Supplemental table. Protocol for side effect management of AFA

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Presentation transcript:

Supplemental table. Protocol for side effect management of AFA Diarrhea Skin rash/Paronychia Stomatitis Grade <1 (there is no symptom) Bifidobacterium antiflatulent(LAC-B® Granular Powder N) 1g po t.i.d. Heparinoid ointment (Hirudoid® Soft Ointment 0.3%) 50g/week for trunk and hand, foot.  Pyridoxal phosphate (PYDOXAL® 10mg) 10mg po t.i.d. Azulene sulfonate sodium gargle (Azunol® Gargle liquid 4%) q.i.d. Azulene sulfonate sodium, glutamine (MARZULENE® S COMBINATION GRANULES) 2g po t.i.d. Grade 1 or 2 Loperamide hydrochloride (LOPEMIN® capsules 1mg)  2mg po  Take it every two hours until diarrhea is relieved.    If diarrhea is not improved within 48 hours, AFA is stopped Heparinoid ointment (Hirudoid® Soft Ointment 0.3%) 25g + hydrocortisone butyrate ointment (LOCOID® ointment 0.1%) 15g mixture, twice a day for face. Heparinoid ointment (Hirudoid® Soft Ointment 0.3%) 75g + betamethasone butyrate propionate ointment (ANTEBATE® ointment 0.05%) 25g mixture, twice a day for trunk. Minocycline hydrochloride (MINOMYCIN® CAPSULES 100mg) s.i.d. Clobetasol propionate ointment (Dermovate® Ointment) 5g, twice a day for paronychia. PAG solution (in-house prescription)※ 10mL po q.i.d.  ※PAG solution was a mixture of 5% sodium alginate (Alroid G oral solution) 200mL and polaprezinc (Promac® D tablets 75) 10 tablets. Grade ≧3 The AFA administration is stopped until a symptom is improved. Electrolyte infusion is administered. If a symptom is improved, reduce dose AFA is readministrated. The AFA administration is stopped until a symptom is improved. If a symptom is improved, reduce dose AFA is readministrated. The AFA administration is stopped until a symptom is improved. If oral intake is insufficient, the peripheral parenteral nutrition is administered. If a symptom is improved, reduce dose AFA is readministrated.