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doi.org/10.2174/1381612824666180712110447 Seiwerth, S., et al

Incorrect and impure products contain the wrong amino acid sequence or purity levels as low as 5% to 75%, filled with unknown chemical byproducts

Determine creatinine clearance before each dose and periodically monitor renal function during treatment with Pemetrexed Injection

Renal Failure: Inform patients of the risks of renal failure, which may be exacerbated in patients with dehydration arising from severe vomiting or diarrhea