Zaffanello Marco, Brugnara Milena, Angeli Silvia, Cuzzolin Laura
Department of Mother-Child and Biology-Genetics, Section of Paediatrics, University of Verona, Verona, Italy.
Acta Paediatr. 2009 May;98(5):903-5. doi: 10.1111/j.1651-2227.2008.01209.x. Epub 2009 Jan 13.
The combined use of acetaminophen with ibuprofen has long been in clinical use because the target of action of each drug is different and they do not interfere with each other. Appropriate dosing and managing of these drugs do not likely lead to organ toxicity. However, both acetaminophen and ibuprofen can induce liver problems and acute kidney failure, respectively, if administered at high doses. We report the case of a female child, in treatment with both acetaminophen and ibuprofen, administered at therapeutic antipyretic doses in condition of volume depletion, who suffered acute kidney and liver failure.
The combined ibuprofen and acetaminophen treatment, even if administered at therapeutic dosages and in a reduced number of doses, may be dangerous in conditions of volume depletion.
对乙酰氨基酚与布洛芬联合使用在临床中早已应用,因为每种药物的作用靶点不同且互不干扰。对这些药物进行适当的剂量调整和管理不太可能导致器官毒性。然而,如果高剂量给药,对乙酰氨基酚和布洛芬分别可诱发肝脏问题和急性肾衰竭。我们报告了一名女童的病例,该女童在血容量不足的情况下接受对乙酰氨基酚和布洛芬治疗,均采用治疗性退热剂量,却出现了急性肝肾衰竭。
布洛芬和对乙酰氨基酚联合治疗,即使以治疗剂量且减少用药次数给药,在血容量不足的情况下也可能有危险。