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巴西肾脏病学会关于根据肾功能调整氯喹和羟氯喹药物剂量的立场声明。

Position statement from the Brazilian Society of Nephrology regarding chloroquine and hydroxychloroquine drug dose adjustment according to renal function.

作者信息

Moura-Neto José A, Misael Ana Maria, Silva Dirceu Reis da, D'Avila Ronaldo, Andreoli Maria Claudia Cruz, Kraychete Angiolina, Bastos Kleyton, Nascimento Marcelo Mazza do

机构信息

Sociedade Brasileira de Nefrologia, São Paulo, Brazil.

Grupo CSB, Salvador, Bahia, Brazil.

出版信息

J Bras Nefrol. 2020 Aug 26;42(2 suppl 1):49-50. doi: 10.1590/2175-8239-JBN-2020-S113.

DOI:10.1590/2175-8239-JBN-2020-S113
PMID:32877501
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7479979/
Abstract

Chloroquine and hydroxychloroquine have shown promising preliminary results and have been discussed as therapeutic options for patients with Covid-19. Despite the lack of robust evidence demonstrating the benefits and justifying the use of one of these drugs, the final decision is the responsibility of the attending physician and should be individualized and shared, whenever possible. This position statement recommends dosage adjustment for these drugs in the context of renal impairment.

摘要

氯喹和羟氯喹已显示出有前景的初步结果,并已被作为2019冠状病毒病患者的治疗选择进行讨论。尽管缺乏有力证据证明这些药物之一的益处并证明其使用合理,但最终决定权在主治医生,且应尽可能个体化并共享。本立场声明建议在肾功能损害的情况下对这些药物进行剂量调整。

相似文献

1
Position statement from the Brazilian Society of Nephrology regarding chloroquine and hydroxychloroquine drug dose adjustment according to renal function.巴西肾脏病学会关于根据肾功能调整氯喹和羟氯喹药物剂量的立场声明。
J Bras Nefrol. 2020 Aug 26;42(2 suppl 1):49-50. doi: 10.1590/2175-8239-JBN-2020-S113.
2
Concentration-dependent mortality of chloroquine in overdose.氯喹过量致浓度依赖性死亡率。
Elife. 2020 Jul 8;9:e58631. doi: 10.7554/eLife.58631.
3
Update on use of chloroquine/hydroxychloroquine to treat coronavirus disease 2019 (COVID-19).关于氯喹/羟氯喹治疗 2019 年冠状病毒病(COVID-19)的最新情况。
Biosci Trends. 2020 May 21;14(2):156-158. doi: 10.5582/bst.2020.03072. Epub 2020 Apr 13.
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Chloroquine and hydroxychloroquine during pregnancy: What do we know?孕期使用氯喹和羟氯喹:我们了解些什么?
Therapie. 2020 Jul-Aug;75(4):384-385. doi: 10.1016/j.therap.2020.05.004. Epub 2020 May 11.
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Chloroquine and hydroxychloroquine repositioning in times of COVID-19 pandemics, all that glitters is not gold.在新冠疫情期间氯喹和羟氯喹的重新定位,并非所有闪光的东西都是金子。
Cad Saude Publica. 2020;36(5):e00088520. doi: 10.1590/0102-311x00088520. Epub 2020 May 18.
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Chloroquine and hydroxychloroquine in the management of COVID-19: Much kerfuffle but little evidence.氯喹和羟氯喹在 COVID-19 管理中的应用:喧嚣四起,证据寥寥。
Therapie. 2020 Jul-Aug;75(4):363-370. doi: 10.1016/j.therap.2020.05.010. Epub 2020 May 23.
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Do we have enough evidence to use chloroquine/hydroxychloroquine as a public health panacea for COVID-19?我们是否有足够的证据将氯喹/羟氯喹用作应对新冠病毒病的公共卫生万能药?
Clinics (Sao Paulo). 2020;75:e1928. doi: 10.6061/clinics/2020/e1928. Epub 2020 May 8.
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COVID-19 prevention and treatment: A critical analysis of chloroquine and hydroxychloroquine clinical pharmacology.新型冠状病毒肺炎防治:氯喹和羟氯喹临床药理学的批判性分析。
PLoS Med. 2020 Sep 3;17(9):e1003252. doi: 10.1371/journal.pmed.1003252. eCollection 2020 Sep.
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Novel approach for low-dose pulmonary delivery of hydroxychloroquine in COVID-19.新型冠状病毒肺炎中羟氯喹低剂量肺部给药的新方法。
Br J Pharmacol. 2020 Nov;177(21):4997-4998. doi: 10.1111/bph.15167. Epub 2020 Jul 13.
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The many mechanisms of action of Chloroquine: to use or not to use (in COVID-19) that is the question.氯喹的多种作用机制:(在新冠疫情中)用还是不用,这是个问题。
Br J Pharmacol. 2020 Aug;177(15):3361-3362. doi: 10.1111/bph.15177. Epub 2020 Jun 30.

本文引用的文献

1
Chloroquine for SARS-CoV-2: Implications of Its Unique Pharmacokinetic and Safety Properties.氯喹治疗 2019 新型冠状病毒病:独特的药代动力学和安全性特征的影响。
Clin Pharmacokinet. 2020 Jun;59(6):659-669. doi: 10.1007/s40262-020-00891-1.
2
[Management of antirheumatic drugs in kidney failure].[肾衰竭患者抗风湿药物的管理]
G Ital Nefrol. 2015 Nov-Dec;32(6).
3
Therapy and pharmacological properties of hydroxychloroquine and chloroquine in treatment of systemic lupus erythematosus, rheumatoid arthritis and related diseases.羟氯喹和氯喹在治疗系统性红斑狼疮、类风湿关节炎及相关疾病中的治疗和药理学特性。
Inflammopharmacology. 2015 Oct;23(5):231-69. doi: 10.1007/s10787-015-0239-y. Epub 2015 Aug 6.