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Pharmacology Cytotoxic Anticancer Drugs 039fdcc1

Maintenance of high urinary pH is impoant during methotrexate treatment because:

A
Bladder irritation is reduced
B
It decreases renal tubular secretion of methotrexate
C
Leucovorin toxicity is increased in a dehydrated patient
D
Methotrexate is a weak acid
High-Yield Explanation
Methotrexate is a weak acid and is reabsorbed in acidic urinary pH. Higher plasma concentration may result in toxicity. Therefore, to decrease the reabsorption through renal tubules, high urinary pH must be maintained.

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