Pharmacokinetic interaction between methotrexate and chloral hydrate.

Abstract:

:We report the case of a drug interaction between methotrexate (MTX) and chloral hydrate (CH) observed in a child treated for acute leukemia. Significantly slower MTX clearance and increased MTX exposure occurred on the first three courses of a high-dose chemotherapy when co-administered with CH despite normal renal function, adequate hydration, and alkalinization. Mean MTX area under the curve associated with CH administration was 1,134 µmol hours/L, compared to 608 µmol hours/L after discontinuation of CH. This interaction possibly resulted from a competition between anionic CH metabolites and MTX for renal tubular excretion.

journal_name

Pediatr Blood Cancer

journal_title

Pediatric blood & cancer

authors

Dao K,Ivanyuk A,Buclin T,Beck-Popovic M,Diezi M

doi

10.1002/pbc.24393

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

518-20

issue

3

eissn

1545-5009

issn

1545-5017

journal_volume

60

pub_type

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