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Preparation and Trial Use of a Database of Medicated Syrups for Assistance in Drug Dispensing. 协助配药的药用糖浆数据库的准备和试用。
Pub Date : 2000-01-01 DOI: 10.5649/jjphcs1975.26.612
K. Hasegawa, F. Komada, Y. Saitoh
We prepared a database (689 KB) on 113 medicated syrups using Microsoft Access to quickly search information primarily concerning potential incompatibilities when dispensing medicated syrups. This database contains and allows access to data concerning 16 items such as trade names, compositions, additives, incompatibilities, and the recommended doses collected from interview forms, package inserts, in-housedocuments, and from the literature. It can also accurately calculate the pediatric dose based on the adult dose. The size of this database is 906 KB including the basic data of Microsoft Excel (226 KB) prepared for facilities that do not possess Microsoft Access so that the entire database can be used as a simple database that utilizes the filter function of Microsoft Excel and, with file conversion, can also be used on Windows CE and Macintosh systems. Moreover, these basic data are also available to a large number of people via the LAN and Internet when converted to FileMaker Pro 5. As a result of the use of this database, a mean of 0.9 cases of absolute incompatibilities and a mean of 1.8 cases of possible incompatibilities per item were revealed in the 113 items, and 64 items were found to contain phydroxybenzoic esters as additives, which have been suggested to have a possible side effect of inducing asthma attacks. The data on the dosage for children were missing in 26 items (about 23%). Furthermore, we investigated the rate of prescriptions including medicated syrups at two pharmacies. The rates at pharmacy A and B were about 11% and 2%, respectively. Thirty four % and 82% of the prescribed medicines included medicated syrups at pharmacy A and B. Sixty three % of the prescriptions for pediatrics patients included 3 or more medicated syrups. This database is thus considered to be useful for both preparing and evaluating prescriptions for medicated syrups, their dispensing, and also as a source for educating patients.
我们使用Microsoft Access编制了113种药物糖浆的数据库(689 KB),以便在配药时快速搜索主要涉及潜在不兼容性的信息。该数据库包含并允许访问16个项目的数据,如商品名称、成分、添加剂、不兼容性和推荐剂量,这些数据收集自面谈表格、包装说明书、内部文件和文献。它还可以在成人剂量的基础上准确计算儿科剂量。该数据库的大小为906kb,其中包括为没有Microsoft Access的设备准备的Microsoft Excel的基本数据(226 KB),因此整个数据库可以作为利用Microsoft Excel的过滤功能的简单数据库使用,并且可以进行文件转换,也可以在Windows CE和Macintosh系统上使用。而且,将这些基本数据转换为FileMaker Pro 5后,也可以通过局域网和互联网向很多人开放。使用该数据库,113个产品中平均每个产品存在0.9例绝对不相容,平均每个产品存在1.8例可能不相容,其中64个产品含有羟基苯甲酸酯作为添加剂,可能有诱发哮喘发作的副作用。26项(约23%)儿童用药剂量数据缺失。此外,我们还调查了两家药店的处方率,包括药用糖浆。A药房和B药房的比率分别约为11%和2%。分别有34%和82%的处方药物包括A药房和b药房的带药糖浆。儿科患者处方中有63%的处方药物包括3种或3种以上的带药糖浆。因此,该数据库被认为对制备和评估药用糖浆处方及其配药都很有用,也可作为教育患者的来源。
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引用次数: 0
Survey of Clinical Trials in Patients with Rheumatoid Arthritis. 类风湿关节炎患者临床试验调查。
Pub Date : 2000-01-01 DOI: 10.5649/JJPHCS1975.26.418
Mitsuru Kato, H. Okada, S. Takenaka, Y. Takakuwa, Noriko Mitsutake, T. Mitsui
A survey regarding understanding the images and demands of clinical trials was carried out on 177 ambulatory patients with rheumatoid arthritis at Aichi Medical University Hospital in April 1999. 72.3% of the study patients did not have a sufficient understanding of the clinical trials, while 27.7% of the patients did have a sufficient understanding. A total of 8.5%, of the patients had previous experience as trial subjects in clinical trials while 19.2% of the patients did not. In addition, 11.3% of the patients would take part of their own free will while 7.9% of the patients would refuse to take part in the trial. Many patients have an image that clinical trials are similar to experiments on humans. However, none of the patients with experience as subjects regretted their previous involvement in such trials. The reasons are clear why patients do not want to participate in clinical trials, since many people do not have a sufficient understanding of the effects of investigational drugs, are worried about the side effects of such drugs, and also have a general feeling of anxiety about such trials. These concerns have created a new role for hospital pharmacists as a CRC (Clinical Research Coordinator) to assist in the clinical trial process through medication counseling.
对1999年4月在爱知医科大学附属医院门诊就诊的177例类风湿关节炎患者的临床试验图像及临床试验需求进行了调查。72.3%的研究患者对临床试验没有足够的了解,而27.7%的患者对临床试验有足够的了解。有临床试验经验的患者占8.5%,无临床试验经验的患者占19.2%。此外,11.3%的患者会自愿参加试验,7.9%的患者会拒绝参加试验。许多病人都认为临床试验与人体实验相似。然而,没有一个作为实验对象的病人后悔他们以前参与过这样的试验。患者不愿意参加临床试验的原因是很清楚的,因为很多人对研究药物的作用没有足够的了解,担心这些药物的副作用,对这些试验也有一种普遍的焦虑感。这些问题为医院药剂师创造了一个新的角色,即作为临床研究协调员,通过药物咨询协助临床试验过程。
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引用次数: 0
Pharmaceutical Study of Allopurinol Gargle Containing Glycerin. 含甘油别嘌呤醇含漱液的药学研究。
Pub Date : 2000-01-01 DOI: 10.5649/JJPHCS1975.26.145
M. Myotoku, Kazunori Shimomura, Hisayuki Haji, T. Nishino
One of the side effects of cancer chemotherapy is the occurrence of stomatitis. Many studies have shown the effectiveness of a 0.1% allopurinol gargle for treating such stomatitis. Allopurinol gargle develops crystalline deposition a few days after preparation, and therefore it should befreshly prepared each time before use.We developed a prescription that delays crystalline deposition by adding glycerin to allopurinol gargle.Sterile allopurinol gargle (sterile ALT) was prepared by crushing allopurinol tablets, and then glycerin was added at various concentrations.The dissolved amount after 30 days was 0.65±0.05 mg/mL in sterile ALT without glycerin (sterile G0-ALT), 0.75±0.01 mg/mL in sterile ALT containing 1% glycerin (sterile G1-ALT), 0.79±0.03 mg/mL in sterile ALT containing 3% glycerin (sterile G 3-ALT), 0.89±0.06 mg/mL in sterile ALT containing 5% glycerin (sterile G 5-ALT), and 0.98±0.01 mg/mL in sterile ALT containing 10% glycerin (sterile G 10-ALT). The dissolved amount increased with the glycerin concentration.Allopurinol crystal deposition was observed after 2 days in sterile G 0-ALT, after 3 days in sterile G 1-ALT, after 6 days in sterile G 3-ALT, and after 10 days in sterile G 5-ALT, but could not be detected even after 30 days in sterile G 10-ALT.In tests of the sensation tastes during use in normal subjects, similar results were obtained between sterile G 10-ALT and sterile G 0-ALT. The xanthine oxidase (XOD) inhibitory activity was also similar between the two gargles.These results show that sterile G 10-ALT can be preserved for 30 days at 25°C, and its effects and sensation during use are similar to those of a prescription not containing glycerin.
癌症化疗的副作用之一是口腔炎的发生。许多研究表明0.1%别嘌呤醇含漱液对治疗这种口炎是有效的。别嘌呤醇含漱液在配制后几天会形成结晶沉积,因此每次使用前应新鲜配制。我们开发了一种处方,通过在别嘌呤醇含漱液中加入甘油来延缓结晶沉积。将别嘌呤醇片粉碎后,加入不同浓度的甘油,制备无菌别嘌呤醇含漱液(无菌ALT)。30 d后溶出量为:不含甘油的无菌ALT(无菌G0-ALT) 0.65±0.05 mg/mL,含1%甘油的无菌ALT(无菌G1-ALT) 0.75±0.01 mg/mL,含3%甘油的无菌ALT(无菌g3 -ALT) 0.79±0.03 mg/mL,含5%甘油的无菌ALT(无菌g5 -ALT) 0.89±0.06 mg/mL,含10%甘油的无菌ALT(无菌g10 -ALT) 0.98±0.01 mg/mL。溶解量随甘油浓度的增加而增加。g0 - alt无菌处理2 d、g1 - alt无菌处理3 d、g3 - alt无菌处理6 d、g5 - alt无菌处理10 d均可见别嘌呤醇结晶沉积,但g10 - alt无菌处理30 d均未见结晶沉积。在正常受试者使用过程中的感觉味道测试中,无菌g10 - alt和无菌g0 - alt获得了相似的结果。两种含漱液的黄嘌呤氧化酶(XOD)抑制活性也相似。结果表明,无菌g10 - alt在25℃下可保存30天,使用时的效果和感觉与不含甘油的处方相似。
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引用次数: 0
Relationship between Serum Trough Concentrations of Cibenzoline and Fasting Blood Glucose Levels in Inpatiens Received Cibenzoline Therapy. 苯并啉治疗住院患者血药谷浓度与空腹血糖的关系
Pub Date : 2000-01-01 DOI: 10.5649/JJPHCS1975.26.304
K. Ueno, Megumi Morii, S. Ishida, A. Tamamura, Kana Matsumoto, Ayumi Oda, M. Takada, S. Kamakura, M. Shibakawa
The relationship between the serum trough concentrations of cibenzoline and the fasting blood glucose (FBG) levels were evaluated in 78 inpatients received cibenzoline therapy. As a result, as the serum trough concentrations of cibenzoline increased, the FBG levels decreased in inverse proportion. The FBG levels after the administration of cibenzoline decreased significantly (P<0.01) more than before administration. In addition, when the serum cibenzoline concentrations were higher the FBG levels also decreased significantly (P<0.01) more than when the serum concentrations were lower. The mean serum concentration when the FBG levels were less than 80mg/dL was higher than that when the FBG levels were lover 90mg/dL (383±273 vs 284±189ng/mL, P<0.071). These results suggest that more careful monitoring of the side effects of cibenzoline caused by a decrease in the FBG is thus needed in patients receiving cibenzoline therapy.
本文对78例接受齐苯唑啉治疗的住院患者血清谷浓度与空腹血糖(FBG)水平的关系进行了评价。结果表明,随着血药谷浓度的升高,空腹血糖水平呈反比下降。给药后FBG水平较给药前明显降低(P<0.01)。此外,当血清苯并啉浓度较高时,FBG水平也显著低于血清浓度较低时(P<0.01)。FBG < 80mg/dL时平均血药浓度高于FBG > 90mg/dL时(383±273 vs 284±189ng/mL, P<0.071)。这些结果表明,在接受苯并啉治疗的患者中,需要更仔细地监测由FBG下降引起的苯并啉副作用。
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引用次数: 0
Evaluation of Medline Utility for the Retrieval of Case Reports of Drug Adverse Effects. Medline对药物不良反应病例报告检索的效用评价。
Pub Date : 2000-01-01 DOI: 10.5649/JJPHCS1975.26.27
J. Hamada, T. Orii, E. Negishi, Yasuhiko Yamada, Hitoshi Sato, T. Iga
Database usage was evaluated regarding the retrieval of drug-induced adverse effect case reports. A search of case reports was performed using the on-line Medline (Ovid). Forty case reports were extracted from “Reactions” (adis INTERNATIONAL) used as secondary literature on adverse effects. From the original titles and abstracts, the name of the drugs and adverse effects were translated into Japanease and used to search data sets. After 6 pharmacists received a 30-minute explanation on how to use Medline since they had no previous experience in using Medline at the time of this study, the accessibility to the original case reports was examined and evaluated for their hitting rates. The hitting rates of the original data were 40-75%, and the data was divided into high-rate and low-rate groups. A major cause of a low hitting rate was that the “explode” function was not utilized to extend the terms of adverse effects. As a result, the “explode” function was found to be an important factor in effectively using Medline, especially when terms are not adequately chosen to retrieve case reports on adverse effects.
对检索药物引起的不良反应病例报告的数据库使用情况进行评估。使用在线Medline (Ovid)对病例报告进行搜索。40例病例报告摘自“反应”(adis INTERNATIONAL),作为不良反应的次要文献。从原始标题和摘要中,将药物名称和不良反应翻译成日文,用于检索数据集。在6名药剂师接受了30分钟关于如何使用Medline的解释后(因为他们在本研究时没有使用Medline的经验),对原始病例报告的可访问性进行了检查并评估其命中率。原始数据的命中率为40-75%,并将数据分为高命中率组和低命中率组。命中率低的一个主要原因是没有利用“爆炸”功能来延长不良影响的期限。因此,“爆炸”功能被发现是有效使用Medline的一个重要因素,特别是当没有适当选择术语来检索有关不良反应的病例报告时。
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引用次数: 0
The Contribution of Hospital Pharmacists to Countermeasures for Intrahospital Infectionin of the Tuberculosis. Epidemic Research on Tuberculin Reaction in the General Hospital Staffs. 医院药师对防治院内感染的贡献。综合医院职工结核菌素反应的流行病学研究。
Pub Date : 2000-01-01 DOI: 10.5649/JJPHCS1975.26.524
Mutsunobu Yoshioka, Kouichi Masaki, N. Kitada, Y. Ogawa, T. Tuji, M. Watari, K. Nagasawa, N. Ohnishi, T. Yokoyama, Kazuo Kuroda
{"title":"The Contribution of Hospital Pharmacists to Countermeasures for Intrahospital Infectionin of the Tuberculosis. Epidemic Research on Tuberculin Reaction in the General Hospital Staffs.","authors":"Mutsunobu Yoshioka, Kouichi Masaki, N. Kitada, Y. Ogawa, T. Tuji, M. Watari, K. Nagasawa, N. Ohnishi, T. Yokoyama, Kazuo Kuroda","doi":"10.5649/JJPHCS1975.26.524","DOIUrl":"https://doi.org/10.5649/JJPHCS1975.26.524","url":null,"abstract":"","PeriodicalId":14621,"journal":{"name":"Japanese Journal of Hospital Pharmacy","volume":"10 1","pages":"524-531"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75259283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Evaluation of Transdermal Nitrate Tape Preparations on their Side Effects for Skin Irritation, Efficacies and Costs. The Determination of Water Permeability and Exfoliation of Stratum Corneum. 硝酸根透皮贴制剂对皮肤刺激的副作用、疗效和成本的评价。角质层透水性及剥落的测定。
Pub Date : 2000-01-01 DOI: 10.5649/JJPHCS1975.26.510
N. Hayase, M. Koeda, T. Awaya, C. Hara, Yasunori Yamashita, Kuniko Yamamoto, Y. Itagaki, K. Matubara
In recent years, transdermal tape preparations have been widely used for numerous patients. A major problem related to the use of such tape is skin irritation. This adverse event is considered to be due to the impermeability of water through the tape material during adhesion and the occurrence of skin, eruption after its removal. As a result, the water permeability of the tape materials and the amounts of stratum comeum stripped from the skin were studied on five transdermal nitrate tape preparations. The water permeability of the preparation, in which the polyester membrane was used for the backing body, depends on the membrane thickness: a thinner membrane has a higher water permeability. The highest permeability was detected in the Antup® preparation. On the other hand, the amount of stratum comeum stripped from the skin was significantly lower when the new Frandol tape S® preparation was applied. According to these results and other drug information such as the cost of the preparation, we evaluated the quality of these products based on decision analysis criteria. This evaluation thus accurately indicated the effectiveness, safety and cost of the product. As a result, the highest score was obtained by the new Frandol tape S® preparation among the five tested products. This product showed the lowest amount of stratum comeum and the low incidence of side effects. In other words, new Frandol tape S® appears to be the most cost-beneficial transdermal nitrate tape preparation. The method used in this study was thus shown to be useful for the selection of the safest and most effective transdermal tape preparation.
近年来,经皮贴片制剂已广泛应用于众多患者。与使用这种胶带有关的一个主要问题是皮肤刺激。这一不良事件被认为是由于在粘附过程中水通过胶带材料的不渗透性和去除胶带后皮肤出现皮疹。结果,研究了5种硝酸透皮胶条制剂中胶条材料的透水性和从皮肤上剥离的泪层数量。采用聚酯膜作为背体的制备材料的透水性取决于膜的厚度:膜越薄透水性越高。在Antup®制剂中检测到最高的通透性。另一方面,当使用新的Frandol胶带S®制剂时,从皮肤上剥离的糙层数量显着降低。根据这些结果和制剂成本等其他药物信息,我们基于决策分析标准对这些产品的质量进行了评价。这一评价准确地表明了该产品的有效性、安全性和成本。因此,在五种测试产品中,新弗兰多尔胶带S®制剂获得了最高分。本品含眼膜量最低,副作用发生率低。换句话说,新的Frandol胶带S®似乎是最具成本效益的透皮硝酸盐胶带制剂。因此,本研究中使用的方法对于选择最安全和最有效的透皮带制剂是有用的。
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引用次数: 0
Determination of Plasma Panipenem Concentration in Neonates by High-Performance Liquid Chromatography. 高效液相色谱法测定新生儿血浆帕尼培南浓度。
Pub Date : 2000-01-01 DOI: 10.5649/JJPHCS1975.26.505
H. Kokubun, Toshimi Kimura, S. Murase, S. Shimada, H. Kubo, M. Matsumoto, M. Nowatari, N. Matsuura
A simple and fast determination of plasma panipenem (PAPM) in extremely low birth weight infants was established using reversed phase high-performance liquid chromatography. Solutions of 35% methanol (pH 5.8), including 5 mM NaH2PO4 and 5 mM sodium dodecylsulfate, were used for the mobile phase. The flow rate was 0.8 mL/min. UV detection was carried out at 300 nm. The pretreatment method was as follows : 200 mM 3[morpholino] propansulfonic acid solution was added to the plasma as a stabilizer. It was then deproteinized with methanol. The calibration curve was linear in a range from 6.25 itƒÊg/mL to 100ƒÊg/mL. The recovery rate from known concentration samples of PAPM was 98.4%. The within-run and day-to-day variations were below 2.5% and 2.7%, respectively. The PAPM concentrations in the plasma were determined in five infants. In immature patients, an extension of the half-life was also observed.
建立了用反相高效液相色谱法快速测定极低出生体重儿血浆帕尼培南(PAPM)的方法。流动相为35%甲醇(pH为5.8),溶液为5mm NaH2PO4和5mm十二烷基硫酸钠。流速0.8 mL/min。在300 nm处进行紫外检测。预处理方法为:在血浆中加入200 mM 3[morpholino]丙磺酸溶液作为稳定剂。然后用甲醇使其脱蛋白。校准曲线在6.25 itƒÊg/mL ~ 100ƒÊg/mL范围内呈线性关系。已知浓度样品的回收率为98.4%。运行内和日常变化分别低于2.5%和2.7%。测定了5例婴儿血浆中PAPM的浓度。在未成熟的患者中,还观察到半衰期延长。
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引用次数: 1
A Study for the Side Effect of Iron Products. 铁制品的副作用研究。
Pub Date : 2000-01-01 DOI: 10.5649/JJPHCS1975.26.323
E. Usami, H. Shibata, M. Mizuno, Y. Seyama
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引用次数: 0
Investigation of the Effect of the Coexistence of Surfactant on the Release Behavior of Diethylhexyl Phthalate from the Polyvinyl Chloride Tubing. 表面活性剂共存对聚氯乙烯管中邻苯二甲酸二乙己酯释放行为影响的研究。
Pub Date : 2000-01-01 DOI: 10.5649/JJPHCS1975.26.471
E. Muramatsu, T. Hanawa, Masahiko Suzuki, Mutsuko Tanaka, K. Kawano, S. Nakajima
The release behavior of diethylhexyl phthalate (DEHP, a plasticizer of polyvinyl chloride) from polyvinyl chloride (PVC) tubing caused by the coexistence of such surfactants as polysorbate 80 and polyoxyethylene castor oil (Tween 80 and HCO 60, a solubilizer for water insoluble drugs, respectively) in various solutions was investigated. The concentration of released DEHP increased as the concentration of Tween 80 increased. As the drip rate accelerated, the concentration of the released DEHP diminished. Based on a comparison of the release behaviors of DEHP observed in the solutions containing surfactant alone and a commercial injection, they were found to be compatible together. These results suggest that it is become feasible to predict the concentration of dissolved DEHP based on the concentration of the surfactant and the drip rate.
研究了聚山核桃酯80和聚氧乙烯蓖麻油(Tween 80和HCO 60,分别是水不溶性药物的增溶剂)两种表面活性剂共存对聚氯乙烯(PVC)管材中邻苯二甲酸二乙己酯(DEHP,聚氯乙烯增塑剂)的释放行为。释放DEHP的浓度随着Tween 80浓度的增加而增加。随着滴注速率的加快,释放的DEHP浓度降低。通过对DEHP在单独含表面活性剂溶液和商业注射溶液中的释放行为的比较,发现它们是相容的。这些结果表明,基于表面活性剂浓度和滴注速率预测DEHP溶解浓度是可行的。
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引用次数: 8
期刊
Japanese Journal of Hospital Pharmacy
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