Erschienen in:
13.03.2017 | Letter to the Editor
Reply: Methotrexate neurotoxicity due to drug interactions: an inadequate folinic acid effect
verfasst von:
Victoria J. Forster, Frederik W. van Delft, Susan F. Baird, Shona Mair, Roderick Skinner, Christina Halsey
Erschienen in:
Cancer Chemotherapy and Pharmacology
|
Ausgabe 4/2017
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Excerpt
We thank Professor Cohen for his reply and his interesting points regarding the possible role of inadequate folinic acid rescue in contributing to neurotoxic side-effects of methotrexate. We can confirm that the patient reported in our article [
1] had not received any previous exposure to any systemic methotrexate (oral or intravenous) even at low dose. In addition, the other published article on this possible interaction with nitrous oxide [
2] reported a patient developing symptoms early during induction therapy on a protocol with a standard 3-drug induction (vincristine, asparaginase and corticosteroids). Therefore, concomitant systemic methotrexate appears not to be a contributing factor in either of these reported cases. …