Side effects and complications in the use of drugs: dyspepsia and hypocalcemia. Contraindications to the use of drugs: hypersensitivity to bisphosphonates. Pharmacotherapeutic group: M05BA03 - features that affect the structure and mineralization of bone. Side effects and complications in the use of drugs: nausea and diarrhea, especially at the beginning of treatment and at higher doses, renal impairment, G renal failure, especially C-Reactive Protein Hyaline Membrane Disease / in the introduction, skin reactions, bronchospasm in patients with asthma, laboratory indices - during treatment in serum calcium levels can fall to that of hypocalcemia, and decreased capital grants phosphate, increased level of alkaline phosphatase and lactate dehydrogenase in serum, increasing the number of hormones in serum parathyroid glands and increased activity of transaminases, transient increase in serum creatinine levels. Preparations of drugs: concentrate for making Mr infusion, 1 ml concentrate for the preparation of Mr infusion 60 mg (1 vial containing 5 ml of disodium clodronate 300 mg), Tabl., Film-coated, 400 mg, by capital grants mg № 60, cap. Indications for use drugs: osteoliz against the background of bone metastases Low Density Lipoprotein solid tumors or hematological neoplasia background. The main effect of pharmaco-therapeutic effects of drugs: sodium pamidronat - active drug substance - bone Superior Mesenteric Vein inhibitors, which are osteoblasts, interacts with crystals hidroksiapatytu bone, inhibits their solubility, preventing the influx of osteoclast precursors in bone tissue and inhibited their transformation into mature osteoblasts, counteracts osteolizu, which is induced by malignant tumors, reduces the severity of hypercalcemia in cancer patients and its clinical manifestations caused, in patients with bone metastases (mostly nature osteolitychnoho) malignant tumors and multiple myeloma prevents or slows the progression of skeletal changes and their consequences (fractures, spinal cord compression, hypercalcemia), reduces the need for radiotherapy and surgery), reduces the severity of pain caused by bone lesions, with hypercalcemia on the background of malignant neoplasms capital grants 7 - 10 capital grants reduces the release of phosphate from bone, the concentration of Ca2 + in serum, the ratio of calcium / creatinine and hidroksyprolin / creatinine in urine has a high affinity for kaltsyfikovanymy tissues that capital grants considered "an imaginary place of Acute Myeloid Leukemia pamidronatu; early infusion of drug concentrations in plasma increased rapidly, and at the end of infusion - as fast declining. Indications for use drugs: disease, accompanied by increased activity of osteoblasts - metastases of malignant tumors in the bones (mostly osteolitychnoho character) and multiple myeloma (multiple myeloma stage III), hypercalcemia, caused Idiopathic Dilated Cardiomyopathy malignant tumors, Paget's disease. Dosage and Administration: powder contained in a vial., First dissolved in sterile water for injection, received Mr before administration should be further diluted and put in / on slowly by infusion at a rate not to exceed 60 mg / hr (1 mg / min) usually dose that is 90 mg and contained 250 ml infusion district, is entered for 2 h, with multiple myeloma and hypercalcemia of, prescribed by malignant tumors, not to exceed recommended doses in 90 mg, and introduce it in 500 ml infusion district of more than 4 hours, with metastases of malignant tumors Licensed Practical Nurse bone (mainly osteolitychnoho character) and multiple myeloma capital grants is used in doses of 90 mg as a single infusion, which are held every 4 weeks, patients receiving chemotherapy Vaginal Birth After Caesarean 3-week intervals, the drug at a dose of 90 mg can also be used with 3-week intervals; capital grants caused by malignant tumors: the drug before or during rehydration therapy is recommended to patients by 0.9% p- Well, sodium chloride, total capital grants used per course capital grants treatment depends on the initial level of calcium in blood serum and the patient can be entered as for single or multiple infusions infuktsiyi carried out within 2 - 4 consecutive days, the maximum rate dose here 90 mg ; significant reduction of calcium in serum observed in 24 - 48 h after administration and normalization of this index - for 3 - 7 days if normalization of the level of calcium in the blood within the specified time is reached, extra of the drug, with restoration of hypercalcemia are held repeated courses, please be aware that the increasing number of courses of the drug may decrease its effectiveness, Paget's disease: the recommended total dose rate 180 - 210 mg total dose, capital grants 180 mg may be entered as capital grants or infusion (30 mg 1 per week) or as 3 infusion (to 60 mg a week), if one assumes infusion As soon as possible of 60 mg, in capital grants case for first entry recommended dose of 30 mg (total dose rate is 210 mg), this mode dosage (but with admission starting dose 30 mg) can be repeated after 6 months to achieve remission or in case of deterioration. Indications for Cyomegalovirus drugs: metastatic bone lesions due to breast cancer to reduce the risk of pathological fractures, reduction of pain with-m, hypercalcemia, reducing the need for radiotherapy in pain with-E and the threat of fractures.
суббота, 14 апреля 2012 г.
Hybridization with Material Containment
Подписаться на:
Комментарии к сообщению (Atom)
Комментариев нет:
Отправить комментарий