以MDX查詢藥物資訊

以MDX查詢藥物資訊

案例分享

國立成功大學(xué)附設(shè)醫(yī)院藥劑部鄭清鳳藥師April26,2006應(yīng)用MDX於藥事服務(wù)藥品諮詢藥理作用用法副作用注意事項臨床藥事服務(wù)藥事委員會新藥申請之評估處方集編輯藥品副作用評估疑義處方評估藥物致畸性諮詢服務(wù)病患用藥衛(wèi)教藥袋標(biāo)示病患第一次來成大醫(yī)院求診，以前一直有服用一藥品叫作「Benicar」，請問院內(nèi)有否此藥品？Olmesartan(Benicar)有病患服用acetaminophen自殺，請問其解毒劑acetylcystein

應(yīng)給多少劑量？LOADINGDOSEof150mg/kgin200mLofD5Wover15minFIRSTMAINTENANCEDOSEof50mg/kgin500mLofD5Wover4hoursSECONDMAINTENANCEDOSEof100mg/kgin1000mLofD5Wover16hoursAcetaminophenpoisoning:I.V.(unlabeled):Loadingdose:140mg/kg,followedby70mg/kgq4h,foratotalof13doses(loadingdoseand48hroftreatment);infuseeachdoseover1hr.Loadingdoseof150mg/kgin200mLofD5Wover15min1stmaintenacedoseof50mg/kgin500mLofD5Wover4hours2ndmaintenancedoseof100mg/kgin1000mLofD5Wover16hoursFORTY-EIGHTHOURPROTOCOL(notastandarddosingregimen):Dilute20%solution1:5inD5Wandgiveslowlyoveronehour.Theinitialdoseis140mg/kg,followedby70mg/kgq4hforatotalof13doses(Smilksteinetal,1991).病患有蠶豆癥，可不可以服用Uroprin(Phenazopyridine；永信藥廠/臺灣)?我的朋友從國外帶回一罐藥，推薦給我服用，請問這個藥的作用是甚麼？

(Nestmann

Nieren-TonikumS)Bruchkraut

Hauhechelwurzel

醫(yī)院新進(jìn)一藥品Cymbalta(Duloxetine)，此藥品之特色在哪裏？病人抱怨服藥後嘴巴很乾，請問其服用的藥品中會不會造成口乾的副作用？Lipitor

(Atorvastatin)AdalatOROS(Nifedipine)Bokey(Aspirin)Micardis(Telmisartan)Repaglinide(NovoNorm)可不可以與gemfibrozil(Lopid)一起服用？

Severity CONTRAINDICATED MAJOR MODERATE MINORSignificanceRatingSeverityDocumentation1MajorSuspectedor>2ModerateSuspectedor>3MinorSuspectedor>4Major/ModeratePossible5MinorPossibleAnyUnlikely醫(yī)師開給我類固醇(prednisolone)每次一顆，一天三次；今天早上的藥量忘了服用，怎麼辦？今天早上忘記服用Clomiphene，晚上可以補服嗎？ClomipheneDRUGDEXDRUGEVALUATIONSPatientInstructionsUSPDI(R)AdviceforthePatient(R)ProperUseofThisMedicineIfaDoseisMissed:Takethemisseddoseassoonasyouremember.-Tellyourdoctorifyouhavemissedanydoses,becausethismayaffectyourtreatment.Ifyoumissadoseofthismedicine,takeitassoonaspossible.Ifyoudonotrememberuntilitistimeforthenextdose,takebothdosestogether;thengobacktoyourregulardosingschedule.Ifyoumissmorethanonedose,checkwithyourdoctor.院內(nèi)Wintermin(Chlorpromazine)已停用，若病患有打嗝癥狀，有其它替代藥可使用嗎？Amiodarone(Cordarone

）注射劑應(yīng)如何配製？可否與抗生素ceftriaxone加在一起施打？Martindale(amiodarone)Martindale(amiodarone)USP-DI(amiodarone)患者因Wilson’sdisease，長期服用Penicillamine300mgqd，目前準(zhǔn)備懷孕，不知可否繼續(xù)服用？或者有其它代用藥物？D:Thereispositiveevidenceofhumanfetalrisk,butthebenefitsfromuseinpregnantwomenmaybeacceptabledespitetherisk(