Tomita Takashi, Kohda Yukinao, Kudo Kenzo
Department of Clinical Pharmaceutics and Pharmacy Practice, School of Pharmacy, Iwate Medical University.
Faculty of Health Sciences, Tsukuba International University.
Yakugaku Zasshi. 2018;138(3):353-356. doi: 10.1248/yakushi.17-00191-3.
For patients with dysphagia in medical facilities and nursing homes, food thickeners are routinely used to aid the ingestion of medicines such as tablets. However, some types of thickeners affect the disintegration and dissolution of tablets, such as rapidly-disintegrating magnesium oxide tablets and donepezil hydrochloride orally disintegrating tablets. Additionally, delayed disintegration and dissolution of tablets affect a drug's efficacy. As an example, with Voglibose orally disintegrating tablets, marked differences are observed in changes in glucose levels during glucose tolerance testing. When using food thickeners to aid tablet ingestion, it is therefore necessary to select a product that has little effect on drug disintegration, dissolution, and activity.
在医疗机构和疗养院中,对于吞咽困难的患者,通常会使用食物增稠剂来辅助服用片剂等药物。然而,某些类型的增稠剂会影响片剂的崩解和溶解,比如速溶氧化镁片和盐酸多奈哌齐口腔崩解片。此外,片剂崩解和溶解延迟会影响药物疗效。例如,对于伏格列波糖口腔崩解片,在葡萄糖耐量试验期间,血糖水平变化存在显著差异。因此,在使用食物增稠剂辅助片剂服用时,有必要选择对药物崩解、溶解及活性影响较小的产品。