Chinese Journal of Pharmacovigilance ›› 2021, Vol. 18 ›› Issue (1): 87-89.
DOI: 10.19803/j.1672-8629.2021.01.18

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One Case of Cesarean Scar Pregnancy with Severe Aphthous Ulcer and Ⅲ Degree Myelosuppression Induced by Methotrexate

HE Shouyun1, WU Yingqi2,*   

  1. 1The Second People's Hospital of Wuhu,Wuhu Anhui 241000,China;
    2The First Affiliated Hospital of USTC Anhui Provincial Hospital,Hefei Anhui 230000,China
  • Received:2019-11-03 Revised:2021-01-18 Online:2021-01-15 Published:2021-01-18

Abstract: Objective To provide reference for more rational clinical use of methotrexate in order to reduce adverse drug reaction(ADR) and treatment methods after ADR.Methods Clinical pharmacists participated in a case for cesarean scar pregnancy with severe aphthous ulcer and III degree myelosuppression caused by methotrexate chemotherapy ,analyzed the ADR causes,prevention and cure,and pharmaceutical care.Results The ADR of methotrexate can be avoided or alleviated through the detection of MTHFR genotype in patients and preventive measures in advance.Conclusion The participation of clinical pharmacists in the treatment of patients can provide pharmaceutical care and medication education for patients,improve the level of clinical treatment,and provide more safe,effective,economical and reasonable pharmaceutical care for patients.

Key words: methotrexate, aphthous ulcer, myelosuppression, clinical pharmacist, pharmaceutical care

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