Pemetrexed (Alimta)
Indications
- Peritoneal Mesothelioma (see xxxx, [[xxxx]])
- Pleural Mesothelioma (see Mesothelioma, [[Mesothelioma]]): FDA-approved in 2004
- Non-Small Cell Lung Cancer (see Lung Cancer, [[Lung Cancer]]): FDA-approved in 2008
Pharmacology
- Folate Anti-Metabolite: inhibition of enzymes used in purine/pyrimidine synthesis -> inhibits RNA/DNA synthesis
- Inhibition Thymidylate Synthase
- Inhibition of Dihydrofolate Reductase
- inhibition of Glycinamide Ribonucleotide Formyltransferase
Metabolism
Administration
Dose Adjustment
Adverse Effects
Hematologic Adverse Effects
- Megaloblastic Anemia (see Anemia, [[Anemia]])
Other Adverse Effects
References