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Drug causes of intracerebral haemorrhage 脑出血的药物原因
Q4 Medicine Pub Date : 2019-10-01 DOI: 10.1097/FAD.0000000000000043
Daniel R Burrage
Many drugs have the potential to cause intracerebral haemorrhage. The mechanisms that underlie this association include elevation of blood pressure and increasing bleeding tendency. The consequences of intracerebral haemorrhage can be devastating for the individual, so careful risk assessment prior to drug initiation and close monitoring during treatment should be enacted when using medicines with an established association with haemorrhagic stroke.
许多药物都有可能引起脑出血。这种关联的机制包括血压升高和出血倾向增加。脑出血的后果对个人来说可能是毁灭性的,因此在使用与出血性中风有关联的药物时,应在用药前进行仔细的风险评估,并在治疗期间进行密切监测。
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引用次数: 1
A review on the health hazards of anabolic steroids 合成代谢类固醇的健康危害综述
Q4 Medicine Pub Date : 2019-08-01 DOI: 10.1097/FAD.0000000000000042
H. Horwitz, T. Christoffersen
Henrik Horwitz & Thea Christof Department of Clinical Pharmacology, Bis fersen pebjerg and Frederiksberg Hospital, København NV and Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark. Correspondence to Henrik Horwitz, MD, PhD, Department of Clinical Pharmacology, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark. Private address: Pile Alle 5b st. tv., 2000 Frederiksberg, Denmark. E-mail: henrik_horwitz@hotmail.com, henrik.horwitz@regionh.dk
Henrik Horwitz和Thea Christof临床药理学系,Bis fersen pebjerg和Frederiksberg医院,København NV和哥本哈根大学临床医学系,丹麦哥本哈根。Henrik Horwitz,医学博士,博士,临床药理学系,Bispebjerg和Frederiksberg医院,哥本哈根大学,丹麦。私人地址:Pile Alle 5b st.tv.2000 Frederiksberg,丹麦。电子邮件:henrik_horwitz@hotmail.com,henrik.horwitz@regionh.dk
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引用次数: 2
Drug causes of ischaemic stroke 缺血性中风的药物原因
Q4 Medicine Pub Date : 2019-06-01 DOI: 10.1097/FAD.0000000000000041
Daniel R Burrage
There is a wide range of drugs with the potential to cause ischaemic stroke. Whilst the absolute risk of stroke with commonly used drugs is low, a patient’s background risk of stroke can increase their chance of stroke in combination with a particular drug. Careful decision-making is required when initiating and continuing treatment to ensure the risk-benefit profile of a drug is weighed appropriately on an individual patient basis.
有多种药物可能导致缺血性中风。虽然使用常用药物患中风的绝对风险很低,但患者的中风背景风险会增加他们与特定药物联合使用时患中风的几率。在开始和继续治疗时,需要谨慎决策,以确保在个体患者的基础上适当权衡药物的风险效益状况。
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引用次数: 1
Drug induced methaemoglobinaemia 药物引起的美沙血红蛋白血症
Q4 Medicine Pub Date : 2019-04-01 DOI: 10.1097/FAD.0000000000000040
W. Hutton, M. Pucci
Summary Acquired methaemoglobinaemia can be caused by the oxidising effect of a number of different drugs. Prescribed drugs that cause methaemoglobinaemia include local anaesthetics, dapsone, sulphonamides and primaquine. Recreational drugs such as amyl and isobutyl nitrite (‘poppers’) and adulterants in cocaine are also well known to cause methaemoglobinaemia. Low concentrations of methaemoglobin do not require treatment, but higher concentrations can be fatal. When indicated, methylthioninium chloride is the treatment of choice. More complicated cases should be discussed with a local poisons centre.
获得性美沙血红蛋白血症可由多种不同药物的氧化作用引起。引起美沙血红蛋白血症的处方药包括局部麻醉剂、氨苯砜、磺酰胺和伯氨喹。众所周知,娱乐性药物,如亚硝酸戊酯和异丁基酯(“兴奋剂”)以及可卡因中的掺杂物也会导致美沙血红蛋白血症。低浓度的血红蛋白不需要治疗,但高浓度的血红蛋白可能致命。如有需要,可选择使用甲硫茚氯化物进行治疗。更复杂的案件应该与当地的毒物中心讨论。
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引用次数: 1
Adverse Drug Reactions, still masquerading after all these years? 药物不良反应,这么多年过去了还在伪装?
Q4 Medicine Pub Date : 2019-02-01 DOI: 10.1097/FAD.0000000000000038
Laurence A. Gray, P. Routledge
Summary In this journal in 1976, Professor Duncan Vere suggested that some adverse drug reactions could behave as “masqueraders”, sometimes evading detection for a considerable time after a medicine was introduced into clinical practice. Using contemporary examples, we illustrate why we believe the five main reasons he cited for adverse drug reactions masquerading in this manner remain just as relevant today. Although newer methods of investigation are increasingly contributing to improved surveillance, individual case reports and spontaneous reporting systems for suspected adverse drug reactions remain a cornerstone of pharmacovigilance and should continue during the whole of the time that medicines continue to be used therapeutically.
摘要在1976年的这本杂志上,Duncan Vere教授提出,一些药物不良反应可能表现为“伪装者”,有时在药物进入临床实践后相当长一段时间内逃避检测。通过当代的例子,我们说明了为什么我们认为他列举的以这种方式伪装的药物不良反应的五个主要原因在今天仍然同样重要。尽管较新的调查方法越来越多地有助于改善监测,但疑似药物不良反应的个案报告和自发报告系统仍然是药物警戒的基石,并应在药物继续用于治疗的整个时间内继续使用。
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引用次数: 0
Drug Index 2018 2018年药物指数
Q4 Medicine Pub Date : 2018-12-01 DOI: 10.1097/01.fad.0000550514.24091.58
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引用次数: 0
Drug-induced Sialorrhoea 药物引起Sialorrhoea
Q4 Medicine Pub Date : 2018-12-01 DOI: 10.1097/FAD.0000000000000037
Maija Bruun Haastrup, D. Henriksen, M. Christensen
Summary Sialorrhoea is a common adverse effect of a range of medicines, primarily clozapine. At least a third of patients treated with clozapine suffer from sialorrhoea, and the consequences of this can be socially stigmatising and lead to non-adherence. The treatment options are limited and primarily centered around muscarinic antagonism. We suggest non-pharmacological interventions followed by locally applied atropine or glycopyrrolate. If systemic treatment is necessary, amisulpride, benztropine, or terazosin may be attempted.
腹泻是一种常见的一系列药物的不良反应,主要是氯氮平。至少三分之一接受氯氮平治疗的患者患有唾液增多症,其后果可能是社会污名化,并导致不依从性。治疗选择是有限的,主要集中在毒蕈碱拮抗。我们建议在局部应用阿托品或格隆溴铵后进行非药物干预。如果需要全身治疗,可以尝试使用氨磺吡啶、苯并托品或特拉唑嗪。
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引用次数: 1
Pharmacovigilance Program of India: history, evolution and current status 印度药物警戒计划:历史、演变和现状
Q4 Medicine Pub Date : 2018-10-01 DOI: 10.1097/fad.0000000000000036
U. Thatte, Nayan Chaudhari, N. Gogtay
Unlike developed nations most of whom put into place systems of pharmacovigilance in the early 1960s following the thalidomide disaster, India’s Pharmacovigilance Program formally began only in the mid-1980s. After several unsuccessful attempts, a robust program was put in place by the Central Drugs Standard Control Organization in 2010 called the Pharmacovigilance Program of India. Today, this is a stable system with the Indian regulator at the helm, a formal legislation in place to support the program and a National Coordinating Center located at the Indian Pharmacopoeia Commission. In the 8 years since its resurrection, the activities have expanded by leaps and bounds. There are 250 adverse reactions monitoring centers throughout the country and India contributes 1.7% of Individual Case Safety Reports to the Uppsala Monitoring Center’s database. The WHO, recognizing India’s concerted efforts in the area of pharmacovigilance, established its first WHO Collaborating Centre for Pharmacovigilance in Public Health Programs and Regulatory Services at the National Coordinating Center. The proposed expansion of the program in the coming years will further strengthen the cause of medicines safety in the country in line with the WHO’s Third Global Patient Safety Challenge of Medication without Harm.
大多数发达国家在沙利度胺灾难发生后的20世纪60年代初就建立了药物警戒系统,而印度的药物警戒计划直到20世纪80年代中期才正式开始。经过几次不成功的尝试,中央药物标准控制组织于2010年实施了一项强有力的计划,称为印度药物警戒计划。今天,这是一个稳定的系统,由印度监管机构掌舵,有正式的立法来支持该计划,并在印度药典委员会设立了国家协调中心。在它复活后的8年里,活动得到了突飞猛进的发展。全国有250个不良反应监测中心,印度向乌普萨拉监测中心的数据库提供了1.7%的个案安全报告。世卫组织认识到印度在药物警戒领域所作的协同努力,在国家协调中心建立了第一个世卫组织公共卫生规划和管理服务药物警戒合作中心。拟议在未来几年扩大该规划,将根据世卫组织第三次“无伤害用药全球患者安全挑战”进一步加强该国的药品安全事业。
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引用次数: 2
A new beginning: Adverse drug reaction manager a way of increasing the number of spontaneous reporting 一个新的开始:药品不良反应管理者增加自发报告数量的方式
Q4 Medicine Pub Date : 2018-08-01 DOI: 10.1097/FAD.0000000000000035
K. Dalhoff, J. Andersen, E. Jimenez‐Solem, K. Dalhoff
Department of Clinical Pharmacology, Copenhagen University Hospital Bispebjerg and Frederiksberg and Institute of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark Correspondence to Kim Dalhoff, MD, DMSc, FEAPCCT, Professor of Clinical Pharmacology (Clinical Toxicology), Department of Clinical Pharmacology, Bispebjerg and Frederiksberg University Hospital, Frederiksberg, 2400 Copenhagen, Denmark. Tel: +45 3863 5101; Mobile: (45) 2825 4783; e-mail: kim.peder.dalhoff@regionh.dk
哥本哈根大学Bispebjerg和Frederiksberg医院临床药理学系和丹麦哥本哈根大学健康与医学科学院临床医学研究所与临床药理学系临床药理学(临床毒理学)教授Kim Dalhoff博士通信,Bispebjerg和Frederiksberg大学医院,弗雷德里克斯贝格,2400哥本哈根,丹麦。电话:+45 3863 5101;手机:(45)28254783;电子邮件:kim.peder.dalhoff@regionh.dk
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引用次数: 2
Twenty years of adverse drug reactions: a look back – part 2 二十年的药物不良反应:回顾-第二部分
Q4 Medicine Pub Date : 2018-06-01 DOI: 10.1097/FAD.0000000000000034
R. Ferner, C. Anton
Summary After 20 years, Robin Ferner and Christopher Anton, who took on responsibility for the Adverse Drug Reaction Bulletin from its founder Professor Dai Davies, are handing over responsibility to Professor Kim Dalhoff and his colleague Dr Jon Andersen in Copenhagen. They take the opportunity to review some interesting, important, or unusual clinical aspects of adverse drug reactions encountered over the last twenty years.
20年后,罗宾·费纳和克里斯托弗·安东从其创始人戴·戴维斯教授手中接过了《药物不良反应公报》的责任,现在他们将责任交给了哥本哈根的金·达尔霍夫教授和他的同事乔恩·安德森博士。他们借此机会回顾了过去二十年中遇到的一些有趣的、重要的或不寻常的药物不良反应的临床方面。
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引用次数: 0
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Adverse Drug Reaction Bulletin
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