帕利皮里中毒和可测量的血度 2.5年后的最后一次剂量:一个病例报告
Mariam Nersesjan1, Maria Wagner2, Kim Peder Dalhoff1,3
1Department of Clinical Pharmacology and the Danish Poison Information Centre, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Copenhagen, Denmark.
一名患者因帕利皮里棕酸中毒而经历了严重的镇静和 dystonia. 圣约翰 - 圣约翰
科学领域:
- 药理学和毒理学 药理学和毒理学
- 神经科学是一个神经科学.
背景情况:
- 帕利佩里棕酸是一种用于慢性疾病的长效注射抗精神病药物.
- 维持治疗药物水平对于长期精神病治疗的有效性和安全性至关重要.
研究的目的:
- 报告一个帕利佩里棕酸中毒病例.
- 调查增强帕利佩里脱离的方法.
- 描述长期临床过程和血度.
主要方法:
- 一个患有帕利佩里棕酸盐毒性患者的病例报告.
- 施用圣约翰草来诱导p-glycoprotein,并可能增加paliperidone的排泄.
- 随着时间的推移,监测血帕利皮里水平和临床症状.
主要成果:
- 患者呈现出深度镇静和 dystonia,与血 paliperidone 水平明显高于参考范围.
- 用圣约翰草治疗对帕利佩里清除的影响有限.
- 随着时间的推移,血paliperidone度和 dystonia 逐渐减少,但症状持续了多年.
结论:
- 帕利佩里棕酸中毒可能导致严重的不良反应.
- 诱导p-glycoprotein与圣约翰草可能不会有效地加速paliperidone的排泄.
- 长期监测是必要的,因为帕利佩里可以在血中长时间存在,残留症状.
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