A Drug users Guide to BMT
Aciclovir Antiviral. For the prophilaxis (prevention) of viral infections that can occur when the immune system is weak.
Allopurinol Prevents Gout. Gout is formed by the cristalisation of uric acid in the joints, when there is exessive uric acid in the body. When white cells are destroyed or die they procduce this uric acid, and as my white cells will be killed off before receiving the bone marrow the onset of gout needs to be prevented.
Campath Immunosuppresant or T-Cell depleator. The T-Cells are the white cells in the blood that recognise foreign bodies and attack them. Although the bone marrow of the donor has been matched to mine, they are still non-identical, therefore there is a risk of graft vs. host disease (GVHD). Campath reduces the effectiveness of the T-Cells (or Lymphocites) and enduces lymphopenia or very low lymphocite count in the blood thus preventing severe graft rejection.
Ciprofloxacin Antibiotic
Cyclophosphamide This is a chemotherapy that is given to treat some types of cancer, and in my case as part of the eradication of Chronic Myloid Leukaemia (CML). Needs to be taken with Mesna (see below).
Cyclosporine Another immunosuppressant drug which is given during bone marrow transplants (BMTs) to prevent the patient's tissue from being rejected by the donor's marrow by blocking the development of the lymphocytes which would normally attack the host's tissue. It is taken for 6-12 months following BMT to gradually allow the marrow to implant successfully without major graft vs. host disease.
Fluconazole Anitfungal. Used for the prophilaxis of fungal attacks from fungi that live in the mouth and gut system. These fungi are normally suppressed by the immue system.
Lansoprazole Used to prevent stomach ulcers that can occur due to the large number and quantity of different drugs that will be taken.
Mesna Protects the lining of the bladder which can be damaged by the chemotherapy. The damaging of the bladder is a side effect of Cyclosphosphamide.
Methotrexate This is also an immunospressant which is administered after the BMT. Whereas the other immunosuppressants work by suppressing the Lymphocite white cells, methotrexate suppresses the whole immune system to reduce the reactivity of the new marrow in its new body. This is given in small does on days 2, 4 and 8 following BMT.
Puratine Antihistamine. It prevents the body from reacting to a drug it may be given, and also to prevent an allergic reaction. It is also injected prior to the Campath which often causes rashes.

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