Methotrexate in Ectopic Pregnancy

ASRM committee opinion 2008

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3. Multiple-dose MTX treatment protocol (28, 20)

Pretreatment

OG, CBC with ferenti,
creatinine, Blood type

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Re out spontaneous Ab
Fhogam ih negative

MX 1.0 mk IM
LEU 0.1 mg/kg IM
MIX 1.0 mg/kg IM if <1596 decine day

%, stop treatment and start
surveillance

LEU 0.1 mg/kg IM

MTX 1.0 mag IM if<1596 decine day
121%, top treatment and start
survellance

LEU 0.1 mg/kg IM

MTX 1.0 mag IM if < 15% decine day
11215%, stop treatment and start
sunveilance

LEU 0.1 mg/kg IM

ule out spontaneous Ab
Rnogam if Rh negative

MTX 50 mg/m£ 1

MIX S0 mg/m? IM -HoG
decreased 15
between day and day 7

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Predictors of MTX treatment failure (
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5. Pneumoniti (are)

sociated with