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中成药发生双硫仑样反应的文献回顾

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目的:通过对中成药发生双硫仑样反应的文献进行回顾分析,提高医护患使用含乙醇类中成药时的防范意识.方法:以"双硫仑样反应"为关键词,检索中国知网和万方数据库,获取含"中成药""抗生素""双硫仑样反应"的文献,对发生双硫仑样反应的药品、用药剂量、乙醇含量进行梳理.结果:发生双硫仑样反应的中成药包括外用剂、口服制剂、注射剂,发生反应时所用药品的剂量有较大差异,乙醇含量从 0.014~10ml不等.结论:使用含乙醇中成药制剂时应提高防范意识,避免与含甲硫四氮唑(MTT)基团的头孢菌素类药物以及不含MTT基团的头孢菌素类药物、硝基咪唑类药物、硝基呋喃类药物、磺脲类降糖药、氯霉素、酮康唑、异烟肼等联用.
Literature Review of Disulfiram-Like Reactions Induced by Traditional Chinese Patent Medicines
Objective:Literatures of disulfiram-like reactions to traditional Chinese patent medicines were reviewed and analyzed,to improve the safety awareness against disulfiram-like reactions to traditional Chinese patent medicines containing alcohol.Methods:A search was performed with"disulfiram-like reaction(s)"as the key word in CNKI and Wanfang database to obtain literatures referencing"traditional Chinese patent medicines","antibiotics"and"disulfiram-like reaction(s)".The involved drugs and their dosage and alcohol content for the disulfiram-like reactions were compiled.Results:Disulfiram-like reactions occurred with traditional Chinese patent medicines including topical preparations,oral preparations and injections.Disulfiram-like reactions were reported at varying dosage and alcohol content of 0.014 to 10ml.Conclusion:Alcohol-containing traditional Chinese patent medicines should be used with caution and should not be used concomitantly with cephalosporins with or without methyltetrazole(MTT)group,nitroimidazoles,nitrofurans,sulfonylurea hypoglycemic drugs,chloramphenicol,ketoconazole,isoniazid,etc.

traditional Chinese patent medicinesdisulfiram-like reactionethanolantibioticsmethyltetrazole

张玮杰、冯英楠、庄伟、林晓兰

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郑州大学第五附属医院,郑州 450052

首都医科大学宣武医院,北京 100053

中成药 双硫仑样反应 乙醇 抗生素 甲硫四氮唑

2024

中国合理用药探索
中国执业药师协会

中国合理用药探索

影响因子:0.62
ISSN:2096-3327
年,卷(期):2024.21(12)