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Methotrexate injection and Ziac

Determining the interaction of Methotrexate injection and Ziac and the possibility of their joint administration.

Check result:

Methotrexate injection <> Ziac

Relevance: 28.06.2022 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Before taking methotrexate, tell your doctor if you also use hydroCHLOROthiazide. You may need dose adjustments or special tests in order to safely take both medications together. Your blood work may need to be monitored more frequently or using a different blood pressure medicine may be necessary. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using your medications without first talking to your doctor first.

Professional:

MONITOR: Antineoplastic-induced bone marrow suppression may be prolonged with concomitant thiazide administration. The mechanism is unknown. Thiazides have been associated with blood dyscrasias.

MANAGEMENT: Alternative antihypertensive therapy may be advisable. Hematological status should be closely monitored in patients receiving this combination.

References

Kristensen LO, Weismann K, Hutters L "Renal function and the rate of disappearance of methotrexate from serum." Eur J Clin Pharmacol 8 (1975): 439-44
Hardman JG, Gilman AG, Limbird LE eds. "Goodman and Gilman's the Pharmacological Basis of Therapeutics. 9th ed." New York, NY: McGraw-Hill (1995):
Orr LE "Potentiation of myelosuppression from cancer chemotherapy and thiazide diuretics." Drug Intell Clin Pharm 15 (1981): 967-70

Methotrexate injection

Generic Name: methotrexate

Brand name: Otrexup, Rasuvo, Rheumatrex Dose Pack, Trexall, Xatmep, Methotrexate Sodium, Preservative Free

Synonyms: Methotrexate

What is Methotrexate injection?

Ziac

Generic Name: bisoprolol / hydrochlorothiazide

Brand name: Ziac

Synonyms: n.a.

What is Ziac?

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In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

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