创新链/学科链/研发链/产业链

新药研发前沿动态 / 医药领域趋势进展

王志鹏, 廖赟, 翟晓波, 叶晓芬, 董平, 孟现民, 钟明康, 陈万生. 羟氯喹治疗新冠肺炎的临床药学监护要点思考[J]. 药学进展, 2020, 44(7): 558-564.
引用本文: 王志鹏, 廖赟, 翟晓波, 叶晓芬, 董平, 孟现民, 钟明康, 陈万生. 羟氯喹治疗新冠肺炎的临床药学监护要点思考[J]. 药学进展, 2020, 44(7): 558-564.
WANG Zhipeng, LIAO Yun, ZHAI Xiaobo, YE Xiaofen, DONG Ping, MENG Xianmin, ZHONG Mingkang, CHEN Wansheng. Key Considerations for the Pharmaceutical Care of COVID-19 Patients Treated with Hydroxychloroquine[J]. Progress in Pharmaceutical Sciences, 2020, 44(7): 558-564.
Citation: WANG Zhipeng, LIAO Yun, ZHAI Xiaobo, YE Xiaofen, DONG Ping, MENG Xianmin, ZHONG Mingkang, CHEN Wansheng. Key Considerations for the Pharmaceutical Care of COVID-19 Patients Treated with Hydroxychloroquine[J]. Progress in Pharmaceutical Sciences, 2020, 44(7): 558-564.

羟氯喹治疗新冠肺炎的临床药学监护要点思考

Key Considerations for the Pharmaceutical Care of COVID-19 Patients Treated with Hydroxychloroquine

  • 摘要: 新型冠状病毒肺炎(COVID-19)疫情正在全球范围内肆虐,发病和死亡人数持续增加。美国FDA曾于2020年3月29日紧急批准医院使用羟氯喹治疗COVID-19患者,在全球范围引起了极大关注;《上海市2019冠状病毒病综合救治专家共识》也推荐羟氯喹用于COVID-19治疗。由已公开发表的文献可见,临床应用或临床研究中采用的给药方案不尽相同,羟氯喹是否安全有效亦存在很大争议,从而引发业界思考:临床疗效的差异与给药方案不同是否存在关联?开展药学监护是否可以有效降低不良反应发生率?羟氯喹为治疗疟疾、类风湿关节炎等疾病的常用药物,其药理作用、体内过程已有系统报道。针对羟氯喹半衰期较长、表观分布容积较大的特点,重点关注其临床药理学特征,探讨给药方案及临床药学监护要点,以期为羟氯喹在COVID-19治疗中的应用提供参考。

     

    Abstract: Coronavirus Disease 2019 (COVID-19) is wreaking global havoc, and the number of new cases and deaths continues to increase. Hydroxychloroquine was approved by FDA on March 29th, 2020 for the emergency treatment of COVID-19, which has aroused great concern worldwide. It was also recommended by Experts' Consensus of Shanghai over Comprehensive Treatment of COVID-19. Published literature reported clinical applications or researches with different regimens, however, whether hydroxychloroquine is safe and effective still remains highly controvercial. These results have provoked some thoughts:is there a correlation between clinical efficacy and different regimens? Can effective pharmaceutical care reduce the incidence of adverse reactions? Hydroxychloroquine is a commonly used drug for the treatment of malaria, rheumatoid arthritis and other diseases, and its pharmacological effects and in vivo process have been systematically reported. This article focuses on the long half-life, large apparent distribution volume and pharmacological characteristics of hydroxychloroquine, and discusses the therapeutic regimens and key points of clinical pharmaceutical care, so as to provide reference for the clinical application of hydroxychloroquine in the treatment of COVID-19.

     

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