Literature DB >> 1768158

Exacerbation of rheumatoid arthritis in patients treated with methotrexate after administration of folinic acid.

D A Joyce1, R K Will, D M Hoffman, B Laing, S J Blackbourn.   

Abstract

A double blind, placebo controlled trial examined the effects of folinic acid on the efficacy and toxicity of methotrexate in 27 patients with rheumatoid arthritis. Clinical and laboratory indices of disease activity worsened significantly in the 13 patients treated with folinic acid after four weeks of treatment, but not in the 14 patients treated with placebo. Exacerbation of rheumatoid arthritis led to withdrawal of the test drug in seven of the patients treated with folinic acid but in none of those treated with placebo. It is concluded that excerbation of rheumatoid arthritis is likely when folinic acid is given shortly after the weekly dose of methotrexate.

Entities:  

Mesh:

Substances:

Year:  1991        PMID: 1768158      PMCID: PMC1004580          DOI: 10.1136/ard.50.12.913

Source DB:  PubMed          Journal:  Ann Rheum Dis        ISSN: 0003-4967            Impact factor:   19.103


  6 in total

1.  Cytopenias induced by methotrexate in inflammatory arthritis.

Authors:  R I Baker; A Manoharan
Journal:  Aust N Z J Med       Date:  1989-12

Review 2.  Biochemical factors in the selectivity of leucovorin rescue: selective inhibition of leucovorin reactivation of dihydrofolate reductase and leucovorin utilization in purine and pyrimidine biosynthesis by methotrexate and dihydrofolate polyglutamates.

Authors:  I D Goldman; L H Matherly
Journal:  NCI Monogr       Date:  1987

3.  Beneficial effects of leucovorin after methotrexate treatment in rheumatoid arthritis: a case report.

Authors:  J R Polk
Journal:  Arthritis Rheum       Date:  1988-12

4.  The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis.

Authors:  F C Arnett; S M Edworthy; D A Bloch; D J McShane; J F Fries; N S Cooper; L A Healey; S R Kaplan; M H Liang; H S Luthra
Journal:  Arthritis Rheum       Date:  1988-03

5.  Concurrent use of folinic acid and methotrexate in rheumatoid arthritis.

Authors:  P S Hanrahan; A S Russell
Journal:  J Rheumatol       Date:  1988-07       Impact factor: 4.666

6.  The effects of leucovorin (folinic acid) on methotrexate therapy in rheumatoid arthritis patients.

Authors:  M Tishler; D Caspi; B Fishel; M Yaron
Journal:  Arthritis Rheum       Date:  1988-07
  6 in total
  20 in total

Review 1.  Three decades of low-dose methotrexate in rheumatoid arthritis: can we predict toxicity?

Authors:  Vasco C Romão; Aurea Lima; Miguel Bernardes; Helena Canhão; João Eurico Fonseca
Journal:  Immunol Res       Date:  2014-12       Impact factor: 2.829

Review 2.  In juvenile idiopathic arthritis, is folate supplementation effective against methotrexate toxicity at the expense of methotrexate's efficacy?

Authors:  O G Killeen; J M Gardner-Medwin
Journal:  Arch Dis Child       Date:  2006-06       Impact factor: 3.791

3.  [Reducing toxicity of methotrexate with folic acid].

Authors:  P Harten
Journal:  Z Rheumatol       Date:  2005-06       Impact factor: 1.372

4.  Concurrent acute megaloblastic anaemia and pneumonitis: a severe side-effect of low-dose methotrexate therapy during rheumatoid arthritis.

Authors:  G Bolla; P Disdier; J R Harle; D Verrot; P J Weiller
Journal:  Clin Rheumatol       Date:  1993-12       Impact factor: 2.980

5.  Causes of DMARD withdrawal following ADR within 6 months of initiation among Indian rheumatoid arthritis patients.

Authors:  Niti Mittal; Aman Sharma; Vinu Jose; Rakesh Mittal; Ajay Wanchu; Pradeep Bambery
Journal:  Rheumatol Int       Date:  2010-12-16       Impact factor: 2.631

Review 6.  Outcomes related to methotrexate dose and route of administration in patients with rheumatoid arthritis: a systematic literature review.

Authors:  Susan M Goodman; Bruce N Cronstein; Vivian P Bykerk
Journal:  Clin Exp Rheumatol       Date:  2014-12-23       Impact factor: 4.473

Review 7.  Methotrexate and its mechanisms of action in inflammatory arthritis.

Authors:  Bruce N Cronstein; Thomas M Aune
Journal:  Nat Rev Rheumatol       Date:  2020-02-17       Impact factor: 20.543

Review 8.  Methotrexate intolerance in elderly patients with rheumatoid arthritis: what are the alternatives?

Authors:  Alexandros Drosos
Journal:  Drugs Aging       Date:  2003       Impact factor: 3.923

Review 9.  Rheumatoid arthritis in the aged. Incidence and optimal management.

Authors:  G Nesher; T L Moore
Journal:  Drugs Aging       Date:  1993 Nov-Dec       Impact factor: 3.923

10.  Folate usage in MTX-treated juvenile idiopathic arthritis (JIA) patients is inconsistent and highly variable.

Authors:  Gil Amarilyo; Gil Amarlilyo; Ornella J Rullo; Deborah K McCurdy; Jennifer M P Woo; Daniel E Furst
Journal:  Rheumatol Int       Date:  2013-02-12       Impact factor: 2.631

View more

北京卡尤迪生物科技股份有限公司 © 2022-2023.