Drug Interaction in a 64-Year-Old with ALL

Author: Sandra Puri Cuellar, PharmD, BCOP

Chief Complaint

Upon laboratory testing, SL, a 64-year-old female diagnosed with Philadephia chromosome–positive (Ph+) ALL, was found to be anemic (Hgb=7 g/dL) (Slide 2) and neutropenic (ANC=600 cells/mcL) after her second course of maintenance therapy.

Relevant Medical History

• Currently, SL is taking vincristine, prednisone, methotrexate, and mercaptopurine (POMP) + dasatinib maintenance therapy for her Ph+ ALL
• Recently ...