2012
DOI: 10.1136/ejhpharm-2012-000074.189
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Carboxypeptidase rescue after high-dose methotrexate

Abstract: Background High-dose methotrexate may cause acute nephrotoxicity because it is mostly excreted by the renal route. Carboxypeptidase G2 is an enzyme that hydrolyses methotrexate rapidly to the inactive metabolites DAMPA and glutamate. The criteria that justify the use of carboxypeptidase in the hospital studied are: methotrexate plasma concentration >10 µM/L, 48 h after administration or increase of creatinine by 100%, 24 h after infusion. Purpose The aim of this study was to check that carboxypeptidase was b… Show more

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