描述加拿大各地每天使用一次的延长释放性塔克罗利木斯 (LCPT) 的使用情况
Vanessa Phommavong1, Cathy Burger2, M Khaled Shamseddin3
1, BSc, is a student in the College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Saskatchewan.
加拿大的移植中心显示出不同的塔克罗利斯处方做法. 立即释放的塔克罗利莫斯是最常见的,而延长释放的塔克罗利莫斯用于维护,特别是用于快速代谢,尽管定义各不相同.
科学领域:
- 移植医学 移植医学
- 药理学 药理学是指药理学的学科.
- 免疫抑制是一种免疫抑制.
背景情况:
- 塔克罗利马斯是脏和肝脏移植接受者的关键氨尿素抑制剂.
- 延长释放每天一次的塔克罗利莫斯 (LCPT) 是一种较新的配方.
- 加拿大的塔克罗利斯处方做法没有得到充分的证据.
研究的目的:
- 调查加拿大移植中心的塔克罗利斯使用情况.
- 确定药物覆盖范围和处方模式.
- 确定影响塔克罗利木斯决策和快速代谢管理的因素.
主要方法:
- 混合方法:使用调查和定性访谈进行描述性研究.
- 从加拿大的成年人脏和肝脏移植中心的医疗主任和药剂师收集的数据.
- 电子问卷和一对一的虚拟访谈探讨了塔克罗利斯的使用情况.
主要成果:
- 15个脏和3个肝脏移植项目参与其中.
- 立即释放的塔克罗利莫斯 (IR-Tac) 是最喜欢的配方.
- 主要用于维持免疫抑制,而不是 de novo,通常用于震或快速新陈代谢.
- 采用LCPT的障碍包括成本和覆盖范围的问题.
结论:
- 在加拿大,塔克罗利斯的处方存在显著差异.
- 立即释放的塔克罗利莫斯仍然是最常用的配方.
- 长期释放的塔克罗利莫斯仅用于维护,特别是在神经毒性或快速新陈代谢的情况下,对后者的定义不一致.
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