Page 1
Chang Gung Drug Safety Newsletter
103 8
...................................... 2
lidocaine
.................................................... 2
FDA testosterone
................................................ 3
hydroxyethyl starch .................. 3
nicardipine .............. 4
....................................................... 5
103 7 ............................................................... 8
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2
103 8
: http://adr.doh.gov.tw/default.asp ( 103/08/28 )
( )
( ) 1
2
( ) 1
2
4 ( )
1
2
( ) 1
2
lidocaine
( 103/08/20 )
FDA lidocaine
lidocaine
FDA
a.
teething ring b.
c. FDA
1. lidocaine
2. lidocaine
1. lidocaine
Page 3
3
2. lidocaine
3. lidocaine
FDA testosterone
( 103/08/12 )
FDA 2014 1 2 testosterone
FDA
testosterone testosterone
EMA
Health Canada
FDA 2014 6 testosterone
(venous blood clots as a possible
consequence of polycythemia)
(venous thromboembolism,
VTE) (deep vein thrombosis, DVT) (pulmonary embolism, PE)
1.
2.
1.
2.
hydroxyethyl starch ( 103/08/11
)
hydroxyethyl starch
( ) hydroxyethyl starch
( )
( ) : 1.
2. / (
Page 4
4
)
3.
90 HES 90
4.
5.
HES
6.
nicardipine ( 103/08/07
)
nicardipine
( )
( ) IV injection
IV infusion 1. 3-5mg/h 15 0.5 1mg
15 15 mg/h
2-4mg/h 2. / /
1-5mg/h 30
0.5mg/h 15 mg/h 3.
0.5-5mcg/kg/min 1-4 mcg/kg/min
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5
…
[1]
1. Carbamazepine:
25-61%
(hypersensitivity reaction) (granulomatous hepatitis)
(lymphadenopathy simulating biliary tract infection) 3-4
[2]
2. Phenobarbital:
(alkaline
phosphatase; ALP) γ- (gamma-glutamyl transferase; GGT)
(generalized hypersensitivity) (idiosyncratic reaction)
/
[2]
3. Phenytoin:
[2, 3] Phenytoin
1-6
10-38% ...
(transaminases) ALP [2]
4. Valproic acid:
80~90% (aminotransferase) ALP
(lactate dehydrogenase; LDH) GGT ≦
[2]
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6
[2, 4]
[2] [2, 4, 5]
5. Ethosuximide:
[1, 2]
6. Lamotrigine:
[2]
7. Oxcarbazepine:
oxcarbazepine
[2]
8. Tiagabine:
[2]
1. Topiramate:
20% 30%
… [2, 5]
[2]
2. Zonisamide:
70% [3]
[2]
3. Levetiracetam:
27%
(Child-Pugh Class C)
57%[2] [1, 2, 3, 5]
gabapentin vigabatrin
gabapentin [1, 3]
vigabatrin
[1, 3]
Page 7
7
1. Glenda Corrêa Borges de Lacerda. Treating Seizures in Renal and Hepatic Failure. J Epilepsy Clin Neurophysiol
2008; 14(Suppl 2):46-50.
2. Ahmed SN, Siddiqi ZA. Antiepileptic drugs and liver disease. Seizure. 2006 Apr;15(3):156-64.
3. Anderson GD, Hakimian S. Pharmacokinetic of antiepileptic drugs in patients with hepatic or renal impairment. Clin
Pharmacokinet. 2014 Jan;53(1):29-49.
4. Asconapé JJ. The selection of antiepileptic drugs for the treatment of epilepsy in children and adults. Neurol Clin.
2010 Nov;28(4):843-52.
5. Ruiz-Giménez J1, Sánchez-Alvarez JC, Cañadillas-Hidalgo F, Serrano-Castro PJ; Andalusian Epilepsy Society.
Antiepileptic treatment in patients with epilepsy and other comorbidities. Seizure. 2010 Sep;19(7):375-82.
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103 7
( 103 ) 159
145
3
1 Oxaliplatin dyspnea
hypersensitivity
2
Ceftazidime
Aceclofenac
Esomeprazole
SJS
TEN
3 Iohexol dyspnea
rash/ eruption
iohexol 7 oxaliplatin 6
levofloxacin teicoplanin 5
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9
103 ADR
Drug
1 Iohexol 7 dyspnea 1
rash/ eruption 1
itching 2
rash/ eruption 2
urticaria 1
2 Oxaliplatin 6 dyspnea 1
hypersensitivity 1
rash/ eruption 4
itching 2
sneeze/ running nose 2
abdominal pain 1
cough 1
respiratory distress 1
3 Levofloxacin 5 rash/ eruption 5
3 Teicoplanin 5 rash/ eruption 2
drug fever 1
itching 1
5 Cefazolin 4 rash/ eruption 2
5 Ceftazidime 4 SJS 1
TEN 1
rash/ eruption 2
5 Piperacillin+tazobactam 4 rash/ eruption 3
neutropenia 1
5 Vancomycin 4 itching 2
rash/ eruption 2
leukopenia 1
9 Aceclofenac 3 SJS 1
TEN 1
9 Acemetacin 3
9 Amoxycillin+clavulanic 3 itching 2
Acid rash/ eruption 2
9 Azathioprine 3 neutropenia 1
pancytopenia 1
9 Carboplatin 3 itching 2
nausea 1
rash/ eruption 1
vomiting 1
9 Ceftriaxone 3 drug fever 1
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10
itching 1
rash/ eruption 2
9 Cisplatin 3 rash/ eruption 3
itching 2
hypotension 1
tachycardia 1
9 Diphenhydramine 3
9 Moxifloxacin 3 itching 1
rash/ eruption 1
9 Nalbuphine 3 vomiting 1
9 Oxcarbazepine 3
9 Phenytoin 3 rash/ eruption 2
SJS 1
TEN 1
1. : ; ; 7 ; ; : ;