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一例老年患者因文拉法辛诱发血管性水肿的病例。

A case of venlafaxine-induced angioedema in an older adult.

作者信息

Griffin Hailee, Pearson Scott, Linnebur Sunny, Fixen Danielle

机构信息

Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Aurora, CO, USA.

出版信息

SAGE Open Med Case Rep. 2021 Sep 30;9:2050313X211050465. doi: 10.1177/2050313X211050465. eCollection 2021.

Abstract

Angioedema is a serious adverse event that can manifest as lower extremity edema, face swelling, rash, hives, and a swollen tongue, which can sometimes lead to airway constriction and death. It is a well-documented reaction within the angiotensin-converting enzyme inhibitor drug class, where the bradykinin pathway leads to angioedema. We report a case where a patient experienced angioedema after taking venlafaxine. We evaluated other antidepressants as potential treatment options for the patient. We further examined potential cross-reactivity between antidepressants in order to find alternative medications for patients that experience serious adverse effects.

摘要

血管性水肿是一种严重的不良事件,可表现为下肢水肿、面部肿胀、皮疹、荨麻疹和舌头肿胀,有时可导致气道狭窄和死亡。这是血管紧张素转换酶抑制剂药物类别中一种有充分记录的反应,其中缓激肽途径会导致血管性水肿。我们报告了一例患者在服用文拉法辛后出现血管性水肿的病例。我们评估了其他抗抑郁药作为该患者的潜在治疗选择。我们进一步研究了抗抑郁药之间潜在的交叉反应性,以便为出现严重不良反应的患者找到替代药物。

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本文引用的文献

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Evaluation and Management of Angioedema in the Emergency Department.急诊科血管性水肿的评估与管理。
West J Emerg Med. 2019 Jul;20(4):587-600. doi: 10.5811/westjem.2019.5.42650. Epub 2019 Jul 2.
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PubChem 2019 update: improved access to chemical data.PubChem 2019 年更新:改善化学数据获取。
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Repeated angioedema following administration of venlafaxine and mirtazapine.文拉法辛和米氮平给药后反复出现血管性水肿。
Gen Hosp Psychiatry. 2010 May-Jun;32(3):341.e1-2. doi: 10.1016/j.genhosppsych.2009.03.004. Epub 2009 Apr 15.

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