Fluoropyrimidine-induced toxicity and DPD deficiency.. A case report of early onset, lethal capecitabine-induced toxicity and mini review of the literature. Uridine triacetate: Efficacy and safety as an antidote. Is it accessible outside USA?

Author: AmylidiAnna-Lea, AngelakiAriadni, AravantinosGerasimos, BoumpoucheropoulosSotirios, FildissisGeorge, LampropoulouDimitra Ioanna, LaschosKonstantinos, NanouEvgenia, NasioulasGeorge, PapadopoulouEirini, SouposNikolaos, ZidianakisVasilios

Paper Details 
Original Abstract of the Article :
Fluoropyrimidine-based regimens are among the most commonly used chemotherapy combinations for the treatment of solid tumors. Several genetic polymorphisms that are implicated with fluoropyrimidine anabolism and catabolism have been associated with the development of life-threatening toxicities. Uri...See full text at original site
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引用元:
https://doi.org/10.1177/1078155219865597

データ提供:米国国立医学図書館(NLM)

Fluoropyrimidine-Induced Toxicity: A Complex Challenge in Cancer Treatment

[Fluoropyrimidine-based regimens] are a common treatment option for [solid tumors]. However, these drugs can also cause [life-threatening toxicities], particularly in patients with [dihydropyrimidine dehydrogenase (DPD) deficiency]. This case report examines a patient who experienced [lethal capecitabine-induced toxicity] due to [DPD deficiency] and discusses the use of [uridine triacetate] as an antidote.

Navigating the Deserts of Toxicity: Understanding DPD Deficiency

This case report illustrates the complex challenges faced by patients with [DPD deficiency] undergoing [fluoropyrimidine] treatment. It's like navigating a vast desert where certain pathways are prone to unexpected hazards. This study highlights the importance of [genetic testing] to identify patients at risk for [fluoropyrimidine-induced toxicity] and the critical need for [early intervention] using [uridine triacetate] to potentially prevent [fatal complications].

A Vital Antidote: Uridine Triacetate's Role in Preventing Toxicity

The study emphasizes the importance of [uridine triacetate] as an antidote for [fluoropyrimidine overdose] and [early-onset, life-threatening toxicity]. It's like finding a hidden oasis in a desert, offering a vital source of sustenance and a chance for survival. However, the authors also highlight the [limited accessibility] of this lifesaving medication in some countries, underscoring the need for [increased awareness] and [improved access] to ensure patient safety.

Dr. Camel's Conclusion

This case report serves as a reminder of the complex nature of [fluoropyrimidine-induced toxicity] and the importance of [early detection, genetic testing, and access to effective antidotes]. It's like navigating a desert where knowledge and preparedness can mean the difference between survival and peril. Ensuring [patient safety] requires a multi-faceted approach that includes [genetic screening, informed decision-making, and timely access to appropriate treatment].
Date :
  1. Date Completed 2020-09-01
  2. Date Revised 2020-09-01
Further Info :

Pubmed ID

31382864

DOI: Digital Object Identifier

10.1177/1078155219865597

Related Literature

SNS
PICO Info
in preparation
Languages

English

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