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Re: MethotrexateFrom: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL)Mon Apr 30 04:48:10 2007
I suppose its that he still has to manage a budget. Mind you, its millions of dollars, but its still a budget. I think, honestly, what he is looking at is that we rarely use methotrexate injections here. I think we see maybe 2-3 ectopics per month and half are taken to surgery. I presume, although I am completely unencumbered by data, that the oral is cheaper and has a longer shelf life making it easier to stockpile for that 1/month use. None of us felt comfortable switching without some protocol that showed equal effects. With the IM shot, there was always the thought that you could see the patient get the medication. There was no worry that it would not be tolerated or not taken. Glen -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr Eberhard Lisse Sent: Monday, April 30, 2007 10:41 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Methotrexate By the way, what's his problem, he's Air Force, so there are no financial or logistical implications? el
on 4/30/07 9:23 AM Elrod, Darryl G Maj 48 MDOS/SGOBO said the following:
> That was our first reaction. I just wasn't sure if anyone had -- ------------------------------------------------------------------------ *R. > Daniel Braun > *Sent:* Friday, April 27, 2007 9:31 PM > *To:* Multiple recipients of list OB-GYN-L > *Subject:* Re: Methotrexate > > No. Insist on following the protocol, unless you are doing an IRB > approved research project to prove that the oral works. > > Dan > > On 4/27/07, *Elrod, Darryl G Maj 48 MDOS/SGOBO* > <Darryl.elrod@lakenheath.af.mil <mailto:Darryl.elrod@lakenheath.af.mil>> > wrote: > > Does anyone have any experience with ORAL methotrexate for treatment of > ectopic pregnancy? Our pharmacist is looking to try and get away from > having to stock IM methotrexate. > > Thanks, > > Glen > > -- > R. Daniel Braun, MD FACOG(L) CMT > Professor Emeritus > Dept. of Obstetrics and Gynecology > Indiana U. School of Medicine > > R. Daniel Braun > > "The way to health is an aromatic bath and scented massage everyday". > Hippocrates >
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