应该暂停用于高血压紧急情况和伪紧急情况的亚舌内尼菲迪平囊吗?
E Grossman1, F H Messerli, T Grodzicki
1Hypertension Unit, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
JAMA
|October 23, 1996
概括
口服nifedipine囊,在高血压紧急情况中很受欢迎,由于结果数据不足,缺乏FDA批准. 严重的不良事件,包括中风和死亡,需要放弃其使用.
科学领域:
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 在过去的20年里,尼菲迪平囊已被广泛用于高血压紧急情况.
- 口服和感知不需要密切监控的不同之处在于尼费迪平与静脉注射药物不同.
研究的目的:
- 评估口服尼菲迪平在高血压紧急情况中的安全性和有效性.
- 审查有关与高血压中尼菲迪平使用相关的不良事件和临床结果的现有文献.
主要方法:
- 对已报告的病例和与口服尼菲迪平相关的不良事件的文献综述.
- 食品和药物管理局 (FDA) 标签和批准状态的分析.
主要成果:
- 尼菲迪平因缺乏结果数据而未经FDA批准用于高血压紧急情况.
- 报告的严重不良事件包括脑血管缺血,中风,严重低血压,心肌梗塞,导电障碍,胎儿痛苦和死亡.
- 语言下吸收很差,大部分吸收发生在肠道粘膜中.
结论:
- 应停止使用口服尼菲迪平囊治疗高血压紧急情况和伪紧急情况.
- 报告的不良事件超过了任何感知到的好处,特别是考虑到缺乏可靠的临床文档.
- 应优先考虑具有既定的安全性和有效性概况的替代性,已批准的治疗方法.
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