{"id":16730,"date":"2020-04-29T09:09:24","date_gmt":"2020-04-29T12:09:24","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/mostaza-nitrogenada-topica\/"},"modified":"2020-05-03T10:29:58","modified_gmt":"2020-05-03T13:29:58","slug":"nitrogen-mustard-topical-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/mostaza-nitrogenada-topica\/","title":{"rendered":"Topical Nitrogen Mustard"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/mostaza-nitrogenada-topica\/#%C2%BFQue-es-la-mostaza-nitrogenada\" >What is nitrogen mustard?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/mostaza-nitrogenada-topica\/#%C2%BFComo-funciona-la-mostaza-nitrogenada-topica\" >How does topical nitrogen mustard work?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/mostaza-nitrogenada-topica\/#%C2%BFPara-que-se-utiliza-la-mostaza-nitrogenada-topica\" >What is Nitrogen Mustard Topical Used for?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/mostaza-nitrogenada-topica\/#%C2%BFComo-usar-la-mostaza-nitrogenada-topica\" >How to use nitrogen mustard topical?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/mostaza-nitrogenada-topica\/#Precauciones-al-usar-mostaza-nitrogenada\" >Precautions when using nitrogen mustard<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/mostaza-nitrogenada-topica\/#Efectos-secundarios-de-la-mostaza-nitrogenada\" >Side Effects of Nitrogen Mustard<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-mostaza-nitrogenada\"><\/span>What is nitrogen mustard?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Nitrogen mustard (also known as mechlorethamine or wort) belongs to a class of medications known as alkylating agents. These agents delay or stop the growth of <span class=\"term\" data-term-id=\"30\">Cancer<\/span> cells in the body. Nitrogen mustard <span class=\"term\" data-term-id=\"1127\">dust<\/span> However, the injection is given intravenously to treat certain types of cancer. <span class=\"term\" data-term-id=\"1330\">current<\/span> Nitrogen mustard formulations can be prepared to treat <span class=\"term\" data-term-id=\"47\">cutaneous<\/span> <span class=\"term\" data-term-id=\"631\">T cell<\/span> lymphomas, namely mycosis fungoides.<\/p>\n<p>Nitrogen mustard topical preparations are formulated by mixing the injectable powder with water or a <span class=\"term\" data-term-id=\"1122\">ointment<\/span> base. Water preparation is unstable and should be used immediately, while Nitrogen mustard ointment-based preparations are stable for at least a few months. A 0.016% <span class=\"term\" data-term-id=\"1123\">gel<\/span> (US trade name Valchlor \u2122 from Actelion Pharmaceuticals).<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-funciona-la-mostaza-nitrogenada-topica\"><\/span>How does topical nitrogen mustard work?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Nitrogen mustard belongs to the group of alkylating agents that also include cyclophosphamide, ifosfamide, melphalan, chlorambucil, and carmustine (BiCNU). Nitrogen mustard and carmustine can be used topically to treat lymphomas of the skin. The mechanism of action is still uncertain.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFPara-que-se-utiliza-la-mostaza-nitrogenada-topica\"><\/span>What is Nitrogen Mustard Topical Used for?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Topical nitrogen mustard has been used to treat mycosis fungoides since the 1950s. It is particularly effective in <span class=\"term\" data-term-id=\"224\">patch<\/span> or <span class=\"term\" data-term-id=\"235\">license plate<\/span> Mycosis fungoides stage. Complete response rates have been achieved in 76-80% of patients with limited patch \/ plaque (stage IA) and 35-68% in those with <span class=\"term\" data-term-id=\"308\">generalized<\/span> patch \/ plate (stage IB). It is also used for the treatment of Langerhans cell <span class=\"term\" data-term-id=\"1346\">histiocytosis<\/span>.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-usar-la-mostaza-nitrogenada-topica\"><\/span>How to use nitrogen mustard topical?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>There are several different regimes. Nitrogen mustard topical (either a water-based preparation, a gel, or an ointment-based preparation) can be applied daily until the lesions are completely resolved. This can be followed by a time of maintenance therapy for about 1-2 months.<\/p>\n<p>The following general steps should be taken when applying Nitrogen Mustard topical.<\/p>\n<ul>\n<li>First, apply a small amount of Nitrogen Mustard to a selected (palm-sized) test patch on your skin once a day for 7-10 days. If there is no significant irritation, new <span class=\"term\" data-term-id=\"255\">eruption<\/span>, redness or itching you can start applying nitrogen mustard preparation as directed by your doctor to the lesions.<\/li>\n<li>Nitrogen mustard topical is usually applied once a day after bathing or at night. Apply sparingly to affected areas; Nitrogen mustard is generally absorbed into the skin within the first hour after application.<\/li>\n<li>Let dry before covering with clothing. Do not wash for 4 hours after application.<\/li>\n<li>Disposable nitrile gloves can be used to apply the preparation or, alternatively, apply directly with the hands and then wash thoroughly.<\/li>\n<li>Additional moisturizing lotions or creams can be applied throughout the day as needed.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Precauciones-al-usar-mostaza-nitrogenada\"><\/span>Precautions when using nitrogen mustard<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Do not apply nitrogen mustard to sensitive areas such as the face and genitals. The risk of developing secondary skin cancers is increased in patients who have received multiple skin treatments, such as phototherapy or radiation in addition to topical nitrogen mustard. Nitrogen mustard topical should be used with caution in pregnant or nursing women. It is reported to cause fetal harm.<\/p>\n<p>Be careful not to apply nitrogen mustard topical to the eyes (if this occurs, flush for at least 15 minutes with plenty of water or plain water). <span class=\"term\" data-term-id=\"1875\">saline<\/span> and seek medical attention). Exposure of others <span class=\"term\" data-term-id=\"188\">mucous<\/span> Membranes such as the nostrils, mouth, genitals, and anus should also be avoided.<\/p>\n<p>Nitrogen mustard is a probable <span class=\"term\" data-term-id=\"923\">carcinogen<\/span>. This means that it can cause skin cancer. Protect from sun exposure.<\/p>\n<p>Make sure there is no skin contact with another person while applying Nitrogen Mustard topical.<\/p>\n<p>Stop applying topical nitrogen mustard if treated areas become eroded, ulcerated, blistered, or develop severe redness and swelling. When recommending the treatment, apply it less often, for example every 3 days.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Efectos-secundarios-de-la-mostaza-nitrogenada\"><\/span>Side Effects of Nitrogen Mustard<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The most common side effect of nitrogen mustard is a <span class=\"term\" data-term-id=\"1335\">allergic reaction<\/span> usually itchy, rash, or red (contact <span class=\"term\" data-term-id=\"53\">dermatitis<\/span>) <span class=\"term\" data-term-id=\"440\">Anaphylaxis<\/span> has been reported but is rare. This is especially a problem in more sensitive areas, such as skin folds, and occurs if <span class=\"term\" data-term-id=\"1119\">solution<\/span> or ointment preparation is used. In most cases, a reduction in the frequency of application or a decrease in the concentration will decrease the side effects and allow the continuation of the medication. Darkening of the skin may also occur in the area where the nitrogen mustard was applied; This is reversible once the drug is stopped.<\/p>\n<section class=\"textBlock\">\n<div class=\"grey-box\"><em><span style=\"font-size: 0.9em\">New Zealand approved data sheets are the official source of information for these prescription drugs, including approved uses and risk information. See the New Zealand individual data sheet on the Medsafe website.<\/span><\/em><\/div>\n<\/section>\n<div class=\"clearfix\"><\/div>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es la mostaza nitrogenada? La mostaza nitrogenada (tambi\u00e9n conocida como mecloretamina o mosto) pertenece a una clase de medicamentos conocidos como agentes alquilantes. Estos agentes retrasan o detienen el&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-16730","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/16730","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=16730"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/16730\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=16730"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=16730"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=16730"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}