Bibliographic citations
Páez, D., Villanueva, M. (2005). Reacciones adversas medicamentosas en pacientes con lupus eritematoso sistématico tratados con ciclofosfamida endovenoso en el Servicio de Reumatología del Hospital Nacional Guillermo Almenara Irigoyen [Tesis, Universidad Nacional Mayor de San Marcos]. https://hdl.handle.net/20.500.12672/1091
Páez, D., Villanueva, M. Reacciones adversas medicamentosas en pacientes con lupus eritematoso sistématico tratados con ciclofosfamida endovenoso en el Servicio de Reumatología del Hospital Nacional Guillermo Almenara Irigoyen [Tesis]. PE: Universidad Nacional Mayor de San Marcos; 2005. https://hdl.handle.net/20.500.12672/1091
@misc{renati/491894,
title = "Reacciones adversas medicamentosas en pacientes con lupus eritematoso sistématico tratados con ciclofosfamida endovenoso en el Servicio de Reumatología del Hospital Nacional Guillermo Almenara Irigoyen",
author = "Villanueva Samar, Margot Isabel",
publisher = "Universidad Nacional Mayor de San Marcos",
year = "2005"
}
The goal of this study was to determine the effect of drug adverse reactions (DAR) produced by the use of intravenous cyclophosphamide in a group of 30 patients with Systemic Lupus Erythematosus (SLE) in the Rheumatology's Service of the National Hospital Guillermo Almenara Irigoyen from Lima-Perú. These patients initiated the treatment between January 1999 to December 2001, the information was obtained by the evaluation of the clinical histories between June to September 2002. We determined that 100 % of the patients presented DAR. The leucopenia was the most frequent DAR appearing in 76,7 % of the patients during the treatment. Using the Algorithm of Decision applied by Farmacovigilancia's National Center and Information of Dirección General de Medicamentos, Insumos y Drogas - Ministerio de Salud (CENAFIM - DIGEMID - MINSA), of the identified DARs, 38,2 % was from definite cause and 58,4 % corresponds to serious DAR The clinical doctor had to suspend definitively the treatment with intravenous cyclophosphamide to 9 of 30 patients, for presenting severe RAM. By the measurement of statistical association Odds Ratio we determined that it exists relation between the administered doses by cyclophosphamide's corporal surface and the presence of nauseas, vomits and leucopenia. We propose a guide for the managing of DAR to intravenous cyclophosphamide in patients with SLE, elaborated on the basis of the experience gathered along the present study.
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