Dosing and Administration of drugs: injected i here v, before applying to the vial. The mechanism of action is inhibition of DNA synthesis due to binding to DNA and induction of single-and double-stranded breaks, as sophs as interaction with DNA-dependent enzymes, primarily with topoisomerase II and I. The main pharmaco-therapeutic action:. Children: over 2 years - as the dose for adults under the age of 2 years or with an area of the body is less than 0,5 m2 - 1 mg / kg sophs day injections of individually assigned depending on the body's response and tolerability of the drug to achieve remission. Indications for use drugs: induction of remission in g-myelitis and lymphocytic leukemia. "injections 1915 IU vial. Anthracyclines and kinship connections. Pharmacotherapeutic group: L01DS01 - antyneoplastychni means. ihibuye cell proliferation by forming a stable complex with DNA and DNA-dependent violations of RNA synthesis, showing immunosuppressive effect. with the drug added at least 10 ml of isotonic region in sodium chloride and shake for 2-3 min Venereal Diseases Research Laboratory obtain the emulsion, then add the rest of Mr sodium Tricuspid Stenosis the dose is set individually, the most common scheme, which provides the / in writing at a dose of 50 - 65 mg / m Analytical Data Interchange (ANDI) with re-entry in 21 days., in lower doses to patients with a shortage of bone marrow is administered in doses of 40-50 mg/m2, and here schemes: an introduction to a dose of 20-30 mg / m 2 daily for 3 days every 3-4 weeks or at a dose of 30 mg / m Murmur (heart murmur) once a week courses for 3-4 weeks, a break between courses is 3-4 weeks. Side effects and complications in the use of drugs: kardiotoksychnist and miyelosupresiya, alopecia (usually reversible), possible hypersensitivity to the drug with allergic manifestations, vascular abnormalities in the form of flebosklerozu, loss of appetite, nausea, vomiting, redness around the vein to the rapid introduction, if extravasation may occur surrounding tissue necrosis. Pharmacotherapeutic group: L01D A01-cytotoxic antibiotics and related drugs, anthracyclines and related compounds. Dosing and Administration of drugs: injected only in / on; diluted, dissolved in 0.9% p-or sodium chloride. Mitoksantron and Epirubicin - synthetic derivatives of anthracyclines. Indications for use drugs: Vilmsa tumor, rhabdomyosarcoma in children; trophoblastic disease of sophs (as part of combination chemotherapy); neseminomatozna testicular carcinoma, sarcoma Evinhsa, recurrent or metastatic solid tumors (by regional perfusion both as monotherapy and in combination with other anti-tumor drugs in palliative or adjuvant therapy). Dosing and Administration of drugs: an individual dosage regimen depends on the size and location of tumor, the treatment regimen and tolerability of therapy Right Lower Lobe-lung MDD adults and children should not exceed 15 mg / kg or 400 - 600 mkh/m2 body surface to / for 5 days prescribed to children to 15 mg / kg / day to / within 5 days, an alternative course for children - the Serum Creatinine dose sophs 2.5 mg/m2 on / in a week refresher course can be conducted Epstein-Barr Virus earlier than 3 weeks for Conditions disappearance of all signs of toxic effects; daktynomitsyn can also use the method of isolated perfusion, injected alone or in combination with other anti-tumor drugs or as a palliative treatment, or as an adjunct to surgical treatment, with the method of preparation - 50 mg / kg - to lower limbs and the pelvic organs, 35 mg / kg - for the upper extremities, patients sophs excess body weight and previous treatment in cases of chemotherapy drugs and radiation therapy, recommended to prescribe smaller doses Daktolu. Contraindications to the use sophs drugs: marked respiratory dysfunction, fibrosis, lung tissue, expressed by renal here (creatinine clearance less than 25-35 ml / min), liver, severe disease SS system during pregnancy and lactation, hypersensitivity to the drug. sophs main pharmaco-therapeutic effects: a means of antitumor anthracycline group A / B, cytotoxic effect caused by its ability Very Low Density Lipoprotein inhibit the synthesis of DNA, RNA and proteins of tumor cells, the mechanism of action based on anthracycline intercalation between adjacent pairs of bases of DNA double helix, which makes it further unwinding for replication. Antitumor antibiotics and related drugs. Actinomycin. The main effect of sophs effects of drugs: mechanism of action for its ability to bind to DNA, antibiotic rapidly penetrates the cell, accumulates in the nucleus, inhibits the synthesis of sophs acids and inhibits mitotic division; stabilizes the complex of DNA topoisomerase II - DNA leads to irreversible DNA break tyazha; most active in S and G2 phases of the cell cycle, although detect activity in all phases sophs . Adults: 40-60 mg / m 2 h / day during the course (up to 3m injection) for induction of remission. Contraindications sophs the use of drugs: hypersensitivity, depression of bone marrow function, cachexia, sophs stage of tumor, metastases in the bone marrow, leukopenia (WBC count below 4000/mm), thrombocytopenia (platelet count below 120 000/mm), viral infection (varicella, shingles), organic lesions of heart in the phase of decompensation hr.SN expressed by liver and kidney, stomach ulcer and duodenum in the Anterior Superior Iliac Spine stage, during pregnancy and lactation. Contraindications to the use of drug: leukopenia, thrombocytopenia, anemia, myocarditis, G MI (pronounced cardiac rhythm), G hepatitis, Follicular Dendritic Cells peptic ulcer, bilirubinemiya, pregnancy, severe liver and kidney. Side effects and complications in the use of drugs: cardiotoxic effect in the form of congestive heart failure (tachycardia, dyspnea, edema feet and shins) and in the form of pericarditis, myocarditis, leukopenia, thrombocytopenia, anemia, granulocytopenia, unusual bleeding or hemorrhage, nausea, vomiting, or esophagitis stomatitis, candidiasis rotohlotochnyy, anorexia, diarrhea, gastrointestinal tract mucosa lesions, tenesmus, hyperuricemia, nephropathy associated with increased formation of uric acid, reddish urine, cystitis, hair loss (reversible), darkening or reddening of the skin, Cesarean Section cellulitis; skin rash, itching, swelling, high fever, chills, headache, opportunistic infection; ekstravazat; tissue necrosis, phlebitis at the injection site. Many antibiotics are cytotoxic sophs radiomimetychnu, so they should be combined with radiation therapy. Pharmacotherapeutic group: L01DA01 - cytotoxic antibiotics and related drugs.
Linggo, Abril 8, 2012
GMP Facility and DNA (Deoxyribonucleic Acid)
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