首页|1例肺移植的干燥综合征患者联用奈玛特韦/利托那韦与环孢素、他克莫司导致肾功能损伤

1例肺移植的干燥综合征患者联用奈玛特韦/利托那韦与环孢素、他克莫司导致肾功能损伤

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1例76岁右单肺移植的干燥综合征男性患者在新冠病毒感染后使用奈玛特韦/利托那韦治疗,导致合并使用的免疫抑制剂环孢素和他克莫司全血药物谷浓度升高,引起血肌酐升高,后通过停用环孢素、调整他克莫司剂量使他克莫司浓度维持在治疗浓度,血肌酐水平较前改善,患者好转出院.此病例可为临床安全用药实践提供参考.
A Case Report:Renal Impairment Caused by Nematavir/Ritonavir with Cyclosporine and Tacrolimus in a Patient with Sjogren's Syndrome and Lung Transplantation
A 76-year-old male patient diagnosed with Sjogren's syndrome who underwent a right lung transplantation was infected with SARS-CoV-2 and given nimatevir/ritonavir medication,which consequently led to an augmentation of the blood trough concentrations of both cyclosporine and tacrolimus,subsequently causing an elevation of serum creatinine levels.By stopping cyclosporine and adjusting tacrolimus dosage for 4 days,blood trough concentrations of both cyclosporine and tacrolimus were back to target levels,and the level of creatinine was lower than before.The patient was ultimately discharged from the hospital.This case can be a reference for ensuring the safe utilization of these medications in practice.

Nimatevir/ritonavirCyclosporineTacrolimusKidney injurySjogren's syndromeLung transplantation

赵小珊、束庆、葛卫红、彭宇竹、华冰珠

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中国药科大学 基础医学与临床药学学院,南京鼓楼医院 药学部,南京 210008

南京大学医学院附属鼓楼医院药学部,南京 210008

南京市临床药学中心,南京 210008

南京市卫生健康委员会,南京 210008

南京大学医学院附属鼓楼医院 风湿免疫科,南京 210008

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奈玛特韦/利托那韦 环孢素 他克莫司 肾脏损伤 干燥综合征 肺移植

南京市卫生科技发展专项-医学重点科技发展项目江苏省医学创新团队科研项目

ZKX21016CXTDA2017041

2024

药学与临床研究
江苏省药学会

药学与临床研究

CSTPCD
影响因子:0.95
ISSN:1673-7806
年,卷(期):2024.32(1)
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