Antineoplastic agents. Preparations of drugs: concentrate for making Mr infusion. Preparations assotiative drugs: Mr injection of 2 mg / ml to 25 ml (50 mg) or 50 assotiative (100 mg) vial. Side effects and complications in the use of drugs: sensory neuropathy (dyzesteziya and / assotiative paresthesia of extremities with or without cramps, often worsened Premature Atrial Contraction exposure to cold), dysarthria, loss of deep reflexes and tendineae Lermitta symptom, pain and / or functional impairments (complications of precise movements), city sensorineural symptoms (transient paresthesia, dyzesteziya, hiposteziya); rare hematological toxicity (anemia, neutropenia, thrombocytopenia), anorexia, nausea, vomiting, diarrhea, abdominal pain, AR (bronchospasm, angioedema, hypotension and anaphylactic shock ) ototoksychnist, imunoalerhichna thrombocytopenia and hemolytic anemia, interstitial pneumonia and pulmonary fibrosis, ventricular arrhythmia, mild alopecia. Contraindications to the use of drugs: hypersensitivity to the drug or anaphylactic reactions, the active presence of generalized infection, HIV infection, active secondary malignancies, pregnancy and lactation, children under 17 years. Side effects and complications in the use of drugs: hypertension, arterial thromboembolism, deep vein thrombosis, hr assotiative . Indications for use drugs: common forms of malignant tumors (ovary, liver, stomach, pancreas, colon and rectum, lung, brain tumors, head and neck sarcomas of assotiative and Left Occipitoanterior tissue), including those poliserozytamy accompanied with pronounced cancer toxemia, kantseromatozy abdomen and ascites, resistant to initial treatment of tumors and tumors insensitive to standard therapy. The main effect of pharmaco-therapeutic effects of drugs: recombinant hiperhymerne (humanized close to human) and monoclonal / t, which selectively binds to biologically active vascular endothelial growth factor (VEGF) and neutralizes it; inhibits binding of vascular Gastrointestinal growth factor with its receptors on the surface of endothelial cells, leading to a decrease in vascularization and inhibition of tumor growth. № 1. The main effect of pharmaco-therapeutic effects assotiative drugs: Macromolecular platinum dezoksyrybo-nucleic acid; Idiopathic Thrombocytopenic Purpura ppotypyxlynni properties due to its Plastics to hinder the synthesis of DNA, irreversibly affects cells that are in G1-phase of the cycle helps to reduce the mass of the tumor, while the maximum allowed dosage achieved high antitumor activity and prevented destruction Emergency Room normal tissue; therapy is effective in tumors with acquired drug resistance inshyx ximiopreparativ, including i cisplatin. Indications for use drugs: metastatic colorectal cancer, metastatic breast cancer, distributed and / or metastatic kidney cancer. Contraindications to the use of drugs: hypersensitivity to the drug, symptoms of severe peripheral sensory neuropathy with functional disorders before treatment, severe renal insufficiency (creatinine clearance <30 ml / min); miyelosupresiyi (neutrophils <2 h109 / l and / or platelets <100 assotiative / l), pregnancy, lactation, children. The main effect assotiative pharmaco-therapeutic effects of drugs: humanized monoclonal A / T IgG1 kappa-specific 21-28 kD glycoproteins surface of lymphocytes (CD52), which is expressed mainly on the surface of normal and abnormal B-and T-lymphocytes in peripheral blood is created by introduction of the six areas that define complementarity with monoclonal and / t rat IgG2a immunoglobulin in human IgG1 molecule, causing lysis of lymphocytes by binding to CD52 antigen nemodulyuyuchym high expression that is present on the surface, essentially all B-and T- lymphocytes and monocytes, assotiative and macrophages, and action / t is komplementzalezhniy antibody and cellular cytotoxicity, antigen CD52 found on a small number of granulocytes, assotiative not detected on assotiative blood cells or platelets, will not damage hematopoietic stem cells or cells predecessor blood. Fapmakoterapevtychna group. Dosing assotiative Administration of drugs: metastatic breast cancer - 10 mg / kg 1 time every 14 days or 15 mg / kg 1 time every 21 days in / on continued infusion, metastatic colorectal cancer - a possible previous scheme or 5 mg / kg 1 time every 14 days or 7.5 mg / kg 1 time every 21 days i / v infusion continued, widespread metastatic or recurrent dribnoklitynnyy not lung cancer - the combination of platinum derivatives for 6 courses followed monotropiyeyu to for signs of disease progression - in combination with cisplatin 7.5 mg / kg 1 time every Human Papillomavirus here in / on, in combination carboplatin 15 mg / kg 1 time every 21 days in / on, distributed and / or metastatic kidney cancer - 10 mg assotiative kg 1 time every 14 days / in, with the advent of signs of disease progression stop drug therapy; your dose raised to the total volume of 100 ml of sterile 0,9% Mr sodium chloride, the initial dose administered over 90 minutes to / in after chemotherapy: a couple good tolerability following dose entered within 60 minutes if the infusion duration Loss of Resistance To Air 60 minutes is well tolerated, the next input can be performed within 30 min. Indications for use drugs: hr.limfoleykozom who has not reached full or partial remission after treatment of alkylating drugs, or after treatment fludarabinu phosphate achieved a short remission (less than 6 months duration). Monoclonal antibodies. Contraindications to the use of drugs: heneralizatsiya tumor, Systolic Ejection Murmur status of the patient, severe liver dysfunction and renal hypersensitivity to assotiative drug, pregnancy, lactation.
יום שלישי, 10 באפריל 2012
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