Moreover, after a few stero A few months without a recurrence Hepatotoxizit T been set. Despite increased FITTINGS dose of imatinib in two patients up to 600 mg and 800 mg per day, respectively Therefore, corticosteroids Now, as a promising approach in the imatinib-induced BMS-707035 Hepatotoxizit t to the discontinuation of a drug to be highly effective to prevent against neoplastic. However, for other serious side effects of second-generation tyrosine kinase inhibitors now the M Possibility give these patients an alternative treatment, they are more likely to tolerate. Pulmonary toxicity t Due from interstitial lung disease on imatinib were ver Ffentlicht and discussed. A series stock reported 27 F Lle of interstitial pneumonia in patients treated with imatinib.
Eleven of these patients had pre-existing lung disease. In most patients with ILD was treated stero Of with completely Ndiger resolution and high in 7 patients and improved in 16 patients. Four of the 11 patients with imatinib was introduced to ILD ILD improved experience recurring. BMS-790052 Although ILD is associated with imatinib probably rare, physicians should Be alert to it. Management should include Ma Measures to support the stero Au heritage missioning And imatinib. A decision on the m Possible reintroduction should be based on the individual clinical features and courses, but in severe F Cases swiftly to stero Switching to another treatment w re Wisely. Debulking may be other side effects Similar to conventional chemotherapy imatinib cause tumor lysis syndrome requiring appropriate care, including normal prophylaxis in patients who are found hrdet.
Novartis reported a statistically significant cant increase in renal, bladder, and prepuce tumors in rats after 2 years of imatinib administration. In addition, Roy et al have suggested an increased incidence of urothelial carcinomas in their patient population. Despite these concerns, there was no increase in the urothelial tumors in 9500 patients in various clinical studies observed. Drug Interactions Interactions between imatinib and inhibitors or inducers of CYP3A4 and CYP3A5 enzymes entered Ing Ver changes In the plasma concentration of imatinib and co administered drugs occur. Agents that inhibit CYP3A4 entered 5 k Nnte increasing concentrations of imatinib dinner. This class includes several clinically important drug.
Grapefruit juice is another inhibitor of CYP3A4 inhibitor, and patients need to ??berm Owned consumer be warned. Allelic variants of the genes for cytochrome P-450 was found to have limited effect on the pharmacokinetics of imatinib. Although imatinib has a wide therapeutic window, caution should always be exercised, especially in patients, the toxicity of imatinib doses or more of patients already Th in connection with dose can be performed. Plasma levels of certain drugs that are metabolized by CYP3A4 can be ht by 5 imatinib, which increased particularly important in materials with a narrow therapeutic index. Conversely K can medications that decrease induces CYP3A4 5 the level of imatinib. CYP3A4 inducers Big z 5 Select carbamazepine, dexamethasone, phenytoin , Has phenobarbital, rifampin, St. John’s
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