학술논문

Chronic leukaemias in the community.
Document Type
Article
Source
Australian Prescriber. Aug2020, Vol. 43 Issue 4, p126-130. 5p.
Subject
*CHRONIC leukemia
*LYMPHOCYTIC leukemia
*CHRONIC myeloid leukemia
*CARDIOVASCULAR diseases
*PHARMACOKINETICS
Language
ISSN
0312-8008
Abstract
Patients with chronic myeloid leukaemia and chronic lymphocytic leukaemia are now predominantly managed in an outpatient setting, with infrequent need for hospital-based therapy. New targeted oral treatments have transformed survival outcomes. An increasing number of patients now have a life expectancy approaching that of the general population. Suboptimal drug adherence is common and a key reason for therapy failure and poor clinical outcomes. The pharmacokinetics of new oral targeted drugs are significantly impacted by drug-drug interactions and an altered gastric pH. Long-term use of some of the new oral drugs is associated with complications, including cardiovascular events and infections, which can be fatal if not recognised. [ABSTRACT FROM AUTHOR]