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Ambisome(安必素)的副作用和处理措施

发布时间:2025-02-21 17:19:09 阅读:1088 来源:问药网
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安必素

安必素 生产厂家:美国吉利德科学公司(Gilead Sciences) 功能主治:一线抗真菌药物,治疗深部真菌感染有效率高 用法用量:用法用量  静脉用药:开始静脉滴注时先试以1~5mg或按体重一次0.02~0.1mg/kg给药,以后根据患者耐受情况每日或隔日增加5mg,当增至一次 0.6~0.7mg/kg时即可暂停增加剂量,此为一般治疗量。  成人最高一日剂量不超过1mg/kg,每日或隔1~2日给药1次,累积总量 1.5~3.0g,疗程1~3个月,也可长至6个月,视病情及疾病种类而定。  对敏感真菌感染宜采用较小剂量,即成人一次20~30mg,疗程仍宜长。  鞘内给药:首次0.05~0.1mg,以后渐增至每次0.5mg,最大量一次不超过1mg,每周给药2~3次,总量15mg左右。  鞘内给药时宜与小剂量地塞米松或琥珀酸氢化可的松同时给与,并需用脑脊液反复稀释药液,边稀释边缓慢注入以减少不良反应。  局部用药:气溶吸入时成人每次5~10mg,用灭菌注射用水溶解成0.2%~0.3%溶液应用;超声雾化吸入时本品浓度为0.01%~0.02%,每日吸入2~3次,每次吸入5~10ml;持续膀胱冲洗时每日以两性霉素B 5mg加入1000ml灭菌注射用水中,按每小时注入40ml速度进行冲洗,共用5~10日。  静脉滴注或鞘内给药时,均先以灭菌注射用水10ml配制本品50mg,或5ml配制25mg,然后用5%葡萄糖注射液稀释(不可用氯化钠注射液,因可产生沉淀),滴注液的药物浓度不超过10mg/100ml,避光缓慢静滴,每次滴注时间需6小时以上,稀释用葡萄糖注射液的pH值应在4.2以上。  鞘内注射时可取5mg/ml浓度的药液1ml,加5%葡萄糖注射液19ml稀释,使最终浓度成250μg/ml。  注射时取所需药液量以脑脊液5~30ml反复稀释,并缓慢注入。  鞘内注射液的药物浓度不可高于25mg/100ml,pH值应在4.2以上。
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Ambisome(安必素)的副作用和处理措施,Ambisome(AmBisome)常见副作用包括发热、寒战、呼吸困难、恶心、呕吐、肾功能损害、低钾血症、头痛和胃肠不适。在治疗期间需要监测肾功能和电解质。Ambisome(AmBisome)是一种抗真菌药物,其主要成分是阿莫夫洛星(AmphotericinB)。它主要用于治疗严重的真菌感染,具有以下疗效:1.抗真菌活性,抑制多种真菌的生长和繁殖。2.治疗各种念珠菌感染。3.治疗血液系统真菌感染。该药品在治疗相关疾病方面表现出色,疗效显著、安全性高。

Ambisome (安必素) is a medication used to treat fungal infections. It is most commonly prescribed for serious and life-threatening infections caused by fungi, such as cryptococcal meningitis and invasive aspergillosis. Like any medication, Ambisome may have potential side effects that patients need to be aware of. This article will discuss the possible side effects of Ambisome and provide guidelines on how to manage them effectively.

1. Common Side Effects

Ambisome may cause some common side effects, which often go away on their own as the body adjusts to the medication. These side effects may include nausea, vomiting, headache, fever, chills, muscle aches, and changes in liver function tests. It is important to consult a healthcare professional if these side effects are severe or persistent.

2. Allergic Reactions

While rare, some individuals may have an allergic reaction to Ambisome. Allergic reactions can manifest as a rash, itching, swelling, dizziness, or difficulty breathing. If any of these symptoms occur, medical attention should be sought immediately. In case of a severe allergic reaction, such as anaphylaxis, emergency medical care is necessary.

3. Kidney Problems

Ambisome can sometimes affect kidney function. Patients should be monitored for signs of kidney damage, such as changes in urination frequency, color, or volume. If any kidney-related symptoms occur, it is crucial to notify a healthcare provider promptly. Regular monitoring of kidney function using laboratory tests may be necessary during treatment.

4. Infusion-related Reactions

Ambisome is given intravenously, and some patients may experience infusion-related reactions during or shortly after the infusion. These reactions can include fever, chills, flushing, chest tightness, and difficulty breathing. Healthcare professionals will closely monitor patients during infusion and may administer medications, such as antihistamines or corticosteroids, to manage these reactions.

5. Electrolyte Imbalance

In rare cases, Ambisome may cause an imbalance in the levels of electrolytes in the body, such as potassium and magnesium. This can lead to symptoms like muscle weakness, irregular heartbeat, or abnormal blood pressure. Regular monitoring of electrolyte levels through blood tests is necessary during treatment, and any abnormalities should be addressed accordingly.

6. Handling and Storage

Ambisome is usually administered in a healthcare setting under the supervision of trained professionals. However, if patients need to handle the medication at home, proper guidelines should be followed. Ambisome should be stored as directed, usually at room temperature, and protected from light. Patients should never attempt to self-administer Ambisome without proper training and guidance from a healthcare professional.

In conclusion, Ambisome is an effective antifungal medication used to treat serious fungal infections. While it can have side effects, most are manageable and temporary. It is crucial for patients to be aware of potential adverse reactions and promptly report any concerning symptoms to their healthcare providers. With proper monitoring and care, Ambisome can provide significant benefits in treating fungal infections while minimizing the risks associated with its use.