Antidote for folic acid antagonists 6-12 mg IM every 6 hrly for 4 doses.
Rescue after high-dose MTX therapy 10 mg/m
2 orally or parenterally followed by 10 mg/m
2 orally every 6 hr until serum MTX conc is <10
-8 M.
If at 24-hr following MTX administration the serum creatinine is increased by 50% or greater than the pre-MTX serum creatinine Immediately
increase to 100 mg/m
2 every 3 hr until serum MTX level is <5 x 10
-8 M.
Advanced CRC 200 mg/m
2 by slow IV inj over a minimum of 3 min followed by 370 mg/m
2 of 5-fluorouracil or 20 mg/m
2 IV inj followed by 425 mg/m
2 of 5-fluorouracil. Treatment is repeated daily for 5 days. 5-day treatment course may be repeated at 4 wk intervals for 2 courses & then repeated at 4-5 wk intervals.