Abstract
Previously established as a chemotherapeutic agent for decades, methotrexate has been adapted for use as a medical therapy for unruptured ectopic pregnancies. Its mechanism of action, competitive inhibition of folate-dependent steps in nucleic acid synthesis, effectively kills the rapidly dividing ectopic trophoblast. However, the same action on normal cells is the basis for many of its adverse effects.
Original language | English (US) |
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Pages (from-to) | 433-439 |
Number of pages | 7 |
Journal | Clinical Obstetrics and Gynecology |
Volume | 55 |
Issue number | 2 |
DOIs | |
State | Published - Jun 2012 |
Keywords
- Methotrexate
- ectopic pregnancy
- methotrexate/pharmacokinetics
- methotrexate/toxicity
ASJC Scopus subject areas
- Obstetrics and Gynecology