患有后COVID综合征 (PCS) 的患者的药物使用模式:对多药和药物相互作用的影响
Journal of the American Pharmacists Association : JAPhA
|April 4, 2024
概括
在后COVID综合征 (PCS) 中使用药物通常针对神经系统症状. 这项研究强调了多药,药物相互作用和镇静剂负担的风险,强调了持续的COVID-19症状的谨慎处方.
科学领域:
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
- 临床医学 临床医学
背景情况:
- 后COVID综合征 (PCS) 呈现了持续的症状,如疲劳和认知功能障碍.
- 目前的PCS治疗方法是非特异性的,重点是症状管理.
- 这种方法可能会增加多药的风险.
研究的目的:
- 描述后COVID综合征 (PCS) 患者的药物处方模式.
- 为了确定多药的流行,药物相互作用和抗胆固醇/镇静剂负担.
- 为PCS提供更安全的药物管理策略.
主要方法:
- 来自北克行动后COVID队列的基线数据的横截面分析.
- 使用解剖治疗分类 (ATC) 代码分类的药物数据.
- 多药性定义为 ≥5种并发药物;评估抗胆固醇/镇静剂负担;使用 Lexi-Interact 评估药物相互作用.
主要成果:
- 在154名接受药物治疗的PCS患者中,神经系统药物最常见 (54.5%).
- 多药性影响了11.7%的患者;中位数的药物计数为2.
- 超过50%使用抗胆固醇/镇静剂;25%有潜在的药物相互作用.
结论:
- PCS的处方模式显示了对神经症状管理的关注.
- 存在多药,药物相互作用和抗胆固醇/镇静剂负担的重大风险.
- 对PCS患者来说,明智的处方和警的症状管理至关重要.
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