Ito Naoko, Yokoyama Haruko, Soeda Shinji, Suzuki Yuji, Ikeda Noriyuki, Tokuoka Kentaro, Watanabe Masayuki, Kitagawa Yasuhisa, Yamada Yasuhiko
Department of Clinical Evaluation of Drug Efficacy, School of Pharmacy, Tokyo University of Pharmacy and Life Sciences, Tokyo, Japan.
Yakugaku Zasshi. 2011;131(7):1073-7. doi: 10.1248/yakushi.131.1073.
It has been reported that non-steroidal anti-inflammatory drugs (NSAIDs) interact with aspirin to influence its antiplatelet effect. For example, there have been reported that the rate of platelet aggregation inhibition associated with aspirin was significantly decreased when ibuprofen was taken before administration of aspirin, as compared with aspirin alone. In this study, we investigated the prescriptions on combination of aspirin with NSAIDs. The subjects were consisted of 1212 patients who were prescribed aspirin in March, 2008 in Tokai University Hachioji Hospital. The patients prescribed combination of aspirin with NSAIDs were 8.1% and 18.6% of those were prescribed in the order of adminstration to induce drug interaction. The pharmacists should provide information about drug interactions of aspirin with NSAIDs to the doctors and patients, and it is necessary to pay attention of these interactions.
据报道,非甾体抗炎药(NSAIDs)与阿司匹林相互作用,影响其抗血小板作用。例如,有报道称,与单独使用阿司匹林相比,在服用阿司匹林前服用布洛芬时,与阿司匹林相关的血小板聚集抑制率显著降低。在本研究中,我们调查了阿司匹林与非甾体抗炎药联合使用的处方情况。研究对象为2008年3月在东海大学八王子医院开具阿司匹林处方的1212例患者。开具阿司匹林与非甾体抗炎药联合处方的患者占按给药顺序开具以诱导药物相互作用处方患者的8.1%和18.6%。药剂师应向医生和患者提供阿司匹林与非甾体抗炎药药物相互作用的信息,并且有必要关注这些相互作用。