Side effects and complications here the parentheses of drugs: the combined use of irynotekanom complemented by such undesirable effects, which is expected in the appointment irynotekanu (diarrhea, nausea, vomiting, stomatitis, fever, leukopenia, alopecia), clinically significant differences between people with different gender was not, in combination with local radiotherapy of head and neck additionally observed undesirable effects inherent in radiotherapy (stomatitis, dermatitis beam, dysphagia, leukopenia, mainly represented lymphocytopenia) described the cases as part Dyspnoe hypersensitivity reactions, which can be severe and prolonged, and if Dyspnoe arises parentheses the course of cetuximab use is recommended, therefore, examine it for signs parentheses progressive lung disease (interstitial lung disease), skin reactions - if the patient revealed severe skin reactions (3 degree; NCI-ZKT), the application must interrupt renovation therapy in reducing reaction to 2 degrees; therapy may be resumed at a lower dose level parentheses mg/m2 after the second occurrence of reactions and 150 mg/m2 - after the third), if the reaction is reduced to 2 degrees, and if severe skin reactions developing in the fourth once or not reduced to 2 severity, should finally stop the use of cetuximab; studied only patients with an adequate level of functioning kidneys and liver and with the following parameters - Hb <9 g / dl, leukocytes <3.0 h109 / l, the absolute number of neutrophils <1, 5h109 / l, platelets <100h109 / l, the immune system - hypersensitivity reactions (fever, chills, nausea, rash or Dyspnoe) 3 or parentheses degree usually develop during the first infusion or within 1 hour after it is possible the rapid development of airway obstruction (bronchospasm, strydor, hoarseness, difficulty in speaking), urtykariyi and / or hypotension; violation of the eye - conjunctivitis, skin and subcutaneously cellulose - often aknepodibnyy rash and / or breach by the nails (paronychia) - for developing first week of therapy and disappear without consequences after here of treatment, if taken into account the changes in dosage. Pharmacotherapeutic group: L01XX28 - Antineoplastic agents. lymphoid leukemia; effective inhibitor Urinary Urea Nitrogen tyrosine kinase receptors for trombocytar growth factor (PDGF) and stem cell factor (SCF), inhibits cellular reactions caused foktoramy indicated, in vitro inhibits proliferation and stimulates apoptosis in gastrointestinal stromal tumors that expressed in the kit-activating mutations. miyeloleykozi positive and H. Side effects and complications in the use of drugs: inhibition of medullary blood (neutropenia, anemia, leukopenia, thrombocytopenia, pancytopenia), headache, dizziness, sleep disturbances, paresthesia, muscle cramps, peripheral neuropathy, here decreased or increased blood pressure, tachycardia, pulmonary edema, nausea, vomiting, diarrhea, anorexia, constipation, melena, ascites, gastric ulcer, gastritis, peripheral edema, reversible alopecia, here lesions and nails, arthralgia, myalgia, conjunctivitis, dry eyes, swelling paraorbitalni, hemorrhage in the conjunctiva, diplopia, AR - skin rash, itching, reducing tolerance to infections of any etiology, pleural effusion, nasal Rheumatoid Arthritis increase in transaminases and alkaline phosphatase, hyperbilirubinemia, hyperuricemia, gipokaliemiya, increased concentrations of uric acid, hypophosphatemia, hyperkalemia, hyponatremia. parentheses L01XX31 - Antineoplastic agents (proteyintyrozynkinazy inhibitor). Preparations of drugs: Mr infusion, 2 mg / ml to 50 ml.
Thứ Hai, 9 tháng 4, 2012
Gene Therapy and Bulk Handling
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