Colunga Biancatelli Ruben Ml, Congedo Viviana, Calvosa Leonardo, Ciacciarelli Marco, Polidoro Alessandro, Iuliano Luigi
UOC of Internal Medicine, Sapienza University of Rome and ICOT Hospital, Latina, Italy.
Vascular Biology & Mass Spectrometry Laboratory, Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome and ICOT Hospital, Latina, Italy.
J Geriatr Cardiol. 2019 Jul;16(7):552-566. doi: 10.11909/j.issn.1671-5411.2019.07.004.
Adverse drug reaction is defined by the World Health Organization as any response to a drug that is noxious and unintended and occurs at a dose normally used in man. Older people are at elevated risk of adverse drug reactions-because of changes in pharmacodynamics, concurrent use of multiple medications and the related drug interactions. However, adverse drug reactions are significantly underestimated in the elderly population that is also exposed to inappropriate drugs. Amiodarone is an antiarrhythmic drug used commonly for the treatment of atrial fibrillation and is increasingly prescribed in older people. While amiodarone is an efficient drug for rhythm control, it's a carrier of different adverse reactions, and and must be carefully evaluated before its use especially in older people.
人在正常用药剂量下出现的、有害且非预期的药物反应。老年人发生药物不良反应的风险较高,原因在于药效学变化、多种药物同时使用以及相关的药物相互作用。然而,在同时也使用了不适当药物的老年人群中,药物不良反应被严重低估。胺碘酮是一种常用于治疗心房颤动的抗心律失常药物,越来越多地被开给老年人。虽然胺碘酮是一种控制心律的有效药物,但它会引发不同的不良反应,在使用前必须仔细评估,尤其是在老年人中。