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Oral versus intravenous administration of cyclophosphamide: a case report
Kenneth S Wu1, Chung Kwok, Aishin Lok
1Department of Nephrology, St James's University Hospital, Beckett Street, Leeds, LS9 7TF, UK. kenwu@doctors.org.uk.
Background:
Cyclophosphamide, an alkylating agent, has been used as an immunosuppressant in the treatment of various autoimmune disorders and malignancies. It is highly capable of reducing T and B lymphocytes.
Case Presentation:
Regular blood tests are important to detect bone marrow suppression. The risk of opportunistic infection such as pneumonia secondary to pneumocystic carinii increases drastically with lymphopaenia. Hence, prophylactic co-trimoxazole is frequently prescribed as long as patients are on cyclophosphamide.
Conclusion:
The benefits and toxicity risks of intravenous versus oral administration of cyclophosphamide are described in this article.
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