口服药物的辅助剂诱导过敏:揭开隐藏的威胁 - - 一项系统性审查
Shrey Seth1,2, Lipin Lukose1,2, Kamal Sud3
1Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Internal medicine journal
|December 24, 2024
概括
助剂,一旦被认为是惰性的,可以引起严重的过敏反应,如过敏反应. 提高意识和仔细的药物审查对于预防这些经常被忽视的反应至关重要.
科学领域:
- 临床药理学 临床药理学
- 过敏和免疫学 过敏和免疫学
- 药品安全 药品安全
背景情况:
- 助剂通常被认为是药物的惰性成分.
- 新兴的临床数据强调了辅助剂作为潜在的过敏反应诱导剂.
- 在临床实践中,辅助剂引起的过敏经常被低估.
研究的目的:
- 系统地审查和综合有关口服药物辅助剂引发过敏的证据.
- 为了强调药品辅助剂的显著过敏性潜力.
- 为了确定常见的过敏原辅助剂及其相关的临床反应.
主要方法:
- 在MEDLINE,EMBASE和国际制药摘要数据库中进行系统的文献搜索.
- 包括从创立到2024年6月出版的病例报告.
- 遵守系统审查和元分析 (PRISMA) 准则的首选报告项目.
主要成果:
- 聚乙烯甘醇是最常见的过敏原助剂,其次是着色剂.
- 临床反应范围从轻度到危及生命的,疹和血管是最常见的.
- 大多数患者在停止使用致病剂后得到改善;死亡事件很少发生,不仅仅归因于辅助剂.
结论:
- 辅助剂,尽管被归类为"惰性",但对过敏反应有很大的风险.
- 提高患者和医疗保健专业人员的意识对于识别和预防辅助剂过敏至关重要.
- 综合药物审查和对潜在过敏原的患者教育可以减轻这些可预防的不良事件.
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