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[我如何治疗……停止药物治疗的建议]

[How I treat....Recommendations for stopping a pharmacological therapy].

作者信息

Scheen A J

出版信息

Rev Med Liege. 2014 Dec;69(12):644-9.

Abstract

To interrupt a pharmacological treatment is sometimes warranted in clinical practice. It may appear as an easy task, simpler to undertake than the initiation of a new therapy, and, yet, it requires that some conditions be fulfilled and some precautions be taken: (1) the reasons why the medication is interrupted should be clearly explained; (2) the physician should make sure that the interruption, even if transient, is without danger; (3) the modalities of interruption should be clearly determined (immediate cessation vs progressive dose reduction), and, finally, (4) an appropriate follow-up of the duly informed patient should be scheduled.

摘要

在临床实践中,有时有必要中断药物治疗。这看似是一项简单的任务,比开始一种新疗法更容易实施,然而,这需要满足一些条件并采取一些预防措施:(1)应清楚解释中断用药的原因;(2)医生应确保中断用药,即使是暂时的,也是没有危险的;(3)应明确确定中断的方式(立即停药与逐步减量),最后,(4)应为充分知情的患者安排适当的随访。

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