103 …………………………………………………. Combivir ® 150 mg/300mg/tab……………………….................... Isentress ® 400 mg/ tab………………..…………………............. 103 7 103 9 9 HIV 。 1981 Immunodeficiency Virus) CD4 200/ml (HIV, Human 。 1993 (HIV) AIDS HIV 。 HIV (AIDS) 6~12 HIV HIV 。 。 .. ~10 ( HIV gp120/41 RNA ( ) (reverse transcriptase) (DNA) 1995 10% DNA ) 3 CD4 (CD4 HIV RNA) DNA ( plasma viral load RNA ) 4-5 50% CD4 1 5-10 。 (NRTIs)(NNRTIs)(reverse transcription) RNA DNA (PIs)Fusion inhibitor- (1). (NRTIs)+ (2). (NRTIs)+ (3). (NRTIs) 50~60 : 1. 2. 3. 4. 5. 6. 7. (NNRTIs) (PIs) ( ) 3TC 150mg/tab Lamivudine NRTI Kivexa 300mg/600mg/tab Lamivudine+Abacavir(ABC) NRTI Combivir 150mg/300mg/tab Lamivudine+Zidovudine(ZDV) NRTI Viread 300mg/tab Tenofovir(TDF) NRTI Stocrit 600mg/tab Efavirenz(EFV) NNRTI Viramune 200mg/tab Nevirapine(NVP) NNRTI Edurant 25mg/tab Rilpivirine(RPV) NNRTI Reyataz 200mg/cap; 150mf/cap Atazanavir(ATV) Darunavir(DRV ) Norvir 100mg/soft cap Ritonavir(RTV) 600 mg 200 mg 25 mg Lopinavir+Ritonavir(LPV/r) Isentress 400mg/tab Raltegravir(RAL) 100mg TDF EFV 400 mg ATV/r 300 mg/100 mg 800 mg RTV 100 mg RTV 100 mg~400 mg PI PI INSTI RTV . PI Kaletra 200mg/50mg/tab 300mg 300 mg PI Prezista 400mg/tab 150 mg 400 mg RTV / ZDV/3TC/NVP*(Duovir-N) ZDV/3TC*+NVP(Combivir+Viramune) ZDV/3TC*+EFV(Combivir+Stocrit) ZDV/3TC*+RPV(Combivir+ Edurant) ZDV TDF+3TC+NVP(Viread+3TC+Viramune) HBV NVP TDF+3TC+EFV(Viread+3TC+ Stocrit) TDF+FTC+EFV*(Atripla) ABC/3TC+EFV( )( Kivexa+ Efavir TDF TDF Immupnyn ) ABC/3TC*+NVP(Kivexa+Viramune) ZDV/3TC*+MVC(Combivir+Celsentri) ZDV/3TC*+LPV/r*(Combivir+Kaletra) ( ) CCR5 , NNRTI ZDV/3TC*+DRV(800)/r(100) (Combivir+Prezista+Norvir) ZDV/3TC*+ATV(300)/(100) (Combivir+Reyataz+Norvir) ZDV/3TC*+ATV(400) (Combivir+Reyataz) ZDV/3TC*+RAL(Combivir+ Isentress) 17500 20140301 Combivir ® tablets Lamivudine …………150 mg Zidovudine …………300 mg Lamivudine zidovudine HIV-1 HIV lamivudine HIV-2 zidovudine (kinase) 5'-triphosphate(TP) Combivir HIV-1 HIV-2 (monophosphate) DNA Lamivudine-TP zidovudine-TP HIV-1 (1) (2) (3) (4) 30 kg 21 14 30 kg 21 kg 14 kg 1/2 1/2 lamivudine Combivir® Lamivudine 0.5 lamivudine 0.34L/h/kg zidovudine Combivir lamivudine zidovudine (AUC) (Cmax,tmax) Combivir Zidovudine zidovudine 2-4 CSF/ (CSF) 5 Zidovudine 1 5'-glucuronide 1.1 7 1.6 L/h/kg Zidovudine 0.12 Lamivudine 0.32 L/h/kg 50-80 % HIV 、 、 、 、 、 、 、 、 。 C lamivudine zidovudine Combivir® Combivir® mmol/L) lamivudine zidovudine (< 0.75×109/L) 30°C Combivir ™ tablets Micromedex 2.0 HIV Combiver® (< 7.5 g/dL 4.65 Isentress® Film Coated Tablets 400 mg raltegravir potassium 400 mg Raltegravir HIV-1 Raltegravir HIV-1 HIV-1 HIV-1 HIV-1 HIV-1 Raltegravir DNA DNA。 : 400 (3%) (2%-9.3%) Raltegravir (0%~9%) 。 (4%) 3 83% raltegravir 23% glucuronide 1. 9% 51% 9 Rifampin raltegravir raltegravir 2. HIV raltegravir NNRTI) tipranavir + ritonavir ( 3. atazanavir raltegravir 4. tenofovir raltegravir ( 800 mg bid) efavirenz ) etravirine ( tenofovir raltegravir 5. 4 C raltegravir HIV HIV 30℃ 1. 2. Micromedex 2.0 103 7-9 OADA10 Adalat 10mg/cap (Nifedipine) OAKIN Biperiden 2mg/tab (Biperiden) OADA10 Sindipine 10mg (Nifedipine ) OAKIN Akinfree 2mg/tab (Biperiden) OARHE Arheuma 20 mg/tab (Leflunomide) OARHE Arheuma 10 mg/tab (Leflunomide) OLADO Ladogal 200mg/cap (Danazol) OLADO Danalol 200mg/cap (Danazol) Moduretic tab (amiloride 5 mg, OMODU hydrochlorothiazide 50 mg) OSALA Salazopyrin 500mg/tab (Sulfasalazine) OVBC Vitamin B complex ( thiamine 50 mg, riboflavin 5 mg, pyridoxine 5 mg, cyanocobalamin 5 mg ) OMODU Anzat tab (amiloride 5 mg, hydrochlorothiazide 50 mg) OSALA Salazine 500mg/tab (Sulfasalazine) OVBC Aelocon SC ( thiamine 50 mg, riboflavin 5 mg ) ICALG1 Glucal Black 5ml/amp ICALG Calglon inj IDOPA IDOPA Dopavate 200 mg/5ml/amp IMECO Dopmin 200mg/5ml/amp Methycobal 500 mcg/ml/amp (Mecobalamin) IMECO Combeplex inj.1ml/amp IVBC (Vit. B1 100 mg, B2 5 mg, B6 5 mg, EOEST Flulon eye drop 0.1% 5ml/bot ( Fluorometholone ) Oestro gel 0.6mg/gm ; 30 g/tube ( Estradiol) EWART Wartec cream 5g/tub (Podophyllotoxin) EZOVC Zovirax® cream 5% 2 g/tube (Acyclovir ) Mecobal 500mcg/ml;2ml/amp (Mecobalamin) B-complex inj. 1ml/amp IVBC Nicotinamide 50 mg, Sodium pantothenate 5 mg) PFLU1 10ml/amp ( Vit. B1 100 mg, B2 5 mg, B6 5 mg, Nicotinamide 50 mg, Sodium pantothenate 5 mg) PFLU1 EOEST EWART EZOVC Foxone oph. Suspension 0.1% ( Fluorometholone ) Ladiol gel 0.6mg/gm ; 30 g/tube ( Estradiol) Wart DEL cream 1.5g/g; 5g/tub (Podophyllotoxin) Aclovir cream 50 gm/g; 5 g/tube (Acyclovir ) 1 EJOYL 2 IACLS Joyla cream 15 g/tube (Aluminum HCl 50mg/g, DC Cetrimide 10 mg/g) Aclasta 5mg/100ml solution for infusion (Zoledronic acid) 5ml/bot DC ( 103/7/2 ) Zofran® 8 mg/4ml/amp ( Ondansetron ) IZOFR 1. (Health Canada) serotonin antagonists dolasetron ( : granisetron ondansetron 1. Serotonin syndrome palonosetron) serotonin ( : MAOI serotonin syndrome ( SSRI ) 2. serotonin syndrome ) 2. : serotonin syndrome 103/7/2 serotonin Voluven ® Hydroxyethyl starch 6% 500 mL/bag (O-2 Hydroxyethyl starch 60 g, ( NaCl 9g) ) Hydroxyethyl starch IVOLU HAES-steril 10 % 500mll/bag (O-2 Hydroxyethyl starch 100g, NaCl 9g.) IHAES 103/7/2 Thado® 50mg/cap thalidomide (Thalidomide) ( : OTHAD ) 1. thalidomide 24 ( 50mlU/ mL) (Amelia) (-) (Phocomelia) ( 2. thalidomide ) ( ) 40% 3. thalidomide thalidomide thalidomide 4. 。 103/07/24 Tynen® 20mg/ml/vial (Docetaxel ) ITYXA FDA docetaxel 1. docetaxel docetaxel 2. 3. 103/8/13 Nicardipine nicardipine 10 mg/amp (Nicardipine) IPERD 。 1. 2. IV injection IV infusion (1). 3-5mg/h 15 15 0.5 1mg 15 mg/ h 2-4mg/h (2). / / 1-5mg/h 30 0.5mg/h 15 mg/h (3). 0.5-5mcg/kg/min 1-4 mcg/kg/min 103/08/25 Xylocaine ® jelly 30 g/tube FDA lidocaine : (Lidocaine) 1. lidocaine EXYLJ lidocaine 103/9/4 Sindine® aqueous 2. lidocaine 1. 100 mg/ml; 120 ml/bot (A) EBIW1 Sindine alcohol (B) 200 ml/bot EBIA2 (C) 2. Hibiscrub cellulitis 3800 ml/ septic arthritis EHIBI phlebitis bacteremia ( : - sepsis https://adr.fda.gov.tw/Manager/WebLogin.aspx ) 103 1 -25 (96%) -0 103 -1 (4%), (0%) 7 103 編 懷疑藥物/商品名 碼 7-9 -0 9 (0%) 103 7-9 ADR 藥品分類 不良事件症狀 處置 1 cephazolin1g/vial (lofalin) antibiotics cephalexin 藥敏記錄修正 cephalexine與 cephazolin之side chain 不同,未更動 2 ketorolac inj 30mg/amp(kerolac) NSAIDs 3 fenofibrate 160mg/tab (lipathyl) antilipimic agents analgesics and antipyretics藥敏 刪除analgesics and antipyretics 記錄 記錄修正 myalgia 停藥,改用fluvastatin 4 amoxicillin 500mg/cap(amoxicillin) antibiotics skin rash 停藥,改用cefaclor 5 flavoxate 200mg/tab(foxate) antispasmodics dizziness 停藥 6 imipenam+cilastatin 500mg(Tienam) antibiotics rash 停藥 7 methimazole 5mg/tab(methimazole) antithyroid agents rash 停藥,改用procil 8 chlorpromazine 100mg/tab(coliman) antipsychotics somnolence 停藥 9 ertapenam 1g/vial(invanz) antibiotics seizure 使用抗痙攣藥物,完成抗生素療程 10 glibenclamide+metformin (glucomet) OHA hypoglycemia 衛教低血糖處置 11 benzathine penicillinG2.4MIU/vial antibiotics akin rash 停藥,給予症狀治療藥物 12 中藥 中藥 skin rash 停藥,給予症狀治療藥物 13 methimazole 5mg/tab(methimazole) antithyroid agents mild fever 續服藥物,並囑密切觀察症狀 14 metformin OHA hypoglycemia 誤用他人的藥品 15 famotidine 20mg/tab (gaster-D) H2-blocker fatigue, dizziness 停藥,改用aligitab, magocain 16 cephazolin1g/vial (lofalin) antibiotics skin rash 停藥 17 propylthiouracil 50mg/tab(Polupi) antithyroid agents rash 停藥,改用methimazole
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