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. 2012 Feb;73(2):240–247. doi: 10.1111/j.1365-2125.2011.04084.x

Table 2.

MTX dosing algorithm based on 24 h MTX plasma concentrations

MTX AUC (µmol l−1 h) C24 MTX (µmol l−1) Dose adaptation (%) Proportion of patients (%)
C3 C4
<600 <0.5 +75 4.6
600–700 0.5–1.0 +55 17.5
700–800 1.0–2.0 +35 24.0
800–900 2.0–3.0 +15 14.9
900–1.000 3.0–4.0 +5 10.4
1.000–1.100 4.0–5.0 unchanged 7.5
1.100–1.200 5.0–7.0 –5 10.1
1.200–1.300 7.0–9.0 –15 6.1
1.300–1.400 9.0–12.0 –25 3.7
>1.400 >12.0 –35 1.2

C, cycle; AUC, area under the concentration–time curve.