在临床实践中评估与甲米醇相关的药物相互作用
Tom G Jacobs1,2, Sharon E J D van den Eijnde1, Laura Nijboer2
1Department of Pharmacy, Tergooi Medical Center, Hilversum, The Netherlands.
长达24小时以上的梅塔米尔处方经常导致药物相互作用 (DDI). 大多数接受metamizole的患者经历了临床相关的DDI,需要在临床实践中仔细监测.
科学领域:
- 药理学 药理学是指药理学的学科.
- 临床药房 临床药房
- 药品安全 药品安全
背景情况:
- 越来越多地使用的是非类固醇抗炎药物metamizole.
- 它是P450酶 (CYP3A4,CYP2B6,CYP2C19) 的中度诱导剂.
- 这项研究侧重于与超过24小时的甲米醇使用相关的药物相互作用 (DDI).
研究的目的:
- 评估使用甲米醇的DDI的频率和临床相关性.
- 评估甲醇对潜在相互作用的CYP酶诱导的影响.
主要方法:
- 2017年6月至2024年5月的电子医疗记录的回顾性分析.
- 使用Metamizole DDI管理器识别临床相关 (色/红色) 的DDI.
- 专注于在医院环境中长达24小时的成年患者处方metamizole.
主要成果:
- 在37110名患者中,有2.6%的患者接受了长达24小时以上的甲米醇治疗 (n=968).
- 98.6%的这些患者 (n=954) 服用至少一种相互作用的药物.
- 平均每次甲米醇处方发现了3.8个DDI,总计3680个DDI.
结论:
- 甲米醇与大量临床相关的DDI有关.
- 在处方甲米醇时,必须仔细监测,特别是长期使用.
- 了解甲醇的CYP酶相互作用对于患者的安全至关重要.
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