Low-dosage methotrexate for treatment and maintenance of remission in patients with inflammatory bowel disease.

Abstract:

:A literature search was conducted to examine the safety and effectiveness of low-dosage methotrexate for treatment and maintenance of remission in patients with inflammatory bowel disease. Nine published articles indicated that for patients with Crohn's disease, oral or intramuscular methotrexate 20-25 mg/week is safe and effective to induce remission, followed by a lower dosage to maintain remission. In addition, methotrexate allows for corticosteroid dosage reduction. Therapy may be continued until the disease flares or adverse events occur. Evidence is insufficient to support methotrexate as treatment for ulcerative colitis.

journal_name

Pharmacotherapy

journal_title

Pharmacotherapy

authors

Vandell AG,DiPiro JT

doi

10.1592/phco.22.8.613.33208

subject

Has Abstract

pub_date

2002-05-01 00:00:00

pages

613-20

issue

5

eissn

0277-0008

issn

1875-9114

journal_volume

22

pub_type

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