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Some consideration about insulin one hundred years after its discovery 胰岛素发现一百年后的一些思考
Q Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-12-31 DOI: 10.53519/analesranf.2022.88.05.24
R. Medina Santillán, Á. García-Quismondo, F. Sánchez-Muniz
This article wants to be a tribute from the Royal National Academy of Pharmacy to all those who, with their eagerness to discover and contribute to the benefit of humanity, allowed that back in the first decades of the 20th century, the discovery of one of the central molecules of our body, insulin, took place. The contribution of this hormone has allowed life to be compatible with the lack of endogenous production of it. The article focuses on clarifying the path that led medical professionals to combat Diabetes and to “dig” into the wound that produced the Nobel Prize for some who participated in the discovery. In it we make a brief review of the importance of insulin, by virtue of the number of people who demand the daily exogenous supply of this hormone, as well as a brief reflection on the need for the existence and availability of different types of insulin and the suitability of your application.Keywords: diabetes; insulin; glucose; Nobel Prize; insulin types and characteristics
这篇文章是英国皇家国家药学院对所有那些怀着发现和造福人类的热情,允许我们在20世纪头几十年发现人体核心分子之一胰岛素的人的致敬。这种激素的作用使生命能够与缺乏内源性激素的情况相适应。这篇文章的重点是澄清医疗专业人员与糖尿病作斗争的道路,并“挖掘”一些参与发现糖尿病的人获得诺贝尔奖的伤口。在这篇文章中,我们简要回顾了胰岛素的重要性,根据每天需要这种激素外源性供应的人数,以及对不同类型胰岛素的存在和可用性的需求以及您的应用的适用性的简要反思。关键词:糖尿病;胰岛素;葡萄糖;诺贝尔奖;胰岛素的类型和特点
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引用次数: 0
Multi-target drugs as a new strategy against neurodegenerative diseases 多靶点药物作为对抗神经退行性疾病的新策略
Q Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-12-31 DOI: 10.53519/analesranf.2022.88.05.05
José Carlos Menéndez Ramos
Neurodegenerative diseases are multifactorial in origin, i.e., their etiology involves a large number of interconnected pathological processes. As a consequence, disease progression cannot be efficiently stopped by modulating a single target, as done with current therapies. Several approaches attempt to overcome this limitation, and the most promising one is based on the use of multitarget drugs. This approach seeks molecules that are rationally designed to modulate several therapeutic targets associated to a particular disease. In this review article, the foundations of the design of multitarget drugs are summarized and illustrated through examples taken from work carried out in the group of the author. The main targets studied are proteins involved in the Nrf2-ARE pathway, calcium transport proteins and rho-kinase 2. Keywords: multitarget drugs; Nrf2-ARE pathway; calcium transport proteins; rho-kinase 2
神经退行性疾病的起源是多因素的,即其病因涉及大量相互关联的病理过程。因此,不能像目前的疗法那样,通过调节单一靶点来有效地阻止疾病进展。有几种方法试图克服这一限制,最有希望的方法是基于多靶点药物的使用。这种方法寻求合理设计的分子,以调节与特定疾病相关的几个治疗靶点。在这篇综述文章中,通过作者小组的工作实例,总结和说明了多靶点药物设计的基础。研究的主要靶标是参与Nrf2-are途径的蛋白质、钙转运蛋白和rho激酶2。关键词:多靶点药物;Nrf2-ARE通路;钙转运蛋白;rho激酶2
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引用次数: 0
Importance of experimental surgery for training of the surgeon and development of clinical surgery 实验外科对外科医生培训和临床外科发展的重要性
Q Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-12-31 DOI: 10.53519/analesranf.2022.88.05.23
J. A. Rodríguez Montes
Advances in medicine in general and surgery in particular have been due to a great extent to animal experimentation, a practice carried out since ancient times; without their use, the scientific progress achieved to date would not have been possible. Scientific surgery is based on observation, in clinical research and in experimental research. Although experimentation can be done in humans, respecting ethical standards, usually the surgical research takes place in animals.This text discusses the prominent role that experimental surgery plays in the training of surgeon and in development of clinical surgery.Keywords: experimental surgery; surgeon training; surgical progress; surgery; surgical education: animal experimentation
医学的进步,尤其是外科学的进步,在很大程度上要归功于动物实验,这是一种自古以来就存在的做法;没有它们的使用,迄今为止取得的科学进步是不可能的。科学的外科是建立在观察、临床研究和实验研究的基础上的。虽然可以在人类身上进行实验,但尊重伦理标准,外科研究通常是在动物身上进行的。本文论述了实验外科在外科医生培养和临床外科发展中的突出作用。关键词:实验外科;外科医生培训;外科手术的进步;手术;外科教育:动物实验
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引用次数: 0
Lifestyle changes during the SARS-CoV-2 pandemic confinement in Europe: a systematic review 欧洲严重急性呼吸系统综合征冠状病毒2型疫情禁闭期间生活方式的变化:一项系统综述
Q Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-10-10 DOI: 10.53519/analesranf.2022.88.03.03
A. Martí Del Moral, Natalia Vázquez Bolea
In early 2020, the SARS-CoV-2 pandemic began to spread. Due to the extent and quickness of infection, a more or less strict confinement was declared, depending on each country´s government. Therefore, the main objective of this systematic review is to study the changes in lifestyle that occurred during the lockdown due to the COVID-19 pandemic in healthy subjects over 18 years old in 9 European countries. A systematic review was performed according to PRISMA criteria. The “PubMed” database was used for the search; with the following advanced search strategy: “dietary changes” OR “lifestyle changes” AND “covid-19” OR “covid-19 lockdown” AND adults. Finally, 12 articles were included. Most studies showed an increase in energy intake, sweets, snacks and alcohol. Physical activity levels diminished. These unhealthy habits have led to an increase in body weight. Thus, COVID-19 lockdown appears to have modified lifestyle habits in European population. Further research should be done with larger sample sizes to assess the impact of the pandemic and to improve lifestyle recommendations in case of future pandemics.
2020年初,严重急性呼吸系统综合征冠状病毒2型疫情开始蔓延。由于感染的程度和速度,根据每个国家的政府,宣布了或多或少的严格限制。因此,本次系统综述的主要目的是研究9个欧洲国家18岁以上健康受试者在新冠肺炎大流行导致的封锁期间生活方式的变化。根据PRISMA标准进行了系统审查。搜索使用了“PubMed”数据库;使用以下高级搜索策略:“饮食变化”或“生活方式变化”与“新冠肺炎”或“新冠肺炎封锁”与成年人。最后,收录了12篇文章。大多数研究表明,能量摄入、甜食、零食和酒精都有所增加。体力活动水平下降。这些不健康的习惯导致体重增加。因此,新冠肺炎封锁似乎改变了欧洲人口的生活方式。应该对更大的样本量进行进一步的研究,以评估大流行的影响,并在未来发生大流行时改进生活方式建议。
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引用次数: 0
Clinical trials with steril preparations. Analysis of Spain clinical trial registry 无菌制剂的临床试验。西班牙临床试验注册分析
Q Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-10-10 DOI: 10.53519/analesranf.2022.88.03.04
Alberto García Rojo de Cózar
Objective: To review the legal regime for sterile products preparation in the context of clinical trials.Method: A literature review of different rules, guideliness and reports from different organisms has been completed. Furthermore, an analysis of Spanish Clinical Trials Registry (REec) was performed in order to know the trend of what is the type of clinical trials that are being conducted in Spain.Results: at Europe Union there is not a specific regulation about this matter, being a member state responsibiliy to have a local law. In Spain, there is a guideline regarding Good Practices of preparation for drugs on Hospital Pharmacy Services. Spain Clinical Trials Registry analysis indicates that approximately 50% of studies could requiered that those study drugs to be pre-pared on sterile conditions, and on this group, 79% are international studies.Conclusions: Spain has solid regulations on sterile preparation drugs for routine practice and for clinical research drugs. All professionals involved in clinical research should be aware of these regulations in order to maintain Spain’s position of excellence in clinical research at the international level.
目的:综述临床试验中无菌产品制备的法律制度。方法:对不同生物的不同规则、指南和报道进行文献综述。此外,还对西班牙临床试验登记处(REec)进行了分析,以了解西班牙正在进行的临床试验类型的趋势。结果:在欧盟没有关于这个问题的具体规定,作为成员国的责任有当地的法律。在西班牙,有一项关于医院药房服务药品配制良好做法的指导方针。西班牙临床试验登记处的分析表明,大约50%的研究可能要求这些研究药物在无菌条件下制备,在这一组中,79%是国际研究。结论:西班牙对常规执业和临床研究用无菌制剂药品有较为完善的规定。所有参与临床研究的专业人员都应该了解这些法规,以保持西班牙在国际水平上临床研究的卓越地位。
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引用次数: 0
Maternal fructose intake modulates cholesterol metabolism in response to a western diet in the offspring 母体果糖摄入调节后代对西方饮食的胆固醇代谢
Q Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-10-10 DOI: 10.53519/analesranf.2022.88.03.01
Paloma López Laiz, E. Fauste, M. Panadero, C. Donis, P. Otero, Carlos coaut. Bocos de Prada
Fructose consumption has increased during the last decades, while a simultaneous rise in the incidence of pathologies such as type 2 diabetes and metabolic syndrome has also taken place. Although there is evidence that fructose can cause alterations in the offspring related to the development of the aforementioned diseases, exposure to fructose during pregnancy is not contraindicated for women. This effect is explained by the concept of foetal programming, which suggests that changes that occur during the embryogenic and foetal stages are permanent in the adult, due to maternal health, diet and other environmental factors.Therefore, the effect of fructose on cholesterol metabolism in the offspring of mothers fed with or without fructose during gestation was studied. In addition, the progeny also received different diets: fructose (with and without supplementation of cholesterol) or tagatose solutions.Tagatose increased non-HDL cholesterol in the offspring of water-fed mothers, whereas fructose consumption during gestation dampened this effect, indicating foetal programming. In addition, fructose and tagatose feeding increased atherogenic indices by decreasing HDL-cholesterol concentration and increasing triglycerides levels.On the other hand, the addition of cholesterol to fructose consumption caused an increase in total cholesterol and a change in its distribution: higher concentration of non-HDL cholesterol and lower concentration of HDL cholesterol, independently of maternal feeding. This also caused an increase in atherogenic indices.Ultimately, the results indicate that cholesterol metabolism is influenced by both maternal fructose consumption, and the subsequent intake of fructose (alone or in combination with cholesterol) and tagatose in the offspring.
在过去的几十年里,果糖的消耗量增加了,与此同时,2型糖尿病和代谢综合征等疾病的发病率也在上升。尽管有证据表明果糖会导致与上述疾病发展相关的后代发生改变,但在怀孕期间接触果糖并不是女性的禁忌。胎儿编程概念解释了这种影响,该概念表明,由于产妇健康、饮食和其他环境因素,胚胎期和胎儿期发生的变化在成年后是永久性的。因此,研究了果糖对妊娠期间喂食或不喂食果糖的母鼠后代胆固醇代谢的影响。此外,后代也接受了不同的饮食:果糖(有或没有补充胆固醇)或塔格糖溶液。塔格糖增加了水喂养的母亲的后代的非高密度脂蛋白胆固醇,而妊娠期间摄入果糖则抑制了这种影响,表明胎儿编程。此外,果糖和塔格糖喂养通过降低hdl -胆固醇浓度和增加甘油三酯水平增加动脉粥样硬化指数。另一方面,在摄入果糖的同时增加胆固醇,导致总胆固醇升高,并改变其分布:非高密度脂蛋白胆固醇浓度升高,高密度脂蛋白胆固醇浓度降低,与母体喂养无关。这也导致了动脉粥样硬化指数的增加。最终,研究结果表明,胆固醇代谢受到母体果糖消耗以及后代随后摄入果糖(单独或与胆固醇结合)和塔格糖的影响。
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引用次数: 0
New insights into the key role of extracellular vesicles in non-alcoholic fatty liver disease 细胞外囊泡在非酒精性脂肪性肝病中的关键作用的新见解
Q Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-10-10 DOI: 10.53519/analesranf.2022.88.03.02
Irma García Martínez, R. Alén, P. Rada, Ángela M. Valverde
Non-alcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease worldwide. NAFLD, the hepatic manifestation of the metabolic syndrome, closely associates with insulin resistance, type 2 diabetes mellitus, obesity and cardiovascular disease. Until now, the specific factors involved in the progression of NAFLD from fatty liver to non-alcoholic steatohepatitis, cirrhosis and, ultimately hepatocellular carcinoma have not been totally elucidated.Also, patients have to face the lack of efficient or personalized treatments, as well as the absence of reliable diagnosis or staging methods beyond the highly invasive liver biopsy. In the last years, extracellular vesicles (VEs) are considered as potential biomarkers for the diagnosis many diseases including NAFLD. VEs are released by different cells types into the circulation and contain nucleic acids and proteins, among other components of their, that interact with surrounding or distant target cells, thereby triggering a plethora of responses. During NAFLD progression, several processes such as inflammation, fibrosis and angiogenesis, all related to MS-associated lipotoxicity, lead to VEs release by liver cells. In this review we will focus in the role of hepatocyte-derived VEs (Hep-VEs) and their interactions with non-parenchymal liver cells populations during NAFLD pathogenesis, as well as in their role as non-invasive biomarkers for disease diagnosis and progression. We will highlight the recent work currently available on VEs in the context of NAFLD, the current limitations and future directions for the implementation of VEs as biomarkers or targets of liver disease in the clinical setting.
非酒精性脂肪性肝病(NAFLD)是世界范围内最常见的慢性肝病。NAFLD是代谢综合征的肝脏表现,与胰岛素抵抗、2型糖尿病、肥胖和心血管疾病密切相关。到目前为止,NAFLD从脂肪肝发展为非酒精性脂肪性肝炎、肝硬化并最终发展为肝细胞癌的具体因素尚未完全阐明。此外,患者必须面对缺乏有效或个性化的治疗方法,以及除了高侵入性肝活检之外缺乏可靠的诊断或分期方法。近年来,细胞外囊泡(VEs)被认为是诊断包括NAFLD在内的许多疾病的潜在生物标志物。VEs由不同类型的细胞释放到血液循环中,并含有核酸和蛋白质,以及它们的其他成分,与周围或远处的靶细胞相互作用,从而引发过多的反应。在NAFLD的发展过程中,炎症、纤维化和血管生成等过程都与ms相关的脂肪毒性有关,导致肝细胞释放VEs。在这篇综述中,我们将重点关注肝细胞源性VEs (Hep-VEs)及其在NAFLD发病过程中与非实质肝细胞群的相互作用,以及它们作为疾病诊断和进展的非侵入性生物标志物的作用。我们将重点介绍目前在NAFLD背景下关于VEs的最新工作,目前的局限性和未来在临床环境中将VEs作为肝脏疾病的生物标志物或靶点的实施方向。
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引用次数: 0
Update on tobaccoism, approach from the community pharmacy and pharmacological treatments of choice 关于吸烟的最新情况,社区药房的治疗方法和药物治疗的选择
Q Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-10-10 DOI: 10.53519/analesranf.2022.88.03.05
Miguel C. Aguiló Juanola
Smoking is a chronic addictive disease with a pandemic character and, therefore, requires the development of prevention and treatment strategies.The relationship of smoking with obesity and genetics has been studied in recent years, as well as its approach in adolescents, the main objective of the tobacco industry.The implications of second-hand smoke (passive smoking), third-hand smoke (toxics in the smoker’s environment) and fourth-hand smoke (environmental pollution from tobacco) are well known, as is the fact that there is no safe level of smoking, as numerous studies show.The community pharmacist, due to his basic training and accessibility, is an ideal health professional to act in the prevention of smoking and its treatment, developing a professional smoking service in his pharmacy, for which specific training and a adequate physical structure of the pharmacy are required.The treatment of tobacco addiction must be, fundamentally, a combination of pharmacological treatment with cognitive-behavioral treatment.The drugs of first choice for its treatment are Nicotine Replacement Therapy (NRT) combined (patches together with oral form) and varenicline.The kinetics of nicotine in NRT and its agonist effect on alpha 4 beta 2 receptors and the agonist-antagonist effect of varenicline on them, explain its mechanism of action and effectiveness.Cytisine, an alkaloid from which varenicline is derived, and with a similar mechanism of action, is a drug recently marketed in Spain, although it has been used in eastern countries for many years. It has demonstrated its effectiveness and safety, and with the experience of its use in our setting, it is expected to be included in the first line of pharmacological treatment of smoking.
吸烟是一种具有流行病特征的慢性成瘾性疾病,因此需要制定预防和治疗策略。近年来,人们研究了吸烟与肥胖和遗传的关系,以及吸烟对青少年的影响,这是烟草行业的主要目标。正如大量研究表明的那样,二手烟(被动吸烟)、三手烟(吸烟者环境中的有毒物质)和四手烟(烟草对环境的污染)的影响是众所周知的,吸烟没有安全水平也是众所周知的。社区药剂师,由于其基本培训和可及性,是预防吸烟及其治疗的理想健康专业人员,在其药房发展专业吸烟服务,为此需要专门的培训和药房的适当物理结构。从根本上讲,烟草成瘾的治疗必须是药物治疗和认知行为治疗的结合。治疗该病的首选药物是尼古丁替代疗法(NRT)联合用药(贴片与口服形式结合使用)和varenicline。尼古丁在NRT中的动力学及其对α4β2受体的激动剂作用,以及伐仑克林对它们的激动剂拮抗剂作用,解释了其作用机制和有效性。Cytisine是一种生物碱,varenicline来源于此,具有类似的作用机制,是最近在西班牙上市的一种药物,尽管它在东部国家已经使用了多年。它已经证明了它的有效性和安全性,根据它在我们环境中的使用经验,它有望被纳入吸烟药物治疗的一线。
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引用次数: 0
Administrative intervention on the prices of industrial medicines in Spain and their relevance in the dispensing of them in pharmacies 对西班牙工业药品价格的行政干预及其与药房配药的相关性
Q Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-06-30 DOI: 10.53519/analesranf.2022.88.02.05
Silvia Enríquez Fernández
The right to health is made effective, among others, through the guarantee of access to medicines, since these contribute to prevent, cure, or alleviate diseases and to correct or repair the aftermath caused by them. Thus, in Spain, the right of all citizens to obtain medicines through the pharmaceutical benefits guaranteed by the National Health System, which is the health model implemented to guarantee health protection, is recognized. To guarantee its sustainability, the State has the capacity to regulate the economic conditions of pharmaceutical services, as well as to standardize the price of medicines.In this paper, the administrative intervention on all the economic and political issues surrounding the medicine in its relationship with health protection is analyzed, such as: the decision of public financing, that is, inclusion of medicine in the pharmaceutical provision of Social Security, and the fixing of the price of financing the medicine from state funds related to health or Social Security, which are carried out in each of the Member States, and in Spain correspond to the Ministry with competences in health.
除其他外,健康权是通过保证获得药品来实现的,因为这些药品有助于预防、治疗或减轻疾病,并纠正或修复疾病造成的后果。因此,在西班牙,所有公民都有权通过国家卫生系统保障的药品福利获得药品,这是为保障健康而实施的卫生模式。为了保证其可持续性,国家有能力调节药品服务的经济条件,并使药品价格标准化。本文分析了围绕药物与健康保护关系的所有经济和政治问题的行政干预,例如:公共融资的决定,即将药品纳入社会保障的药品供应,以及确定从与卫生或社会保障有关的国家基金中为药品融资的价格,这些决定在每个成员国以及在西班牙由负责卫生事务的部门执行。
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引用次数: 0
Novel Drugs Recently Authorized by EMA and FDA (Q1, 2022) 最近获得EMA和FDA批准的新药(第一季度,2022)
Q Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-06-30 DOI: 10.53519/analesranf.2022.88.01.06
Santiago Cuéllar Rodríguez
EMA (EUROPEAN MEDICINES AGENCY)(A) TRACTO ALIMENTARIO Y METABOLISMO: Avalglucosidasa Alfa (Nexviadyme®): enfermedad de Pompe; Eladocagene Exuparvovec (Upstaza®): deficiencia de L-aminoácido descarboxilasa aromática (AADC); Lonafarnib (Zokinvy®): progeria de Hutchinson-Gilford; Olipudasa Alfa (Xenpozyme®): déficit de esfingomielinasa ácida (ASMD). (B) SANGRE Y SISTEMA HEMATOPOYÉTICO: Eptacog Beta activado (Cevenfacta®): hemofilia; Valoctogene Roxaparvovec (Roctavian®): hemofilia. (D) DERMATOLOGÍA: Abedul, extracto (Filsuvez®): epidermolisis bullosa. (G) SISTEMA GENITOURINARIO Y HORMONAL SEXUALES: Linzagolix (Yselty®): miomas uterinos. (J) ANTIINFECCIOSOS SISTÉMICOS: Vacuna COVID-19 ARN bivalente (Comirnaty Original/Omicron BA.1; Spikevax Bivalent Original/Omicron BA.1): profilaxis de la COVID-19; Vacuna COVID-19 inactivada (Vacuna COVID-19 Valneva®): profilaxis de la COVID-19; Vacuna Hepatitis B recombinante (Prehevbri®): profilaxis de la hepatitis B; Vacuna Neumococo polisacárida conjugada 20-valente (Apexxnar®): profilaxis de la enfermedad invasiva y la neumonía causadas por Streptococcus pneumoniae; Lenacapavir (Sunlenca®): VIH/SIDA. (L) AGENTES ANTINEOPLÁSICOS E INMUNOMODULADORES: Capmatinib (Tabrecta®): cáncer de pulmón; Asciminib (Scemblix®): leucemia mieloide crónica; Teclistamab (Tecvayli®): mieloma múltiple; Edgartigimod Alfa (Vyvgart®): miastenia gravis. (N) SISTEMA NERVIOSO: Lasmiditan (Rayvow®): migraña.FDA (U.S. FOOD & DRUG ADMINISTRATION)(A) TRACTO ALIMENTARIO Y METABOLISMO: Vutrisiran (Amvuttra®): amiloidosis. (L) AGENTES ANTINEOPLÁSICOS E INMUNOMODULADORES: Spesolimab (Spevigo®): psoriasis; Deucravacitinib (Sotyktu®): psoriasis; Eflapegrastim (Rolontis®): neutropenia. (M) SISTEMA MÚSCULO-ESQUELÉTICO: Toxina Daxibotulínica A (Daxxify®): arrugas glabelares.
EMA(欧洲药品管理局)(A)消化道和代谢:avalglucosidase Alfa (Nexviadyme®):庞贝病;Eladocagene Exuparvovec (Upstaza®):芳香l -氨基酸脱羧酶(AADC)缺乏;Lonafarnib (Zokinvy®):Hutchinson-Gilford早衰症;寡磷酸酶α (Xenpozyme®):酸性鞘磷脂酶(ASMD)缺乏。(B)血液和造血系统:活化Eptacog β (Cevenfacta®):血友病;Valoctogene Roxaparvovec (Roctavian®):血友病。(D)皮肤科:桦树提取物(Filsuvez®):大疱表皮溶解。(G)泌尿生殖系统和性激素:Linzagolix (Yselty®):子宫肌瘤。(J)全身抗感染:COVID-19双价rna疫苗(Comirnaty Original/Omicron BA.1;Spikevax Bivalent Original/Omicron BA.1):预防COVID-19;COVID-19灭活疫苗(COVID-19 Valneva®疫苗):COVID-19预防;重组乙肝疫苗(Prehevbri®):预防乙肝;20价肺炎球菌结合多糖疫苗(Apexxnar®):预防肺炎链球菌引起的侵袭性疾病和肺炎;Lenacapavir (Sunlenca®):hiv / aids。(L)抗肿瘤和免疫调节剂:卡玛替尼(Tabrecta®):肺癌;Asciminib (Scemblix®):慢性髓系白血病;Teclistamab (Tecvayli®):多发性骨髓瘤;Edgartigimod Alfa (Vyvgart®):重症肌无力。(N)神经系统:Lasmiditan (Rayvow®):偏头痛。(A)消化道和代谢:Vutrisiran (Amvuttra®):淀粉样变。(L)抗肿瘤和免疫调节剂:Spesolimab (Spevigo®):牛皮癣;Deucravacitinib (Sotyktu®):牛皮癣;Eflapegrastim (Rolontis®):中性粒细胞减少症。(M)肌肉骨骼系统:daxibotulinica毒素A (Daxxify®):眉皱纹。
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引用次数: 0
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Anales De La Real Academia Nacional De Farmacia
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