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Systemic Methotrexate ToxicityA Pharmacological Study of Its Occurrence After Intrathecal Administration in a Patient With Renal Failure
Ed C. Cadman, MD;
Walter B. Lundberg, MD;
Joseph R. Bertino, MD
Arch Intern Med. 1976;136(11):1321-1322.
Abstract
Methotrexate pharmacokinetic studies, performed on a patient with renal impairment who had toxic effects following 20 mg/sq m of intrathecally administered methotrexate, demonstrated prolonged serum concentrations of the drug, which accounted for the condition. After the return of normal renal function, pharmacokinetic studies were repeated following the same dose and route of administration of methotrexate. On this occasion there was a rapid clearance of serum methotrexate below toxic levels.
(Arch Intern Med 136:1321-1322, 1976)
Author Affiliations
From the Section of Medical Oncology, Yale University School of Medicine, New Haven, Conn.
Footnotes
Accepted for publication April 21, 1976.
Reprint requests to Section of Medical Oncology, Department of Medicine, Yale University School of Medicine, 333 Cedar St, New Haven, CN 06510 (Dr Cadman).
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