以MDX查询药物资讯

以MDX查詢藥物資訊案例分享國立成功大學附設醫院藥劑部鄭清鳳藥師April26,2006應用MDX於藥事服務藥品諮詢藥理作用用法副作用注意事項臨床藥事服務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病患用藥衛教藥袋標示病患第一次來成大醫院求診，以前一直有服用一藥品叫作「Benicar」，請問院內有否此藥品？Olmesartan(Benicar)有病患服用acetaminophen自殺，請問其解毒劑acetylcystein應給多少劑量？LOADINGDOSEof150mg/kgin200mLofD5Wover15minFIRSTMAINTENANCEDOSEof50mg/kgin500mLofD5Wover4hoursSECONDMAINTENANCEDOSEof100mg/kgin1000mLofD5Wover16hoursAcetaminophenpoisoning:I.V.(unlabeled):Loadingdose:140mg/kg,followedby70mg/kgq4h,foratotalof13doses(loadingdoseand48hroftreatment);infuseeachdoseover1hr.Loadingdoseof150mg/kgin200mLofD5Wover15min1stmaintenacedoseof50mg/kgin500mLofD5Wover4hours2ndmaintenancedoseof100mg/kgin1000mLofD5Wover16hoursFORTY-EIGHTHOURPROTOCOL(notastandarddosingregimen):Dilute20%solution1:5inD5Wandgiveslowlyoveronehour.Theinitialdoseis140mg/kg,followedby70mg/kgq4hforatotalof13doses(Smilksteinetal,1991).病患有蠶豆症，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？(NestmannNieren-TonikumS)BruchkrautHauhechelwurzel醫院新進一藥品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？SeverityCONTRAINDICATEDMAJORMODERATEMINORSignificanceRatingSeverityDocumentation1MajorSuspectedor2ModerateSuspectedor3MinorSuspectedor4Major/ModeratePossible5MinorPossibleAnyUnlikely醫師開給我類固醇(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？ClomipheneDRUGDEXDRUGEVALUATIONSPatientInstructionsUSPDI(R)AdviceforthePatient(R)ProperUseofThisMedicineIfaDoseisMissed:Takethemisseddoseassoonasyouremember.-Tellyourdoctorifyouhavemissedanydoses,becausethismayaffectyourtreatment.Ifyoumissadoseofthismedicine,takeitassoonaspossible.Ifyoudonotrememberuntilitistimeforthenextdose,takebothdosestogether;thengobacktoyourregulardosingschedule.Ifyoumissmorethanonedose,checkwithyourdoctor.院內Wintermin(Chlorpromazine)已停用，若病患有打嗝症狀，有其它替代藥可使用嗎？Amiodarone(Cordarone）注射劑應如何配製？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，目前準備懷孕，不知可否繼續服用？或者有其它代用藥物？D:Thereispositiveevidenceofhumanfetalrisk,butthebenefitsfromuseinpregnantwomenmaybeacceptabledespitetherisk(e.g.,ifthedrugisneededinalife-threateningsituationorforaseriousdiseaseforwhichsaferdrugscannotbeusedorareineffective).