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将铁过载患者从Exjade转换为Jadenu

Transitioning Patients With Iron Overload From Exjade to Jadenu.

作者信息

Tinsley Sara M, Hoehner-Cooper Christine M

机构信息

H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida (Dr Tinsley); and University of California, San Francisco (UCSF) Benioff Children's Hospital, Oakland, California (Ms Hoehner-Cooper). Sara M. Tinsley, PhD, ARNP, AOCN®, is a malignant hematology nurse practitioner at the H. Lee Moffitt Cancer Center and Research Institute in Tampa, Florida. Dr Tinsley is also a member of the Oncology Nursing Society's Oncology Nurse Expert Panel and the Myelodysplastic Syndrome Foundation's International Nurse Leadership Board. Christine M. Hoehner-Cooper, MSN, RN, NP-C, is a nurse practitioner in the Adult Sickle Cell Center at UCSF Benioff Children's Hospital in Oakland, California. She has participated in a number of national sickle cell disease meetings and presented abstracts related to the disease.

出版信息

J Infus Nurs. 2018 May/Jun;41(3):171-175. doi: 10.1097/NAN.0000000000000278.

Abstract

Iron overload is a concern for patients who require chronic transfusions as a result of inherited or acquired anemias, including sickle cell disease, thalassemia, and myelodysplastic syndromes. Iron chelation therapy (ICT) is the primary treatment for iron overload in these patients. The ICT deferasirox, which has been available as an oral dispersible tablet for liquid suspension, is now also available as a once-daily, film-coated tablet (FCT). Deferasirox FCT allows greater convenience and may be associated with fewer gastrointestinal side effects versus the original formulation. Dose adjustment increments, determined by titration monitoring, are lower for the FCT because of greater bioavailability.

摘要

铁过载是那些因遗传性或获得性贫血(包括镰状细胞病、地中海贫血和骨髓增生异常综合征)而需要长期输血的患者所面临的一个问题。铁螯合疗法(ICT)是这些患者铁过载的主要治疗方法。已作为口服分散片用于液体悬浮液的铁螯合疗法药物地拉罗司,现在也有每日一次的薄膜包衣片(FCT)剂型。与原剂型相比,地拉罗司FCT使用更方便,胃肠道副作用可能更少。由于生物利用度更高,通过滴定监测确定的FCT剂量调整增量更低。

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