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Triple Intrathecal Therapy (TIT) is a combination chemotherapy regimen typically comprising methotrexate, cytarabine, and hydrocortisone. It is administered directly into the cerebrospinal fluid (intrathecally) for the prophylaxis and treatment of central nervous system involvement in various hematologic malignancies, such as acute lymphoblastic leukemia, acute myelogenous leukemia, and myelodysplastic syndromes. Methotrexate acts as a folic acid antagonist, cytarabine as an antimetabolite inhibiting DNA synthesis, and hydrocortisone as a corticosteroid with anti-inflammatory and antineoplastic effects.
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