首页|奈玛特韦/利托那韦潜在药物相互作用的横断面及药师干预研究

奈玛特韦/利托那韦潜在药物相互作用的横断面及药师干预研究

扫码查看
目的:了解新型抗病毒药物奈玛特韦/利托那韦(NMVr)临床应用中的药物相互作用发生情况,探讨临床药师干预及药学监护的价值。方法:基于院内NMVr药物相互作用速查表,采用横断面研究方法,回顾性分析华中科技大学同济医学院附属同济医院2022年12月1日至2023年2月28日期间使用NMVr的患者潜在药物-药物相互作用(pDDIs)发生情况,并对干预情况和药物不良反应进行汇总分析。结果:共纳入163例患者发生的279例次pDDIs,涉及10类共38种药品,心血管和糖皮质激素类药物发生频次最高(占比40。5%和31。9%)。住院期间共发生14例药物不良反应,涉及联用药物分别为硝苯地平、艾司唑仑、地塞米松等,临床症状轻微,以乏力、头晕心慌、腹泻、头痛等为主,对症处理后好转,对患者原患疾病影响小。结论:NMVr作为新型抗病毒药物,临床实践中pDDIs发生率较高,临床药师和医生应给予高度关注。通过开展药学监护,可降低pDDIs风险,为临床医生调整药物治疗方案提供依据,避免严重不良事件发生。
A cross-sectional study of potential drug interactions with Nematavir/Ritonavir and clinical pharmacists intervening
OBJECTIVE To understand the pDDIs in clinical application of Nematavir/Ritonavir tablets(NMVr),and to investigate the value of clinical pharmacists'intervention and pharmaceutical care.METHODS Based on the NMVr pDDIs checklist in Tongji hospital,a cross-sectional study was conducted to retrospectively analyze the occurrence of pDDIs in patients who used NMVr in Tongji hospital from December 1,2022 to February 28,2023,and the clinical pharmacists intervention mea-sures and the occurrence of ADRs were summarized and analyzed.RESULTS A total of 163 patients were included and 279 cases of pDDIs occurred,involving 38 kinds of drugs and 10 classes of drugs.Cardiovascular drugs and glucocorticoid drugs were the most frequent occurrence(accounting for 40.5%and 31.9%).According to the causal criteria for adverse drug reactions,a total of 14 cases of ADRs occurred during hospitalization,involving combined drugs such as nifedipine,esazolam,dexametha-sone,etc.The clinical manifestations were mild,mainly including fatigue,dizziness,palpitation,diarrhea,headache,most ADRs got better after symptomatic treatment and had little effect on the original diseases.CONCLUSION As a new antiviral drug,NMVr has a high incidence of pDDIs in clinical practice,which should be paid close attention by clinical pharmacists and doctors.Pharmaceutical care can reduce the risk of drug interaction,provide a basis for clinicians to adjust drug therapy regimen,and avoid the occurrence of serious adverse events.

Nematavir/Ritonavirpotential drug-drug interactionsadverse drug reactioncross-sectional study

曾露、刘东、贡雪芃、王璐、桂玲、张文婷、魏安华

展开 >

华中科技大学同济医学院附属同济医院药学部,湖北武汉 430030

奈玛特韦/利托那韦 潜在药物-药物相互作用 药物不良反应 横断面研究

2024

中国医院药学杂志
中国药学会

中国医院药学杂志

CSTPCD北大核心
影响因子:1.198
ISSN:1001-5213
年,卷(期):2024.44(4)
  • 13