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[中药外用制剂临床应用的药物警戒指导原则]

[Pharmacovigilance guidelines for clinical application of Chinese patent medicines for external use].

作者信息

Cui Xin, Yang Ding-Quan, Xie Zhen-Nian, Li Yuan-Yuan, Wang Zhi-Fei, Liu Huan, Liu Fu-Mei, Zhao Xiao-Xiao, Lu Zhen-Kai, Wang Lian-Xin, Xie Yan-Ming

机构信息

Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences Beijing 100700, China.

China-Japan Friendship Hospital Beijing 100029, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2024 Aug;49(16):4285-4290. doi: 10.19540/j.cnki.cjcmm.20240621.501.

Abstract

There are many kinds and dosage forms of Chinese patent medicines for external use on the market, which are widely used in clinical departments. The common adverse reactions of Chinese patent medicines for external use are skin reactions, and those for the rare severe diseases include palpitation, chest tightness, dyspnea, and anaphylactic shock. At present, World Health Organization(WHO), International Council for Harmonization of Technical Requirements for Pharmaceuticals for Human Use(ICH),the United States, the European Union, and Asia-Pacific countries(such as Japan and South Korea) have not issued any pharmacovigilance guideline of Chinese patent medicines for external use. China has not issued any pharmacovigilance guideline for these medicines, only releasing the standard Evaluation of skin adverse reactions caused by Chinese patent medicines for external use(T/CACM 005-2017). To standardize the safe and reasonable use of Chinese patent medicines for external use, Pharmacovigilance guidelines for clinical application of Chinese patent medicines for external use was developed with the joint efforts of experts in diverse disciplines. The guideline provides guidance on the monitoring and reporting of adverse reactions/events, identification and assessment of risk signals, and risk control measures in the clinical application of Chinese patent medicines for external use to guide the rational use of these medicines in clinical practice. At the same time, the possible risks and risk control measures in clinical application of Chinese patent medicines for external use are listed for clinical reference. In addition, the guideline provides guidance for risk minimization plans and the standardization of activities related to pharmacovigilance of Chinese patent medicines for external use in China.

摘要

市场上外用中成药的种类和剂型繁多,广泛应用于临床科室。外用中成药的常见不良反应为皮肤反应,罕见的严重不良反应包括心悸、胸闷、呼吸困难和过敏性休克。目前,世界卫生组织(WHO)、人用药品注册技术协调国际会议(ICH)、美国、欧盟以及亚太国家(如日本和韩国)均未发布任何外用中成药的药物警戒指南。我国也未发布针对这些药物的药物警戒指南,仅发布了《外用中成药皮肤不良反应评价标准》(T/CACM 005-2017)。为规范外用中成药的安全合理使用,多学科专家共同制定了《外用中成药临床应用药物警戒指南》。该指南对外用中成药临床应用中不良反应/事件的监测与报告、风险信号的识别与评估以及风险控制措施等方面提供指导,以引导这些药物在临床实践中的合理使用。同时,列出了外用中成药临床应用中可能存在的风险及风险控制措施,供临床参考。此外,该指南为我国外用中成药风险最小化计划及药物警戒相关活动的规范提供了指导。

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