不良事象の自発的な報告を用いた尿薬による脱水における季節的変動
Satoshi Nakao1,2, Mika Maezawa1, Kohei Shiota1
1Laboratory of Drug Informatics, Gifu Pharmaceutical University, 1-25-4 Daigaku-nishi, Gifu 501-1196, Japan.
Biological & pharmaceutical bulletin
|September 3, 2025
まとめ
利尿剤による脱水 (DID) は冬と夏に一般的です. 医療従事者は,特に寒い時期には,年中十分な水分摂取量を維持するよう,利尿剤を服用している患者に助言すべきである.
科学分野:
- 薬用警戒について
- 臨床医学
- 公衆衛生
背景:
- 利尿薬は心不全 (HF) と高血圧の治療に不可欠です.
- 利尿剤による脱水 (DID) のような副作用を理解することは,患者の安全にとって極めて重要です.
研究 の 目的:
- 現実世界のデータを用いて,尿薬による脱水 (DID) の季節的変動を分析する.
- DIDのピーク報告期間を特定し,臨床実務に情報を提供する.
主な方法:
- 日本の有害事象報告 (JADER) データベースの遡及分析.
- 2003年1月から2023年12月までの11種類の利尿剤の月間報告比率 (RR) を調べた.
主要な成果:
- 排尿剤による脱水 (DID) は1月,次に8月に最も頻繁に報告されました.
- DID の報告は,特に冬の月 (十二月,1月,2月) で一般的であった.
結論:
- 利尿剤による脱水 (DID) は冬と夏の両方で起こります.
- 保健医療提供者は,脱水を防ぐために,冬を含む1年を通して,尿薬を使用する患者に十分な水分摂取を推奨しなければなりません.
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