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儿科肾脏病学中的环孢素

Cyclosporine in Pediatric Nephrology.

作者信息

Arslansoyu Camlar Seçil, Soylu Alper, Kavukçu Salih

机构信息

Department of Pediatrics, Division Pediatric Nephrology, Medical Faculty of Dokuz Eylul University, Izmir, Turkey.

出版信息

Iran J Kidney Dis. 2018 Nov;12(6):319-330.

Abstract

Cyclosporine began to be used as one of the immunosuppressive agents in transplantation in the beginning of the 1980s, and in the treatment of nephrotic syndrome in the pediatric nephrology. Therapeutic area of cyclosporine is narrow and its side effects limit its usage. Preference for cyclosporine and tacrolimus as a calcineurin inhibitor is left for the choice of the department. There are still countries with preferred-cyclosporine use because of economic reasons. Cyclosporine is currently being used in the treatment of nephrotic syndrome, but due to its high relapse rates in a short-term use, and nephrotoxicity in long-term use, search for new drugs with fewer side effects keeps continuing. As long as its use is indispensable, it will be necessary to keep track of kidney function and blood level of this medication closely to protect the patients from toxicity.

摘要

环孢素在20世纪80年代初开始被用作移植中的免疫抑制剂之一,并用于儿科肾脏病中治疗肾病综合征。环孢素的治疗窗较窄,其副作用限制了它的使用。作为钙调神经磷酸酶抑制剂,对环孢素和他克莫司的偏好留给各科室选择。由于经济原因,仍有一些国家更倾向使用环孢素。环孢素目前用于治疗肾病综合征,但由于其短期使用复发率高,长期使用有肾毒性,因此一直在寻找副作用更少的新药。只要其使用不可或缺,就有必要密切监测该药物的肾功能和血药浓度,以保护患者免受毒性影响。

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