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Continuation therapy to eliminate residual disease

Authoring team

Continuation of treatment is necessary to prevent or forestall relapses in patients with ALL.

  • all cases should receive chemotherapy for 2 - 2·5 years
  • usual regimens consist of daily mercaptopurine and weekly methotrexate

When using mercaptopurine, patients should be informed that the dose should be taken in the evening (than in the morning) and to avoid taking it with milk or milk products that contain xanthine oxidase (2).

Thioguanine has been shown to be superior to mercaptopurine, but the side effects have limited its use. Thoiguanine may be used in short term courses during the intensification phase of treatment (1). Reference:

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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