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磷酸氯喹致飞蚊症和腹泻的文献复习
引用本文:李萌,周庆,刘珏,邓艾平.磷酸氯喹致飞蚊症和腹泻的文献复习[J].实用药物与临床,2021(3).
作者姓名:李萌  周庆  刘珏  邓艾平
作者单位:华中科技大学同济医学院附属武汉中心医院药学部
基金项目:武汉市卫健委重点项目(WX18M02)。
摘    要:目的通过1例飞蚊症和腹泻的药物不良反应,探索磷酸氯喹治疗新型冠状肺炎的药学监护要点。方法询问患者和医生,查阅文献,对照不良反应因果关系。结果磷酸氯喹治疗新冠肺炎的日剂量大于不良反应文献报道及美国眼科学会推荐的视网膜安全剂量,磷酸氯喹的眼毒性与单次剂量和疗程有关。结论建议治疗前行眼部基线检查,治疗中加强监测。

关 键 词:磷酸氯喹  飞蚊症  腹泻  不良反应

Literatures review of floaters and diarrhea induced by chloroquine phosphate
LI Meng,ZHOU Qing,LIU Jue,DENG Ai-ping.Literatures review of floaters and diarrhea induced by chloroquine phosphate[J].Practical Pharmacy and Clinical Remedies,2021(3).
Authors:LI Meng  ZHOU Qing  LIU Jue  DENG Ai-ping
Institution:(Department of Pharmacy,the Central Hospital of Wuhan,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430060,China)
Abstract:Objective To explore the main points of pharmaceutical care for a patient with COVID-19 treated by chloroquine phosphate in the treatment of based on the adverse reactions of flying mosquitoes and diarrhea.Methods The causality of adverse reaction was compared by searching literature and consulting the patient and the doctor.Results The daily dosage of chloroquine phosphate in the treatment of COVID-19 was greater than that reported in the literature about adverse reactions and the safe retinal dose recommended by the American Academy of Ophthalmology.The ocular toxicity of chloroquine phosphosphate is dependent on single dosage and duration of use.Conclusion It is recommended to perform baseline eye screening before taking the drug and strengthen the monitoring during treatment.
Keywords:Chloroquine phosphate  Floaters  Diarrhea  Adverse reactions
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