Hosoda Tomohiro, Uehara Yuki, Naito Toshio
Department of General Medicine, Juntendo University School of Medicine, Japan.
Intern Med. 2020 Jan 15;59(2):285-287. doi: 10.2169/internalmedicine.3498-19. Epub 2019 Sep 18.
Patients with HIV infection represent a high-risk group for medication overdose because of the high frequency of complicating psychiatric disorders. Raltegravir is well-known for its low frequency of adverse effects. We herein report a 42-year-old Japanese man with HIV infection who was hospitalized 6 hours after overdosing with 24,000 mg of raltegravir in a suicide attempt. No serious adverse events occurred, although the plasma concentration of raltegravir at 18 hours after the overdose was 79,871.1 ng/mL. Raltegravir may be well-indicated for HIV patients at risk of overdosing.
由于并发精神疾病的频率较高,HIV感染患者是药物过量的高危人群。拉替拉韦以其不良反应发生率低而闻名。我们在此报告一名42岁的日本HIV感染男性,他在试图自杀时过量服用24000毫克拉替拉韦6小时后入院。尽管过量服用18小时后拉替拉韦的血浆浓度为79871.1纳克/毫升,但未发生严重不良事件。拉替拉韦可能适用于有药物过量风险的HIV患者。