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拉莫三嗪可能增加心律失常风险。

Lamotrigine may Increase Risk of Arrythmias.

机构信息

Diane S. Aschenbrenner is a COVID-19 outbreak investigator for the Baltimore County Department of Health, Baltimore, MD. She also coordinates Drug Watch :

出版信息

Am J Nurs. 2021 Aug 1;121(8):23. doi: 10.1097/01.NAJ.0000767792.01749.bd.

DOI:10.1097/01.NAJ.0000767792.01749.bd
PMID:34819469
Abstract

The Food and Drug Administration (FDA) is advising health care practitioners that lamotrigine (Lamictal), used in managing seizures and bipolar disorder, may increase the risk of serious and potentially lethal arrythmias.The risk is greater if the patient has underlying cardiac disease or is taking medications that affect heart conduction.The FDA is requiring in vitro studies of other sodium channel blockers to determine if this risk is a class effect or unique to lamotrigine.

摘要

美国食品和药物管理局(FDA)提醒医疗保健从业者,用于治疗癫痫发作和双相情感障碍的拉莫三嗪(Lamictal)可能会增加严重且潜在致命心律失常的风险。如果患者有潜在的心脏疾病或正在服用影响心脏传导的药物,风险会更大。FDA 正在要求对其他钠通道阻滞剂进行体外研究,以确定这种风险是类效应还是仅存在于拉莫三嗪中。

相似文献

1
Lamotrigine may Increase Risk of Arrythmias.拉莫三嗪可能增加心律失常风险。
Am J Nurs. 2021 Aug 1;121(8):23. doi: 10.1097/01.NAJ.0000767792.01749.bd.
2
Investigation of cardiac arrhythmia events in patients treated with lamotrigine: FDA adverse event reporing system analysis.拉莫三嗪治疗患者的心律失常事件调查:FDA 不良事件报告系统分析。
Epilepsia. 2023 Sep;64(9):2322-2329. doi: 10.1111/epi.17696. Epub 2023 Jul 2.
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Ethosuximide, sodium valproate or lamotrigine for absence seizures in children and adolescents.乙琥胺、丙戊酸钠或拉莫三嗪治疗儿童和青少年失神发作。
Cochrane Database Syst Rev. 2021 Jan 21;1(1):CD003032. doi: 10.1002/14651858.CD003032.pub5.
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Ethosuximide, sodium valproate or lamotrigine for absence seizures in children and adolescents.乙琥胺、丙戊酸钠或拉莫三嗪用于儿童和青少年失神发作。
Cochrane Database Syst Rev. 2019 Feb 8;2(2):CD003032. doi: 10.1002/14651858.CD003032.pub4.
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Effects of Sodium Valproate Combined with Lamotrigine on Quality of Life and Serum Inflammatory Factors in Patients with Poststroke Secondary Epilepsy.丙戊酸钠联合拉莫三嗪对脑卒中后继发性癫痫患者生活质量及血清炎症因子的影响
J Stroke Cerebrovasc Dis. 2020 May;29(5):104644. doi: 10.1016/j.jstrokecerebrovasdis.2020.104644. Epub 2020 Feb 18.
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Normocytic Normochromic Anaemia and Asymptomatic Neutropenia in a 40-Day-Old Infant Breastfed by an Epileptic Mother Treated With Lamotrigine: Infant's Adverse Drug Reaction.一名40日龄母乳喂养婴儿,其母亲为癫痫患者且正在服用拉莫三嗪,出现正细胞正色素性贫血和无症状中性粒细胞减少症:婴儿的药物不良反应
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FDA safety warning on the cardiac effects of lamotrigine: An advisory from the Ad Hoc ILAE/AES Task Force.美国食品药品监督管理局关于拉莫三嗪心脏效应的安全警告:国际抗癫痫联盟/美国癫痫学会特设工作组的一份咨询意见
Epilepsia Open. 2021 Feb 25;6(1):45-48. doi: 10.1002/epi4.12475. eCollection 2021 Mar.
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A double-blind placebo-controlled study of lamotrigine monotherapy in outpatients with bipolar I depression. Lamictal 602 Study Group.拉莫三嗪单药治疗双相 I 型抑郁症门诊患者的双盲安慰剂对照研究。拉莫三嗪 602 研究组。
J Clin Psychiatry. 1999 Feb;60(2):79-88. doi: 10.4088/jcp.v60n0203.
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Refractory ventricular fibrillation in patient taking Lamictal.服用拉莫三嗪的患者出现难治性心室颤动。
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Gaze-evoked nystagmus associated with valproic acid-induced lamotrigine toxicity.
Clin Neurol Neurosurg. 2020 Sep;196:106013. doi: 10.1016/j.clineuro.2020.106013. Epub 2020 Jun 20.

引用本文的文献

1
Lamotrigine: A Safe and Effective Mood Stabilizer for Bipolar Disorder in Reproductive-Age Adults.拉莫三嗪:一种用于生殖年龄段成年人双相情感障碍的安全有效的情绪稳定剂。
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