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移植患者中的药物相互作用:每个人都应该了解的内容。

Drug interactions in transplant patients: what everyone should know.

作者信息

Manitpisitkul Wana, McCann Erin, Lee Sabrina, Weir Matthew R

机构信息

Department of Pharmacy, University of Maryland Medical Center, Baltimore, Maryland 21201, USA.

出版信息

Curr Opin Nephrol Hypertens. 2009 Sep;18(5):404-11. doi: 10.1097/MNH.0b013e32832edcb2.

Abstract

PURPOSE OF REVIEW

Adverse events due to drug-drug interactions remain a challenge in the postsurgical care of transplant recipients. A combination of potent and selective immunosuppressive drugs, which have a narrow therapeutic index, with medications for the treatment of comorbidities such as dyslipidemia, infection, psychiatric conditions, and hypertension, can lead to life-threatening drug-drug interactions.

RECENT FINDINGS

There are a number of important drug-drug interactions which are important for physicians to consider. It is critical to understand the pharmacodynamics and pharmacokinetics of drug-drug interactions, their potential impact on patient care, and the management strategies.

SUMMARY

Close therapeutic drug monitoring and evaluation of drug-specific side effects continue to be an important key to minimize adverse events due to drug-drug interactions.

摘要

综述目的

药物相互作用导致的不良事件仍是移植受者术后护理中的一项挑战。强效且具有选择性的免疫抑制药物(其治疗指数较窄)与用于治疗合并症(如血脂异常、感染、精神疾病和高血压)的药物联合使用,可能会导致危及生命的药物相互作用。

最新发现

存在一些重要的药物相互作用,医生必须予以考虑。了解药物相互作用的药效学和药代动力学、它们对患者护理的潜在影响以及管理策略至关重要。

总结

密切的治疗药物监测以及对特定药物副作用的评估,仍然是将药物相互作用导致的不良事件降至最低的重要关键。

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