Therapeutic Drug Monitoring of Low Methotrexate Doses for Drug Exposure and Adherence Assessment—Pre-Analytical Variables, Bioanalytical Issues, and Current Clinical Applications
2024

Therapeutic Drug Monitoring of Low Methotrexate Doses

Sample size: 14 publication Evidence: moderate

Author Information

Author(s): Kocur Arkadiusz, Mikulska Aleksandra, Moczulski Mateusz, Pawiński Tomasz

Primary Institution: Medical University of Warsaw

Hypothesis

The study aims to review the determination of methotrexate and its metabolites in clinical practice for therapeutic drug monitoring.

Conclusion

The review highlights the importance of methotrexate polyglutamates as biomarkers for drug exposure and adherence in low-dose methotrexate treatment.

Supporting Evidence

  • Methotrexate polyglutamates are informative biomarkers of drug exposure.
  • Therapeutic drug monitoring can help prevent toxicity and improve adherence.
  • Chromatographic techniques are essential for accurate methotrexate measurement.
  • Low-dose methotrexate is used for treating rheumatoid arthritis and other conditions.

Takeaway

This study looks at how doctors can check if patients are taking their methotrexate medicine correctly and safely by measuring certain markers in their blood.

Methodology

The study is a review of published studies on methotrexate determination, focusing on pre-analytical variability, bioanalytical considerations, and clinical applications.

Limitations

The review is limited to studies published from 2010 to 2024 and may not cover all relevant literature.

Digital Object Identifier (DOI)

10.3390/ijms252413430

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