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Pharmacology Hematology ffd8c577

Folinic acid is specifically indicated for

A
Anaemia associated with renal failure
B
Pernicious anaemia
C
Counteracting toxicity of high dose methotrexate
D
Prophylaxis of neural tube defect in the offspring of women receiving anticonvulsant medication
High-Yield Explanation
Methotrexate toxicity:- Folinic acid (Leucovorin, citrovorum factor, 5-formyl-THFA) is an active coenzyme form which does not need to be reduced by DHFRase before it can act. Methotrexate is a DHFRase inhibitor; its toxicity is not counteracted by folic acid, but antagonized by folinic acid. Ref:- kd tripathi; pg num:-611

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