Repeated daily dosing of weekly methotrexate therapy causing multiorgan toxicity: a case report

Autor: Emma Davey, Geoffrey K. Isbister
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Toxicology Communications, Vol 7, Iss 1 (2023)
Druh dokumentu: article
ISSN: 24734306
2473-4306
DOI: 10.1080/24734306.2023.2221508
Popis: AbstractMethotrexate toxicity following intravenous (IV) methotrexate is well reported, but there is less information on accidental daily dosing of a prescribed weekly dose of oral methotrexate. A 70 year old female presented following accidentally taking 20 mg methotrexate for five days, with multiple oral ulcers, thrombocytopenia (platelets 80 x 109/L [reference range[RR]:150-400 x 109/L]) and an alanine aminotransferase 820 U/L [RR:10-35 U/L]. Methotrexate was undetectable [
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