Cancer Flashcards
1
Q
What are the indications for Methotrexate?
A
RA
Psoriasis
Choriocarcinoma
2
Q
What is the MOA of methotrexate?
A
Folic acid analog that inhibits HGFR, and prevents FH4
Inhibits lymphocyte formation
Activates adensoine pathways
3
Q
What is the serious adverse effect of Methotrexate?
A
Neurotoxicity
4
Q
What is the black box warning for Methotrexate?
A
Death
Monitor bone marrow, liver, lungs, and kidneys for opportunistic infections
Potentially fatal myelosuppression with NSAIDs. Cipro, and penecillins
5
Q
What drug combines with Methotrexate to cause elevated levels?
A
Tetracyclines
6
Q
What happens when Methotrexate interacts with Ganciclovir or steroids?
A
Additive myelosuppression