医療薬学
Online ISSN : 1882-1499
Print ISSN : 1346-342X
ISSN-L : 1346-342X
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成人生体肝移植患者におけるタクロリムス血中濃度の経時的推移ならびに肝機能検査値との相関性について
合田 光寛河崎 陽一川上 英治八木 孝仁田中 紀章北村 佳久五味田 裕川崎 博己
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2007 年 33 巻 8 号 p. 674-679

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The purpose of this study was to investigate the relationship between blood concentrations of tacrolimus and liver biochemical profiles in living-donor liver transplantation recipients.The results indicated that the tacrolimus blood concentration/dose ratio (C/D ratio) decreased following living-donor liver transplantation.Furthermore,the variation in the C/D ratio and tacrolimus blood concentration was greater at 1 week after surgery than at 2-4 weeks afterwards.We also noted that when the C/D ratio was high total bilirubin was also high,suggesting that a low dosage of tacrolimus is necessary for hightotal bilirubin patients.However,there was no definite correlation between AST or ALT and the C/D ratio.It is therefore necessary to control tacrolimus blood concentrations in adult living-donor liver transplantation recipients.
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© 2007 日本医療薬学会
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