医療薬学
Online ISSN : 1882-1499
Print ISSN : 1346-342X
ISSN-L : 1346-342X
多剤併用処方にみられる重大な副作用重複の現状
遠藤 敏成渡辺 直後藤 憲一久津間 信明駒田 富佐夫齋藤 侑也小林 大介森本 雍憲
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2002 年 28 巻 2 号 p. 157-163

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A drug can cause several adverse reactions and the known effects are listed in the Package Inserts. Ordinarily drug therapy is performed by poly-pharmacy, and co-administered drugs in a prescription may have same adverse effects. Since overlapping of adverse effects might increase the possibility of adverse effects, we investigated such actual overlapping using computed data of about eighty thousand instances of medical treatment per patient.
Overlapping was found in about half of all prescriptions including two or more orally administered drugs and the mean value of 3.4 adverse-effects-overlapping per prescription were observed. Frequent overlapping adverse effects were acute circulation failure, Stevens Johnson syndrome, agranulocytosis, toxic epidermal neclosis, liver abnormalities and so on..It is found that seven distinct drugs demonstrate the same adverse effect in one prescription.

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