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This question was answered on Thu 08, Oct 2009 08:31am by Dr. Monica, MD

CNS Lymphoma


    
Asked by seamusmcg (Male; 29; Clean until CNS diagnosis; Relevant drugs:Methotrexate, Sodium Bicarbonate ) on Sun 04, Oct 2009 07:12am

My brother-in-law has CNS lymphoma and is being treated with Methotrexate chemo drug. He has to take sodium bicarbonate pills to keep his alkinality up but the pills have become the bain of his existence. He must take 6 tablets every four hours, they are big and a chalky which don't make them easy to take. Are there any alternative ways to ingest the pills? Wondering if having them baked into something is an option or any other way?

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Answer by Dr. Monica, MD  on Thu 08, Oct 2009 08:31am:

Hi Sodium bicarbonate supplements are given to patients being treated with high dose methotrexate to alkalinize the urine and reduce toxicity. They need to be taen periodically can are generally given as oral tablets. The other option is to give it as an IV injection but this is an invasive procedure. Ask him to take them slowly with water or juice etc. All the best

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