Safety of the concomitant use of methotrexate and a prophylactic dose of trimethoprim-sulfamethoxazole

The objective of this study was to investigate risk factors for cytopenia when a prophylactic dose of trimethoprim-sulfamethoxazole (TMP-SMX) was co-administered with methotrexate (MTX). Patients who received MTX with or without a prophylactic dose of TMP-SMX were included. Patients who received a t...

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Veröffentlicht in:Clinical rheumatology 2018-12, Vol.37 (12), p.3215-3220
Hauptverfasser: Kwon, Oh Chan, Lee, Jung Sun, Kim, Yong-Gil, Lee, Chang-Keun, Yoo, Bin, Hong, Seokchan
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Sprache:eng
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Zusammenfassung:The objective of this study was to investigate risk factors for cytopenia when a prophylactic dose of trimethoprim-sulfamethoxazole (TMP-SMX) was co-administered with methotrexate (MTX). Patients who received MTX with or without a prophylactic dose of TMP-SMX were included. Patients who received a therapeutic dose of TMP-SMX were excluded. The MTX-alone and MTX with TMP-SMX groups (MTX group and MTX + TMP-SMX group, respectively) were matched in a 4:1 ratio according to age, creatinine level, mean corpuscular volume and MTX dose. Cytopenia was defined as a haemoglobin level decrease by > 2 g/dl, platelet count of
ISSN:0770-3198
1434-9949
DOI:10.1007/s10067-018-4005-6