{"id":58789,"date":"2024-02-28T05:28:20","date_gmt":"2024-02-28T05:28:20","guid":{"rendered":"https:\/\/medsname.com\/folitrax\/"},"modified":"2026-04-30T10:24:08","modified_gmt":"2026-04-30T10:24:08","slug":"folitrax","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/folitrax\/","title":{"rendered":"Folitrax"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">\u26a1 R\u0103spuns rapid \u2014 Ce este Folitrax?<\/h3>\n<p style=\"margin:0;\"><strong>Folitrax<\/strong> este un comprimat oral de la Ipca Laboratories care con\u021bine <strong>metotrexat 7,5 mg<\/strong> \u2014 un antimetabolit (inhibitor al dihidrofolat reductazei) utilizat pentru <strong>terapia de \u00eentre\u021binere a leucemiei acute limfoblastice (LAL)<\/strong>, <strong>unele limfoame<\/strong>, <strong>artrita reumatoid\u0103 sever\u0103<\/strong>, <strong>psoriazisul sever<\/strong>, \u0219i alte boli imunomediate. Doza de \u00eentre\u021binere \u00een oncologie: de obicei <strong>15\u201330 mg\/m\u00b2 pe S\u0102PT\u0102M\u00c2N\u0102<\/strong> (NU zilnic) \u2014 administrarea s\u0103pt\u0103m\u00e2nal\u0103 este cel mai important aspect de siguran\u021b\u0103. <strong>Administrarea zilnic\u0103 din gre\u0219eal\u0103 a metotrexatului este una dintre cele mai frecvente erori medicamentoase grave prevenibile \u0219i poate fi fatal\u0103.<\/strong> Obligatoriu: <strong>acid folic 5 mg s\u0103pt\u0103m\u00e2nal<\/strong> \u00eentr-o zi diferit\u0103; analize de baz\u0103 \u0219i continue: hemogram\u0103, teste hepatice, electroli\u021bi urinari, radiografie toracic\u0103. Contraindica\u021bie absolut\u0103 \u00een sarcin\u0103 \u0219i al\u0103ptare (teratogen puternic).<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:0 0 24px 0;border-radius:4px;font-size:14px;\"><strong>\u26a0 Supraveghere specializat\u0103 necesar\u0103.<\/strong> Medicamentele pentru cancer trebuie prescrise de un oncolog tratant, cu un diagnostic confirmat, stadializare ini\u021bial\u0103 \u0219i un plan de tratament definit. Nu \u00eencepe\u021bi, nu opri\u021bi, nu modifica\u021bi doza \u0219i nu utiliza\u021bi medicamente pentru cancer \u00een afara unui plan de \u00eengrijire condus de oncologie. Majoritatea medicamentelor pentru cancer necesit\u0103 monitorizare regulat\u0103 prin analize de s\u00e2nge (hemoleucogram\u0103, teste hepatice, func\u021bie renal\u0103), sunt absolut contraindicate \u00een sarcin\u0103 \u0219i au interac\u021biuni medicamentoase semnificative.<\/div>\n<div style=\"background:#f4f8fb;border:1px solid #d6e4ec;padding:12px 18px;margin:14px 0;border-radius:4px;font-size:14px;color:#3a5160;text-align:center;\">\n<strong>\ud83d\udd12 Checkout criptat<\/strong> \u00b7 <strong>\ud83d\udcb3 Procesor verificat<\/strong> \u00b7 <strong>\ud83d\ude9a Livrare worldwide<\/strong> \u00b7 <strong>\u2b50 4,9\/5 de la peste 1.400 de clien\u021bi<\/strong>\n<\/div>\n<h2 class=\"wp-block-heading\">Ce este Folitrax?<\/h2>\n<p>Folitrax este un comprimat oral de la Ipca Laboratories care con\u021bine <strong>metotrexat 7,5 mg<\/strong>. Metotrexatul este un antagonist al acidului folic (inhibitor al dihidrofolat reductazei) utilizat \u00een doze mici pentru <strong>terapia de \u00eentre\u021binere a leucemiei acute limfoblastice (LAL)<\/strong>,  , mai multe tipuri de limfoame, anumite tumori solide \u0219i \u00een doze similare mici pentru artrita reumatoid\u0103 sever\u0103, psoriazis, boala Crohn \u0219i alte afec\u021biuni imunomediate.<\/p>\n<h2 class=\"wp-block-heading\">Utiliz\u0103ri \u0219i indica\u021bii<\/h2>\n<ul>\n<li><strong>Faza de men\u021binere a leucemiei acute limfoblastice<\/strong> (metotrexat oral s\u0103pt\u0103m\u00e2nal cu mercaptopurin\u0103 zilnic\u0103)<\/li>\n<li><strong>Boal\u0103 trofoblastic\u0103 (corioarcinom\u0103 gesta\u021bional\u0103)<\/strong> \u2014 oncologie specializat\u0103<\/li>\n<li><strong>Limfom cutanat cu celule T, micoz\u0103 fungoide<\/strong><\/li>\n<li><strong>Poliartrit\u0103 reumatoid\u0103 sever\u0103<\/strong> \u2014 DMARD de prim\u0103 inten\u021bie<\/li>\n<li><strong>Psoriazis sever, artrit\u0103 psoriazic\u0103<\/strong><\/li>\n<li><strong>Men\u021binerea bolii Crohn severe<\/strong><\/li>\n<li><strong>Mai multe alte afec\u021biuni imunomediate:<\/strong> Vasculit\u0103 ANCA, dermatomiozit\u0103, artrit\u0103 idiopatic\u0103 juvenil\u0103<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Doza \u0219i mod de administrare \u2014 CRITICAL<\/h2>\n<p>Standard <strong>men\u021binere \u00een oncologie<\/strong> doz\u0103: <strong>15\u201330 mg\/m\u00b2 pe S\u0102PT\u0102M\u00c2N\u0102<\/strong> (de obicei 20\u201325 mg\/s\u0103pt\u0103m\u00e2n\u0103 pentru adul\u021bi). Standard <strong>reumatologie \/ dermatologie<\/strong> doz\u0103: 7,5\u201325 mg pe s\u0103pt\u0103m\u00e2n\u0103.<\/p>\n<ol>\n<li><strong>DOZARE S\u0102PT\u0102M\u00c2NAL\u0102 EXCLUSIV.<\/strong> Metotrexatul se administreaz\u0103 o dat\u0103 pe s\u0103pt\u0103m\u00e2n\u0103, NU zilnic. Alege\u021bi o zi fix\u0103 din s\u0103pt\u0103m\u00e2n\u0103 (de exemplu luni) \u0219i lua\u021bi toate comprimatele \u00eempreun\u0103 \u00een acea zi. <strong>Administrarea zilnic\u0103 din gre\u0219eal\u0103 poate fi fatal\u0103.<\/strong> Aceasta este cea mai frecvent\u0103 eroare grav\u0103 prevenibil\u0103 legat\u0103 de administrarea metotrexatului.<\/li>\n<li><strong>Acid folic 5 mg s\u0103pt\u0103m\u00e2nal<\/strong> administrarea \u00eentr-o alt\u0103 zi (de exemplu, vineri) reduce greata, ulcera\u021biile bucale \u0219i cre\u0219terea enzimelor hepatice (LFT) f\u0103r\u0103 a reduce semnificativ eficacitatea.<\/li>\n<li>Lua\u021bi cu sau f\u0103r\u0103 m\u00e2ncare.<\/li>\n<li><strong>Monitorizare obligatorie:<\/strong> analize de baz\u0103: hemogram\u0103 complet\u0103 (FBC), enzime hepatice (AST, ALT), electroli\u021bi \u0219i creatinin\u0103 (U&amp;E), radiografie toracic\u0103 (CXR). Repeta\u021bi hemograma \u0219i enzimele hepatice la fiecare 2 s\u0103pt\u0103m\u00e2ni \u00een primele 3 luni, apoi lunar. Monitorizarea anual\u0103 a dozei cumulative pentru riscul de fibroz\u0103 hepatic\u0103 (specialist).<\/li>\n<li>\u00centrerupe\u021bi \u0219i solicita\u021bi evaluare \u00een aceea\u0219i zi pentru: ulcera\u021bii bucale severe, diaree sever\u0103, dispnee sau tuse nou-ap\u0103rute, febr\u0103, icter, ecchimoze sau s\u00e2nger\u0103ri u\u0219oare, sau erup\u021bii cutanate neobi\u0219nuite.<\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\">Efecte Secundare<\/h2>\n<p><strong>Frecvente:<\/strong> greata, ulcera\u021bii bucale, oboseal\u0103, sub\u021bierea p\u0103rului, cre\u0219tere u\u0219oar\u0103 a enzimelor hepatice (LFT), citopenie u\u0219oar\u0103.<\/p>\n<p><strong>Important:<\/strong><\/p>\n<ul>\n<li><strong>Mielosupresie<\/strong> \u2014 neutropenie, trombocitopenie, anemie. Panctiopenie sever\u0103 poate ap\u0103rea \u00een caz de erori de dozare zilnic\u0103.<\/li>\n<li><strong>Hepatotoxicitate<\/strong> \u2014 cre\u0219terile enzimelor hepatice (LFT) sunt frecvente; fibroz\u0103 hepatic\u0103 la doz\u0103 cumulativ\u0103 cu utilizare pe termen lung<\/li>\n<li><strong>Pneumonit\u0103<\/strong> \u2014 idiosincratic; dispnee nou\u0103 sau tuse uscat\u0103 necesit\u0103 \u00eentrerupere \u0219i evaluare<\/li>\n<li>Insuficien\u021b\u0103 renal\u0103 \u2014 toxicitate prin acumulare<\/li>\n<li>Mucozit\u0103 \u2014 adesea efectul secundar limitant la doze mai mari<\/li>\n<li>Fotosensibilitate<\/li>\n<li>Reac\u021bii cutanate severe (sindromul Stevens-Johnson) \u2014 rare dar documentate<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Avertismente \u2014 CRITICE<\/h2>\n<ul>\n<li><strong>Sarcina: CONTRAINDICA\u021aIE ABSOLUT\u0102 (Categoria FDA X pentru sarcin\u0103).<\/strong> Metotrexatul este un teratogen \u0219i abortif puternic. Contraceptie fiabil\u0103 pe toat\u0103 durata tratamentului \u0218I pentru cel pu\u021bin <strong>3 luni dup\u0103 ultima doz\u0103 la femei, 6 luni la b\u0103rba\u021bi<\/strong> (unele ghiduri recomand\u0103 6 luni la ambele sexe).<\/li>\n<li><strong>Al\u0103ptarea: contraindicat\u0103<\/strong> \u2014 metotrexatul este excretat \u00een laptele matern.<\/li>\n<li><strong>Afectare renal\u0103:<\/strong> reduce\u021bi doza pentru eGFR &lt; 60 mL\/min; evita\u021bi dac\u0103 eGFR &lt; 30. Metotrexatul este eliminat renal \u0219i se acumuleaz\u0103 rapid \u00een insuficien\u021b\u0103 renal\u0103 cu toxicitate sever\u0103.<\/li>\n<li><strong>Insuficien\u021b\u0103 hepatic\u0103 sever\u0103, alcoolism activ, hepatit\u0103 B\/C:<\/strong> evita\u021bi \u2014 risc ridicat de hepatotoxicitate sever\u0103.<\/li>\n<li><strong>Infec\u021bie activ\u0103:<\/strong> suspendare metotrexat \u00een timpul infec\u021biilor grave.<\/li>\n<li><strong>Vaccinuri cu virus viu<\/strong> (MMR, febr\u0103 galben\u0103, BCG, poliomielit\u0103 oral\u0103): contraindicate \u00een timpul terapiei cu metotrexat.<\/li>\n<li><strong>Efuziune pleural\u0103 sau ascit\u0103:<\/strong> metotrexatul se acumuleaz\u0103 \u00een lichidul din spa\u021biul al treilea \u0219i se elibereaz\u0103 din nou, provoc\u00e2nd toxicitate prelungit\u0103. Drena\u021bi efuziunile \u00eenainte de \u00eenceperea tratamentului.<\/li>\n<li><strong>Risc de interac\u021biune cu AINS:<\/strong> consulta\u021bi tabelul de interac\u021biuni medicamentoase.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interac\u021biuni medicamentoase<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;\">Combina\u021bi cu<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;\">Efect<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;\">Ce s\u0103 face\u021bi<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">AINS (ibuprofen, naproxen, diclofenac), aspirin\u0103 (doz\u0103 analgezic\u0103)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Reducerea clearance-ului de metotrexat \u2014 risc de toxicitate; sever la doze mari de MTX, moderat la doze mici de \u00eentre\u021binere<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u00cen general acceptabil la doze orale mici stabile de MTX cu monitorizare; evita\u021bi la doze mari IV de MTX. Paracetamolul este mai sigur.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Trimetoprim, co-trimoxazol (Septrin)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Efect antifolat aditiv \u2014 pancitopenie sever\u0103<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">EVITA\u021aI. Folosi\u021bi un antibiotic alternativ.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vaccinuri cu virus viu (MMR, febr\u0103 galben\u0103, BCG, varicel\u0103)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Infec\u021bie diseminat\u0103 de la vaccinul cu virus viu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Contraindicated.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">PPI (omeprazol) la doze mari IV de metotrexat<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Reducerea clearance-ului de MTX<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u00centrerupe\u021bi PPI \u00een jurul dozelor mari IV de MTX (specialist). \u00cen general acceptabil la doze orale mici.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Alcool<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Hepatotoxicitate aditiv\u0103<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Limita\u021bi la cantit\u0103\u021bi mici ocazionale. Nu mai mult de 1\u20132 b\u0103uturi pe s\u0103pt\u0103m\u00e2n\u0103.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Probenecid, peniciline (doz\u0103 mare)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Reducerea clearance-ului renal de MTX \u2014 toxicitate<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Evita\u021bi combina\u021bia.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Acid folic 5 mg s\u0103pt\u0103m\u00e2nal<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Reduce toxicitatea (mucozit\u0103, probleme gastrointestinale, cre\u0219terea enzimelor hepatice) f\u0103r\u0103 a reduce semnificativ eficacitatea.<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">STANDARD \u2014 lua\u021bi 5 mg s\u0103pt\u0103m\u00e2nal, \u00eentr-o zi diferit\u0103 de cea a MTX.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Depozitare<\/h2>\n<ul>\n<li>Temperatur\u0103 ambient\u0103, 15\u201325\u00b0C, \u00een blisterul original.<\/li>\n<li>P\u0103stra\u021bi la distan\u021b\u0103 de copii, femei \u00een v\u00e2rst\u0103 de reproducere \u0219i animale de companie \u2014 metotrexatul este un teratogen puternic.<\/li>\n<li>Sp\u0103la\u021bi-v\u0103 m\u00e2inile dup\u0103 manipularea tabletelor.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Alternative conexe pe MedsBase<\/h2>\n<p>Alte medicamente oncologice disponibile \u00eempreun\u0103 cu acest produs:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/imutrex\/\"><strong>Imutrex (metotrexat 2,5 mg)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/noltrexate\/\"><strong>Noltrexate (metotrexat 2,5 mg)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/leetrexate\/\"><strong>Leetrexate (metotrexat 2,5 mg)<\/strong><\/a><\/li>\n<\/ul>\n<p><a href=\"https:\/\/medsbase.com\/ro\/anti-cancer-medication\/\">R\u0103sfoi\u021bi toate medicamentele anti-cancer \u2192<\/a><\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">De ce se administreaz\u0103 metotrexatul s\u0103pt\u0103m\u00e2nal, nu zilnic?<\/h3>\n<p><strong>Metotrexatul se administreaz\u0103 o dat\u0103 pe s\u0103pt\u0103m\u00e2n\u0103 (nu zilnic) la doze mici de \u00eentre\u021binere \u00een oncologie \u0219i reumatologie.<\/strong> Administrarea zilnic\u0103 a metotrexatului din gre\u0219eal\u0103 poate fi fatal\u0103 \u2014 a cauzat multiple evenimente adverse grave la nivel mondial \u0219i este una dintre cele mai frecvente erori medicamentoase prevenibile. Alege\u021bi o zi fix\u0103 din s\u0103pt\u0103m\u00e2n\u0103 (de exemplu, luni), lua\u021bi toate tabletele \u00eempreun\u0103 \u00een acea zi \u0219i nu administra\u021bi niciodat\u0103 mai frecvent. Spune\u021bi fiec\u0103rui medic \u0219i farmacist despre programul dumneavoastr\u0103 s\u0103pt\u0103m\u00e2nal.<\/p>\n<h3 class=\"wp-block-heading\">De ce iau acid folic?<\/h3>\n<p>Acidul folic 5 mg o dat\u0103 pe s\u0103pt\u0103m\u00e2n\u0103 (\u00eentr-o zi diferit\u0103 de metotrexat, de exemplu vineri) reduce cele mai frecvente efecte adverse ale metotrexatului \u2014 grea\u021b\u0103, ulcera\u021bii bucale, tulbur\u0103ri gastrointestinale, cre\u0219terea enzimelor hepatice \u2014 f\u0103r\u0103 a reduce semnificativ eficacitatea. Face parte din protocolul standard pentru orice tratament pe termen lung cu metotrexat.<\/p>\n<h3 class=\"wp-block-heading\">Ce analize de s\u00e2nge am nevoie?<\/h3>\n<p>Evaluare ini\u021bial\u0103: hemogram\u0103 complet\u0103, teste hepatice (AST, ALT), electroli\u021bi + creatinin\u0103, radiografie toracic\u0103. Apoi hemogram\u0103 + teste hepatice la fiecare 2 s\u0103pt\u0103m\u00e2ni \u00een primele 3 luni, apoi lunar. Evaluare anual\u0103 a dozei cumulative pentru riscul de fibroz\u0103 hepatic\u0103 (specialist). Anun\u021ba\u021bi medicul la orice infec\u021bie, ulcera\u021bii bucale, tendin\u021b\u0103 de v\u00e2n\u0103t\u0103i sau icter.<\/p>\n<h3 class=\"wp-block-heading\">Pot consuma alcool \u00een timpul tratamentului cu metotrexat?<\/h3>\n<p>Limita\u021bi consumul de alcool la 1\u20132 b\u0103uturi standard pe s\u0103pt\u0103m\u00e2n\u0103 sau mai pu\u021bin \u2014 at\u00e2t alcoolul c\u00e2t \u0219i metotrexatul sunt hepatotoxice. Consumul mai ridicat cre\u0219te semnificativ riscul de leziuni hepatice induse de metotrexat \u0219i de fibroz\u0103 hepatic\u0103 la tratamentul pe termen lung.<\/p>\n<h3 class=\"wp-block-heading\">Pot r\u0103m\u00e2ne \u00eens\u0103rcinat\u0103 \u00een timpul tratamentului cu metotrexat?<\/h3>\n<p><strong>Nu \u2014 metotrexatul este clasificat FDA \u00een Categoria X de sarcin\u0103.<\/strong> Metotrexatul este teratogen \u0219i avortiv. Contraceptia fiabil\u0103 este obligatorie pe tot parcursul tratamentului \u0219i pentru cel pu\u021bin <strong>3 luni dup\u0103 ultima doz\u0103 la femei<\/strong> \u0219i cel pu\u021bin <strong>6 luni la b\u0103rba\u021bi<\/strong> (unele ghiduri extind perioada de abstinen\u021b\u0103 la 6 luni \u0219i pentru femei). Discuta\u021bi planificarea familial\u0103 cu specialistul \u00eenainte de a \u00eencepe tratamentul; trece\u021bi la o alternativ\u0103 non-teratogen\u0103 (azatioprin\u0103, sulfasalazin\u0103 \u00een unele indica\u021bii) dac\u0103 planifica\u021bi o sarcin\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Pot primi vaccinuri cu virus viu \u00een timpul tratamentului cu metotrexat?<\/h3>\n<p>Vaccinurile cu virus viu (ROR, febr\u0103 galben\u0103, BCG, polio oral, varicel\u0103) sunt contraindicate \u00een timpul terapiei cu metotrexat \u2014 risc de infec\u021bie diseminat\u0103 din cauza virusului vaccinal. Vaccinurile cu virus inactivat (vaccinul anual \u00eempotriva gripei, pneumococic, COVID-19, hepatit\u0103 B) nu sunt doar sigure, ci \u0219i recomandate. Planifica\u021bi vaccinurile cu virus viu cu cel pu\u021bin 4 s\u0103pt\u0103m\u00e2ni \u00eenainte de a \u00eencepe metotrexatul sau 3 luni dup\u0103 \u00eentrerupere.<\/p>\n<h3 class=\"wp-block-heading\">Ce antibiotice sunt nesigure cu metotrexatul?<\/h3>\n<p><strong>Trimetoprim \u0219i co-trimoxazol (Septrin\/Bactrim)<\/strong> sunt cele mai periculoase \u2014 au efecte antifolate aditive cu metotrexatul \u0219i au provocat pancitopenie fatal\u0103. EVITA\u021aI. Utiliza\u021bi antibiotice alternative \u2014 amoxicilina, doxiciclina, cefalexina etc. sunt sigure. Spune\u021bi fiec\u0103rui medic despre metotrexatul dumneavoastr\u0103 \u00eenainte de prescrierea oric\u0103rui antibiotic.<\/p>\n<h3 class=\"wp-block-heading\">De ce trebuie s\u0103 informez medicul \u00eenainte de orice interven\u021bie chirurgical\u0103?<\/h3>\n<p>Metotrexatul afecteaz\u0103 vindecarea r\u0103nilor \u0219i cre\u0219te riscul de infec\u021bie. Pentru interven\u021bii chirurgicale majore elective, metotrexatul este uneori \u00eentrerupt 1\u20132 s\u0103pt\u0103m\u00e2ni \u00eenainte de opera\u021bie \u0219i reluat odat\u0103 ce rana s-a vindecat. Pentru interven\u021bii minore (biopsie cutanat\u0103, lucr\u0103ri dentare) poate fi de obicei continuat. Consiliere specializat\u0103.<\/p>\n<p><!-- medsbase-why-order --><\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Fiecare lot este procurat de la un <strong>produc\u0103tor certificat WHO-GMP<\/strong>. Comenzile sunt expediate \u00een ambalaje simple, f\u0103r\u0103 marc\u0103, de la partenerii no\u0219tri de onorare \u0219i acoperite de <a href=\"\/ro\/medsbase-re-shipment-assurance-policy\/\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a>: dac\u0103 un colet nu ajunge \u00een 20 de zile lucr\u0103toare, trimitem gratuit o nou\u0103 comand\u0103, f\u0103r\u0103 \u00eentreb\u0103ri.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Medicamente Anticanceroase Asem\u0103n\u0103toare<\/h3>\n<p>Alte medicamente oncologice disponibile \u00eempreun\u0103 cu acest produs:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/imutrex\/\">Imutrex (metotrexat 2,5\/7,5\/10 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/leetrexate\/\">Leetrexate (metotrexat 2.5\/7.5\/10 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/noltrexate\/\">Noltrexate (metotrexat 2.5\/7.5\/10 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/endoxan\/\">Endoxan (ciclosfosfamid\u0103 50 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/hydrosar\/\">Hydrosar (hidroxiuree 500 mg)<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Trateaz\u0103 artrita reumatoid\u0103<br \/>\n\u2705 Reduce inflama\u021bia articular\u0103<br \/>\n\u2705 \u00cencetine\u0219te progresia bolii<br \/>\n\u2705 Controleaz\u0103 boli autoimune<br \/>\n\u2705 Amelioreaz\u0103 simptomele<\/p>\n<p>Folitrax con\u021bine Metotrexat.<\/p>","protected":false},"featured_media":58790,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3595,3141,3223],"product_tag":[4570,4466],"class_list":{"0":"post-58789","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-anti-cancer-medication","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","9":"product_tag-folitrax","10":"product_tag-methotrexate","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/58789","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=58789"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/58790"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=58789"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=58789"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=58789"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=58789"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}