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Nathan Goodyear

(PDF) Insulin-induced enhancement of antitumoral response to methotrexate in breast can... - 0 views

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    IPT with methotrexate beneficial beyond methotrexate alone.
Nathan Goodyear

Combined treatment with vitamin C and methotrexate inhibits triple-negative breast canc... - 0 views

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    Low dose methotrexate + low dose vitamin C inhibit TNBC via EGFR mechanism
Nathan Goodyear

Comparison of Tripterygium wilfordii Hook F with methotrexate in the treatment of activ... - 0 views

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    Thunder god vine found to equal the effects of methotrexate in the treatment of rheumatoid arthritis joint pain.
Nathan Goodyear

Inhibition of in vitro vascular endothelial cell proliferation and in vivo ne... - 0 views

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    Low-dose methotrexate is anti-angiogenic.
Nathan Goodyear

Clinical review: Specific aspects of acute renal failure in cancer patients - 0 views

  • uric acid crystal formation in the renal tubules secondary to hyperuricaemia
  • calcium phosphate deposition related to hyperphosphataemia
  • usually develops shortly after the initiation of cytotoxic chemotherapy
  • ...18 more annotations...
  • Non-recombinant urate oxidase (Uricozyme®)
  • recombinant urate oxidase (Rasburicase®)
  • urine alkalisation may induce calcium phosphate deposition
  • renal replacement therapy should be started on an emergency basis when hydration fails to produce a prompt metabolic improvement or when ARF develops
  • Up to 50% of patients with newly diagnosed multiple myeloma have renal failure and up to 10% require dialysis
  • renal ultrasonography remains the method of choice for investigating extra-renal obstruction
  • The relief of the obstruction, either by percutaneous nephrostomy or through a ureteral stent, is the cornerstone of treatment
  • TMA may be associated with the cancer itself, with cancer chemotherapy, or with allogeneic BMT
  • thrombotic microangiopathy (TMA)
  • it may be as high as 5%
  • Most of the cases occur in patients with solid tumours, the most common type being adenocarcinoma (stomach, breast and lung)
  • The pathophysiology of the TMA-malignancy association remains controversial, although many studies suggest an insult to the vascular endothelium
  • mitomycin C. Subsequently, TMA has been reported with many anti-cancer agents, including gemcita-bine, bleomycin, cisplatin, CCNU, cytosine arabinoside, daunorubicin, deoxycoformycin, 5-FU, azathioprine and interferon α
  • Plasma exchanges have been shown to improve prognosis in the general population of patients with TMA
  • Causative factors should be looked for and antihypertensive treatment given. Lastly, in the absence of guidelines, we believe that plasma exchange should be proposed in patients with severe cancer treatment-associated TMA
  • The most widely used protective measure is saline infusion to induce solute diuresis
  • During methotrexate infusion and elimination, fluids should be given to maintain a high urinary output and urinary alkalisation should be performed to keep the urinary pH above 7.5. Rescue with folinic acid (50 mg four times a day) should be started 24 hours after each high-dose metho-trexate infusion and serum methotrexate concentrations should be measured every day
  • cyclophosphamide and ifosfamide
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    cancer and renal failure
Nathan Goodyear

Medical ozone increases methotrexate clinical response and improves cellular redox bala... - 0 views

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    ozone
Nathan Goodyear

Medical ozone increases methotrexate clinical response and improves cellular redox bala... - 0 views

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    Ozone
Nathan Goodyear

A phase II study of high-dose celecoxib and metronomic 'low-dose' cyclophosphamide and ... - 0 views

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    Oral metronomic chemotherapy with celebrex shown to provide appx 50% stable NHL disease in refractory NHL.
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