Dantrolene由於保存不易加上藥品昂貴,所以不是每一家醫院的常備藥
幸好現在已經有台灣麻醉醫學會幫忙建立庫存檔案,所以你只要前往該網站:
或是直接點擊這個連結:
http://www.anesth.org.tw/quality_safety/dantrolene.asp
就可以得知最近的庫存資訊
圖解如下:
進入台灣麻醉醫學會
選擇品質與安全
選擇Dantrolene庫存
這樣就可以了
補充一點資料:
Adult Dosing .
Dosage forms: 25,50,100
spasticity, chronic
[100 mg PO tid-qid]
Start: 25 mg PO qd x7 days, then 25 mg PO tid x7 days, then 50 mg PO tid x7 days, then 100 mg PO tid; Max: 100 mg PO qid; Info: use lowest effective dose; D/C if no response after 45 days
Mechanism of Action
dissociates excitation-contraction coupling in skeletal muscle by decreasing intracellular calcium, inducing skeletal muscle relaxation
Black Box Warnings .
Hepatotoxicity
use only for recommended conditions at lowest effective dose; D/C tx if no observed benefit after 45 days; frequently monitor hepatic fxn incl. AST/ALT; fatal and non-fatal symptomatic hepatitis reported at various dose levels; lower incidence w/ 400 mg/day compared to >800 mg/day; sporadic short courses >800 mg/day w/in tx regimen markedly incr. risk; elev. LFTs reported w/ various lengths of exposure; hepatitis occurred at varying intervals after tx start, but most frequently between 3rd-12th mo of tx; incr. risk in female pts, pts >35 yo, and w/ concomitant meds; possible higher incidence of fatal outcome in elderly pts, but cases complicated by confounding factors incl. intercurrent illnesses and/or concomitant hepatotoxic meds
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