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左乙拉西坦引起苯巴比妥血药浓度降低案例分析
引用本文:唐静,齐晓涟. 左乙拉西坦引起苯巴比妥血药浓度降低案例分析[J]. 药学服务与研究, 2011, 11(4): 276-279. DOI: 10.5428/pcar20110413
作者姓名:唐静  齐晓涟
作者单位:首都医科大学宣武医院药剂科,北京,100053
摘    要:目的:探讨左乙拉西坦与苯巴比妥的药物相互作用及作用机制。方法:临床药师通过神经内科ICU的一例伴难以控制、反复发作癫的急性重症脑炎病例用药发现问题,查阅病历资料及相关文献进行分析。结果:左乙拉西坦可引起苯巴比妥血药浓度降低,可能与两者竞争结合P糖蛋白有关。结论:临床药师应该加强对左乙拉西坦的药物相互作用的观察和研究,以促进抗癫药物的合理应用。

关 键 词:左乙拉西坦  苯巴比妥  药物相互作用  血药浓度

Levetiracetam-induced decrease of serum phenobarbitone: a case analysis
TANG Jing,QI XiaoLian. Levetiracetam-induced decrease of serum phenobarbitone: a case analysis[J]. Pharmaceutical Care and Research, 2011, 11(4): 276-279. DOI: 10.5428/pcar20110413
Authors:TANG Jing  QI XiaoLian
Affiliation:TANG Jing,QI XiaoLian(Department of Pharmacy,Xuanwu Hospital of Capital Medical University,Beijing 100053,China)
Abstract:Objective: To investigate the drug interaction and its mechanism between levetiracetam and phenobarbitone.Methods: Clinical pharmacist found a case of acute encephalitis with refractory repetitive partial seizures in intensive care unit of neurology,and the medical treatment for him was problematic.Then the pharmacist checked the record and pertinent literature to analyze the use of drugs in this patient.Results: It might be induced by levetiracetam that the serum concentration of phenobarbitone decreased.T...
Keywords:levetiracetam  phenobarbitone  drug interaction  blood drug concentration  
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