摘要
目的观察广东地区肾脏移植患者同时服用他克莫司(FK-506)与厄他培南后两种药物的相互作用。方法回顾性评价2013年12例肾脏移植患者的情况,利用全自动免疫化学发光仪分析患者在服用厄他培南前后他克莫司的血药浓度。结果首次服用厄他培南3d后,他克莫司的血药浓度由(7.5±0.34)ng/mL升高到(13.8±0.25)ng/mL(P<0.05),利用药物相互作用可能性量表(DIPS)得出的分数可知,厄他培南与他克莫司在患者体内可能存在某种机制相互作用。结论肾脏移植患者同时使用他克莫司和厄他培南时应及时调整他克莫司的剂量,防止药物中毒。
Objective To observe the interaction of tacrolimus(FK‐506) and ertapenem after simultaneously taking in renal transplant recipients of Guangdong region .Methods Twelve renal transplant recipients in our hospital during 2013 were retrospectively evaluated .The blood drug concentrations of tacrolimus and ertapenem were detected by using the automatic chemoluminescence immunoassay .Results The blood concentration of tacrolimus on 3 d after taking was increased from(7 .5 ± 0 .34)ng/mL to(13 .8 ± 0 .25)ng/mL(P〈 0 .05) .The fraction derived from the drug interaction potential scale indicated that certain mechanism of interaction action and influence of ertapenem and ta‐crolimus existed in the patient′s body .Conclusion In simultaneously using tacrolimus (FK‐506) and ertapenem for kidney transplant patients ,the tacrolimus dose should be timely adjusted for preventing the drug poisoning .
出处
《检验医学与临床》
CAS
2015年第19期2890-2891,2894,共3页
Laboratory Medicine and Clinic
关键词
肾移植
厄他培南
他克莫司
renal transplant
tacrolimus
ertapenem