Summary
Methotrexate (MTX) concentrations in erythrocytes in 32 psoriatics treated weekly with MTX p.o. or i.m. have been studied. When treatment had been constant for at least 5 weeks, there was only small variation in erythrocyte MTX (ery-MTX) in the week between two courses of treatment. The ery-MTX was correlated with the weekly dose of MTX. For patients treated with MTX i.m.r=0.87, and in patients given divided oral dosesr was 0.68. There was no difference in ery-MTX between the two routes of administration. No correlation was observed between ery-MTX and the total MTX dose or the length of treatment. During constant MTX administration small variations in ery-MTX were observed. Small changes in the weekly dose of MTX resulted in marked changes in ery-MTX in 4 of the 5 patients studied.
Similar content being viewed by others
References
Jolivet J, Cowan KH, Curt GA, Glendeninn NJ, Chabner BA (1983) The pharmacology and clinical use of methotrexate. N Engl J Med 309: 1094
Weinstein GD, Frost P (1971) Methotrexate for psoriasis — a new therapeutic schedule. Arch Dermatol 103: 33
Roenigh HH, Auerbach R, Maibach H, Weinstein GD (1982) Methotrexate guidelines — revised. Am Acad Dermatol 6: 145
Kragballe K, Zachariae E, Zachariae H (1982) Methotrexate in psoriatic arthritis: A retrospective study. Acta Derm Venereol (Stockh) 63: 165
Hendel J, Nyfors A (1984) Pharmacokinetics of methotrexate in erythrocytes in psoriasis. Eur J Clin Pharmacol 27: 607
Schrøder H, Clausen N, Østergaard E, Preisler T (1986) Pharmacokinetics of erythrocyte methotrexate in children with acute lymphoblastic leukemia during maintenace treatment. Cancer Chemother Pharmacol (in press)
Krakower GR, Kamen BA (1984) The reticulocytic rat: A model for analysis of methotrexate polyglutamate dynamics in situ. J Pharmacol Exp Ther 231: 43
Schrøder H (1986) Methotrexate in age fractionated erythrocytes. Cancer Chemother Pharmacol 4
Hendel J, Poulsen H, Nyfors B, Nyfors A (1985) Changes in liver histology during methotrexate therapy of psoriasis correlated to the concentration of methotrexate and folate in erythrocytes. Acta Pharmacol Toxicol 56: 321–326
Boothby WM, Sandiford RB (1921) Normographic charts for the calculation of the metabolic rate by the gasometer method. Boston MSJ 185: 337
Schrøder H, Heinsvig E-M (1985) Enzymatic assay for methotrexate in erythrocytes. Scand J Clin Lab Invest 45: 657
Kamen BA, Holcenberg JS, Turo K, Whitehead VM (1984) Methotrexate and folate content of erythrocytes in patients receiving oral vs intramuscular therapy with methotrexate. J Pediatr 104: 131
Steele WH, Stuart JFB, Lawrence JR, McNeill CA, Sneader WE, Whiting B, Calman KC, McVie JG (1979) Enhancement of methotrexate absorption by subdivision of dose. Cancer Chemother Pharmacol 3: 235
Balis FM, Savitch JL, Bleyer WA (1983) Pharmacokinetics of oral methotrexate in children. Cancer Res 43: 2342
Pinkerton CR, Welshman SG, Glasgow JFT, Bridges JM (1980) Can food influence the absorption of methotrexate in children with acute lymphoblastic leukemia? Lancet 2: 944
Bender RA, Bleyer WA, Frisby SA, Oliverio VT (1975) Alteration of methotrexate uptake in human leukemia cells by other agents. Cancer Res 35: 1305
Bruckner HW, Schreiber C, Waxman S (1975) Interaction of chemotherapeutic agents with methotrexate and 5-fluorouracil and its effect on de novo DNA synthesis. Cancer Res 35: 801
Craft AW, Kay H, Lawson DN, McElwain TJ (1977) Methotrexate-induced malabsorption in children with acute lymphoblastic leukemia. Br Med J 2: 1511
Craft AW, Rankin A, Aherne W (1981) Methotrexate absorption in children with acute lymphoblastic leukemia. Cancer Treat Rep 65 [Suppl 1]: 77
Hendel L, Hendel J, Johnsen A, Gudmand-Høyer E (1982) Intestinal function and methotrexate absorption in psoriatic patients. Clin Exp Dermatol 7: 491–498
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Schrøder, H., Foged, E.K. Methotrexate in erythrocytes of patients with psoriasis. Eur J Clin Pharmacol 30, 453–456 (1986). https://doi.org/10.1007/BF00607959
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00607959