最近剛好遇到一個問題:有個病人體重299公斤(無誤),他要使用enoxaparin....問題來了喔,大家都知道,這個藥1mg/kg q12h(對正常腎功能的病患而言),而且沒有什麼很有效的antidote....所以,大家覺得這劑量怎麼給好?
快樂小藥師
- Oct 27 Sat 2012 01:37
[期刊轉載]Dosing in Obesity: A Simple Solution to a Big Problem
- Oct 26 Fri 2012 05:28
[Medscape][FDA Approvals]FDA Approves Perampanel for Partial-Onset Seizures
The US Food and Drug Administration (FDA) today announced approval of perampanel tablets (Fycompa, Eisai Inc) for treatment of partial-onset seizures in patients with epilepsy 12 years of age and older.
- Oct 25 Thu 2012 04:26
[WebMD]到院前收縮壓降低會使年長創傷患者陷於高風險
- Oct 24 Wed 2012 04:24
[開箱]嘉儀即熱式電膜式電暖器 KEY-520R
- Oct 23 Tue 2012 04:49
[藥物介紹]アルキサ Alkixa ointment 2%
- Oct 22 Mon 2012 05:33
[Apple]如果我的Game center 都無法更新狀態或是連線該怎麼辦?
這個問題是發生在Mountain lion上面的,有部分人士會發現自己的osx無法連上game center或是更新game center的狀態
而且Game center又沒有任何設定的地方,該怎麼辦呢?
- Oct 21 Sun 2012 04:44
[Medscape][Pharmacists]Small Increased Risk of CV Events With Diclofenac
LONDON — The European Medicines Agency (EMA) has finalized a review of recently published information on the cardiovascular safety of nonsteroidal anti-inflammatory drugs (NSAIDs) and concludes that the latest evidence shows a consistent but small increase in the risk of cardiovascular side effects with diclofenac compared with other NSAIDs [1]. The risk with diclofenac is "similar to the risks of COX-2 inhibitors," it states.
- Oct 20 Sat 2012 05:08
[WebMD]Statins能預防青光眼
- Oct 19 Fri 2012 04:43
[Medscape][Medical News]FDA Approves Ocriplasmin for Vitreomacular Adhesions
The US Food and Drug Administration (FDA) yesterday approved ocriplasmin intravitreal injection (Jetrea, ThromboGenics, Inc) for the treatment of symptomatic vitreomacular adhesions (VMAs), the agency announced today.
- Oct 18 Thu 2012 05:48
[吃喝玩樂]鹽選燒烤
- Oct 16 Tue 2012 04:20
[吃喝玩樂]老外一品牛肉麵
- Oct 15 Mon 2012 04:25
[US pharmacist]Migraine in Women: The Role of Hormones 偏頭痛與女性賀爾蒙
Migraine, a headache disorder, occurs in up to 15% of the overall U.S. population.1 In childhood, rates of migraine are similar between boys and girls. Migraine prevalence in women of reproductive age in the U.S. is more than twice that of men in the same age group. In both sexes, the rate of migraine declines rapidly after age 65 years.1
- Oct 14 Sun 2012 06:55
[AJHP]Azacitidine-associated Sweet’s syndrome
doi: 10.2146/ajhp110523 American Journal of Health-System Pharmacy May 15, 2012 vol. 69 no. 10 869-871
Azacitidine is a hypomethylating agent for the treatment of patients with myelodysplastic syndrome (MDS), an indication approved by the Food and Drug Administration in May 2004 through its accelerated-approval process.1,2
什麼是sweet syndrome?請參考:
[疾病介紹][uptodate]Sweet syndrome (acute febrile neutrophilic dermatosis)
- Oct 13 Sat 2012 06:25
[WebMD]久坐提高腎臟疾病風險
- Oct 12 Fri 2012 08:20
[Medscape][Medical News]First Drugs Selected for Alzheimer's Prevention Trial
Investigators have selected the first drugs to be evaluated in an Alzheimer's disease (AD) prevention trial.
- Oct 11 Thu 2012 06:48
[疾病介紹][uptodate]Sweet syndrome (acute febrile neutrophilic dermatosis): Pathogenesis, clinical manifestations, and diagnosis
1964年Sweet 首先報告一種疾病, 特點為發燒, 白血球增高, 疼痛性紅色丘疹, 病理切片可見嗜中性球浸潤的現象。故名 Sweet’s syndrome。
史維特症候群 Sweet’s syndrome臨床上可見急性疼痛性紅色丘疹在頭頸, 手臂及下肢, 軀幹較少受侵犯, 約一半的病人有發燒及關節酸痛, 有部份病人會合併虹彩炎, 結膜炎等症狀。
INTRODUCTION — Sweet syndrome (acute febrile neutrophilic dermatosis) is an uncommon inflammatory disorder characterized by the abrupt appearance of painful, edematous, and erythematous papules, plaques, or nodules on the skin. Fever and leukocytosis frequently accompany the cutaneous lesions. In addition, involvement of the eyes, musculoskeletal system, and internal organs may occur.
- Oct 10 Wed 2012 04:31
茶是酸性的還是鹼性的?
- Oct 09 Tue 2012 06:23
[WebMD]Gefitinib為復發型食道癌帶來一線希望
專家們在歐洲腫瘤內科協會2012年研討會中表示,對於食道癌第二線治療,還沒有標準照護方式,但是,第一個大型的第3期試驗帶來一線曙光;化療後惡化的某些病患,可受益於gefitinib (商品名Iressa)標靶治療。
- Oct 08 Mon 2012 05:24
[Medscape][Expert Commentaries]Doxycycline for C difficile Prevention? Doxycycline用在難治型梭狀桿菌?
Does Doxycycline Protect Against Development of Clostridium difficile Infection?
Doernberg SB, Winston LG, Deck DH, Chambers HF
Clin Infect Dis. 2012;55:615-620.
- Oct 07 Sun 2012 05:21
[電子產品]Amacrox USB 4Port 25W 迷你充電站 簡單開箱
- Oct 06 Sat 2012 10:51
[藥物介紹]Viread(tenofovir disoproxil)
原廠中文介紹:http://www.viread.com/ch-t/learn_about_viread.aspx
Black Box Warnings
Lactic Acidosis/Severe Hepatomegaly
lactic acidosis and severe hepatomegaly w/ steatosis, incl. fatal cases, associated w/ nucleoside analogue use alone or in combination; suspend tx if clinical or laboratory findings suggest lactic acidosis or hepatotoxicity
Hepatitis B Exacerbation
severe acute exacerbations of hepatitis may occur in HBV-infected patients when D/C tenofovir; monitor hepatic fxn closely for at least several months after D/C tenofovir; initiate anti-HBV tx if needed
- Oct 05 Fri 2012 05:19
[Medscape][Conference News]New EASD/ADA Position Paper Shifts Diabetes Treatment Goals
A new position statement for the treatment of type 2 diabetes takes an approach much more focused on the individual patient compared with the "one number fits all" target of glycated hemoglobin (HbA1c) used up to now.
- Oct 04 Thu 2012 07:39
[藥物介紹]enzalutamide(Xtandi)
Prostate Cancer
Androgen receptor inhibitor indicated for the treatment of metastatic castration-resistant prostate cancer in patients who have previously received docetaxel
160 mg PO qDay
- Oct 03 Wed 2012 07:27
[Journal Watch]Allopurinol Starting Dose Might Affect Risk for Hypersensitivity Reactions
An initial allopurinol dose of 1.5 mg per unit of glomerular filtration rate seems reasonable.