由非类固醇抗炎药物引发的阿西克洛维尔相关脑病变
Hiroki Takahashi1, Yasufumi Takahashi2, Takehiro Hirayama3
1Neurology, National Hospital Organization Shinshu Ueda Medical Center, Japan.
乙克洛维尔 (ACV) 和瓦克洛维尔 (VACV) 可能导致脑病变,特别是脏问题. 将这些抗病毒药物与NSAIDs结合使用可能会引发这种情况,需要仔细监测.
科学领域:
- 药理学 药理学是指药理学的学科.
- 神经学 神经学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 乙基 (ACV) 和瓦基 (VACV) 是常用的抗病毒药物.
- 药物诱导的脑病变是一种已知的不良影响,特别是在功能障碍患者中.
- 非类固醇抗炎药物 (NSAIDs) 可以影响功能.
研究的目的:
- 报告一种与阿西克洛维尔相关的脑病变病例.
- 调查NSAIDs在导致这种不良事件的潜在作用.
主要方法:
- 一个97岁的老妇人有意识改变的案例报告.
- 药物历史的审查,包括ACV,VACV和NSAIDs.
- 评估功能和药物水平.
- 用血液透析进行治疗.
主要成果:
- 患者在接受ACV/VACV和NSAIDs后表现出改变意识和急性损伤.
- 血中的阿西克洛维尔水平显著升高 (32.7μg/dL).
- 在血液透析后,意识迅速改善.
结论:
- 与ACV或VACV相结合的NSAID可能会导致药物诱导的脑病变.
- 当这些药物同时使用时,密切监测意识和功能至关重要.
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