在患有血液性恶性瘤的患者中,帕克里蒂尼布和同时使用的阿佐尔抗真菌疗法是可提供的
Dina Trang1, Dat Ngo1, Haris Ali2
1Department of Pharmacy, City of Hope, Duarte, CA, USA.
概括
在患有血液性恶性瘤的患者中,同时使用帕克里蒂尼布 (骨髓纤维化药物) 和醇抗真菌药物是可行的. 密切监测和剂量调整可能是必要的,以管理潜在的毒性.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 帕克里蒂尼布已被批准用于骨髓纤维化.
- 包括醇抗真菌剂在内的CYP3A4抑制剂与帕克里蒂尼布一起是禁忌或不建议使用的.
研究的目的:
- 报告同时使用帕克里蒂尼布和阿佐尔抗真菌疗法的临床经验.
- 评估这种药物组合的安全性和可行性.
主要方法:
- 电子医疗记录的回顾性审查.
- 已确定患有血液性恶性瘤的患者,接受帕克里蒂尼布和阿佐尔抗真菌药.
主要成果:
- 确定了5例同时治疗的病例.
- 没有患者出现3级或更高的非血液毒性.
- 一些患者需要修改或中断帕克里提尼布的剂量.
结论:
- 这是关于同时使用帕克里蒂尼布和阿佐尔抗真菌药物的第一份报告.
- 同时服用是可行的,当不可避免的,与密切监测.
- 经验性降低剂量可能对某些患者有益.
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