副作用与高血清波萨可纳度的相关性
Kelsey Jensen1, Omar Abu Saleh2, Supavit Chesdachai2
1Department of Pharmacy, Mayo Clinic Health System, Austin, MN, USA.
Medical mycology
|August 3, 2023
概括
非常高的波萨康纳血清度与频繁的药物不良反应 (ADRs) 有关. 治疗药物监测 (TDM) 是至关重要的,对于超过3000 ng/mL的度,剂量可能需要降低.
科学领域:
- 药理学 药理学是指药理学的学科.
- 临床药房 临床药房
- 传染性疾病 传染性疾病
背景情况:
- 可纳治疗药物监测 (TDM) 是评估疗效和安全性的标准.
- 非常高的波萨康纳血清度的临床影响在很大程度上仍未知.
研究的目的:
- 评估与非常高的波萨可纳血清度 (≥3000 ng/mL) 相关的药物不良反应 (ADR) 的发生率和类型.
主要方法:
- 对90名接受波萨可纳治疗侵袭性真菌感染的患者进行了回顾性审查.
- 分析2019年1月至2021年4月间的血清度和相关的副作用.
主要成果:
- 波萨可纳的度≥5000 ng/mL (80%) 和3000-4999 ng/mL (58.8%) 的患者经常出现症状性不良反应.
- 在较高度值时观察到增加不良反应的趋势,尽管在统计学上不显著 (P=0.31).
结论:
- 波萨可纳TDM对于侵袭性真菌感染的治疗和预防都至关重要.
- 应考虑在血清度超过3000ng/mL时降低波萨可纳的剂量,以减轻ADR风险.
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