氯氮平血药浓度与QTc间期延长发生率的相关性分析(2)
对于长期接受氯氮平治疗的患者,氯氮平血药浓度可更准确地反映患者氯氮平的实际暴露剂量,本研究表明氯氮平血药浓度水平与QTc间期延长之间存在相关性,当氯氮平血药浓度较高时,QTc间期延长风险加大,对存在高危因素的患者,可及早进行个体化干预处理,降低用药风险,保证用药安全。
参考文献
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周云飞,高欢.影响氯氮平的血药浓度、疗效及副反应因素的研究进展[J].中华精神科杂志,2002,35(4):248-249.
Hiemke C,Bergemann N,Clement H,et al.Consensus Guidelines for Therapeutic Drug Monitoring in Neuropsychopharmacology:Update 2017[J].Pharmacopsychiatry,2018,51(01/02):e1-e1.
Funk MC,Beach SR,Bostwick JR,et al.QTc Prolongation and Psychotropic Medications.[J].The American journal of psychiatry,2020,177(3):273-274.
丁發明,张新丽,王琼,尹茂山.致QT间期延长药物使用风险管理的初步探讨及启示[J].中国药物警戒,2018,15(9):545-549., 百拇医药(陈杨波 曾倩怡 翟韵怡)
参考文献
Ronaldson KJ.Cardiovascular Disease in Clozapine-Treated Patients:Evidence,Mechanisms and Management[J].Cns Drugs,2017,31(9):777-795.
杨勇,王祖承,盛尤荣,et al.精神药物与尖端扭转型室性心动过速[J].精神医学杂志,2011,24(2):155-160.
谈艳,张少平,陈银娣.抗抑郁药和抗精神病药物所致QT间期延长和尖端扭转型室速[J].中国神经精神疾病杂志,2004,030(005):附3-附5.
Judith,Brouillette,Stanley,Nattel.A Practical Approach to Avoiding Cardiovascular Adverse Effects of Psychoactive Medications.[J].The Canadian journal of cardiology,2017,33(12):1577-1586.
周云飞,高欢.影响氯氮平的血药浓度、疗效及副反应因素的研究进展[J].中华精神科杂志,2002,35(4):248-249.
Hiemke C,Bergemann N,Clement H,et al.Consensus Guidelines for Therapeutic Drug Monitoring in Neuropsychopharmacology:Update 2017[J].Pharmacopsychiatry,2018,51(01/02):e1-e1.
Funk MC,Beach SR,Bostwick JR,et al.QTc Prolongation and Psychotropic Medications.[J].The American journal of psychiatry,2020,177(3):273-274.
丁發明,张新丽,王琼,尹茂山.致QT间期延长药物使用风险管理的初步探讨及启示[J].中国药物警戒,2018,15(9):545-549., 百拇医药(陈杨波 曾倩怡 翟韵怡)