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他汀类药物治疗的并发症:慢性咳嗽 1 例报告。

Chronic cough as a complication of treatment with statins: a case report.

机构信息

Mater Dei Hospital, 17, Floreat, Triq il-Kbira, Gharghur, Malta (EU).

出版信息

Ther Adv Respir Dis. 2012 Aug;6(4):243-6. doi: 10.1177/1753465812452192. Epub 2012 Jul 3.

DOI:10.1177/1753465812452192
PMID:22761129
Abstract

Statins are widely used for primary and secondary prevention of cardiovascular disease. For this reason, knowledge of the side effects and interactions pertaining to this class of pharmaceuticals is of utmost importance to all physicians. In this text a case report is presented of an eighty year old gentleman, referred to the respiratory clinic at Mater Dei Hospital Malta after developing dry cough on being treated with simvastatin and fluvastatin. An attempt at switching over to a placebo was made with resolution of symptoms. This is the second described case in the literature of lone cough associated with statin therapy necessitating treatment discontinuation in our patient. Possible hypothesis are discussed as well as suggestions for further research to unravel the underlying mechanisms of this association.

摘要

他汀类药物广泛用于心血管疾病的一级和二级预防。出于这个原因,了解与这类药物相关的副作用和相互作用对所有医生来说都是至关重要的。在本文中,我们报告了一个 80 岁男性的病例,他在使用辛伐他汀和氟伐他汀治疗后出现干咳,被转到马耳他玛特代尔医院的呼吸科就诊。尝试用安慰剂治疗,症状得到缓解。这是文献中描述的第二例与他汀类药物治疗相关的孤立性咳嗽病例,导致我们的患者停止治疗。还讨论了可能的假说,并提出了进一步研究的建议,以揭示这种关联的潜在机制。

相似文献

1
Chronic cough as a complication of treatment with statins: a case report.他汀类药物治疗的并发症:慢性咳嗽 1 例报告。
Ther Adv Respir Dis. 2012 Aug;6(4):243-6. doi: 10.1177/1753465812452192. Epub 2012 Jul 3.
2
Marked elevation of liver transaminases after high-dose fluvastatin unmasks chronic hepatitis C: safety and re-challenge.大剂量氟伐他汀治疗后肝转氨酶显著升高揭示慢性丙型肝炎:安全性及再次用药挑战
Acta Neurol Taiwan. 2007 Sep;16(3):163-7.
3
Tolerability of statins is not linked to CYP450 polymorphisms, but reduced CYP2D6 metabolism improves cholesteraemic response to simvastatin and fluvastatin.他汀类药物的耐受性与细胞色素P450(CYP450)基因多态性无关,但细胞色素P2D6(CYP2D6)代谢的降低可改善辛伐他汀和氟伐他汀的降胆固醇反应。
Pharmacol Res. 2007 Apr;55(4):310-7. doi: 10.1016/j.phrs.2006.12.009. Epub 2007 Jan 14.
4
A literature search on pharmacokinetic drug interactions of statins and analysis of how such interactions are reflected in package inserts in Japan.一项关于他汀类药物药代动力学药物相互作用的文献检索以及此类相互作用在日本药品说明书中的体现分析。
J Clin Pharm Ther. 2005 Feb;30(1):21-37. doi: 10.1111/j.1365-2710.2004.00605.x.
5
Possible colchicine rhabdomyolysis in a fluvastatin-treated patient.氟伐他汀治疗患者中可能出现的秋水仙碱相关性横纹肌溶解症。
Ann Pharmacother. 2005 Jul-Aug;39(7-8):1368-9. doi: 10.1345/aph.1E653. Epub 2005 Jun 14.
6
Low-density lipoprotein cholesterol (LDL-C) levels and LDL-C goal attainment among elderly patients treated with rosuvastatin compared with other statins in routine clinical practice.在常规临床实践中,与其他他汀类药物相比,瑞舒伐他汀治疗的老年患者的低密度脂蛋白胆固醇(LDL-C)水平及LDL-C达标情况。
Am J Geriatr Pharmacother. 2007 Sep;5(3):185-94. doi: 10.1016/j.amjopharm.2007.10.002.
7
Autoimmune hepatitis after treatment with fluvastatin.氟伐他汀治疗后发生的自身免疫性肝炎。
Liver Int. 2007 May;27(4):592. doi: 10.1111/j.1478-3231.2007.01498.x.
8
Fatal rhabdomyolysis in a patient with liver cirrhosis after switching from simvastatin to fluvastatin.肝硬化患者换用氟伐他汀后发生致死性横纹肌溶解症。
J Korean Med Sci. 2011 Dec;26(12):1634-7. doi: 10.3346/jkms.2011.26.12.1634. Epub 2011 Nov 29.
9
[Statin-induced rhabdomyolysis and renal failure: also with fluvastatine].他汀类药物引起的横纹肌溶解症和肾衰竭:氟伐他汀也可导致
An Med Interna. 2004 May;21(5):235-7. doi: 10.4321/s0212-71992004000500007.
10
Fluvastatin treatment is not associated with an increased incidence of cancer.
Int J Clin Pract. 2006 Sep;60(9):1028-34. doi: 10.1111/j.1742-1241.2006.01071.x.

引用本文的文献

1
Chronic cough associated with statin use in a 74-year-old man.一名74岁男性使用他汀类药物后出现慢性咳嗽。
Can Fam Physician. 2025 Mar;71(3):168-169. doi: 10.46747/cfp.7103168.
2
Clinical Practice Guidelines for Diagnosis and Management of Cough-Chinese Thoracic Society (CTS) Asthma Consortium.咳嗽的诊断与治疗临床实践指南——中华医学会呼吸病学分会哮喘学组
J Thorac Dis. 2018 Nov;10(11):6314-6351. doi: 10.21037/jtd.2018.09.153.
3
Establishing the correlation between statins and cough: case series report and analysis of adverse drug reactions in the international databases.
他汀类药物与咳嗽之间相关性的建立:病例系列报告及国际数据库中药物不良反应分析
Eur J Clin Pharmacol. 2014 Dec;70(12):1529-31. doi: 10.1007/s00228-014-1757-z. Epub 2014 Sep 24.