サン調剤薬局

滋賀県守山市にある『サン調剤薬局』のブログ

投稿時間 : 16時58分01秒

カテゴリー : 指定なし(ブログ)

ジャンル : 日記

滋賀県守山市サン調剤薬局西川です。
昼間の日差しは春が近づいていることを感じますが、朝晩は寒い日が多いですね。
インフルエンザの流行が長期化しているせいか、春を待ち遠しく感じる今日この頃です。
先日の局内研修会の報告です。

研修日時   平成30年1月23日 
研修タイトル ジャディアンス錠
研修要旨
1、ジャディアンス錠は選択的SGLT2阻害薬であり、2型糖尿病の治療薬である。
2、ジャディアンスの用法用量は通常10㎎を1日1回経口投与する。
  ブドウ糖の再吸収を阻害することにより、ごはん1杯分相当のブドウ糖を尿中に排泄させる。
3、SGLT2阻害薬のベネフィットとして、低血糖が起こりにくい、体重減少、降圧作用などがあるが、心血管死
  イベントの低下はジャディアンスのみである。副作用としては尿量増加(一カ月くらいで元に戻る)、脱水
  (細胞から水分を摂るため脳卒中は増えないと考えられる)、性器・尿器感染症などがある。
4、ジャディアンス10㎎とシタグリプチン(ジャヌビア)100㎎は同程度の血糖低下作用を示した。
5、EMPA-REG OUTCOME試験のアジア人集団における解析において、心血管死56%、心不全38%、
  全死亡36%のリスク減少がみられた。腎サブ解析では透析開始を55%遅延させた。

前回研修会報告 エフィエントhttp://blog.cabrain.net/CN112049/article/id/104263.html
局内研修会履歴 http://www.myph.jp/sun_pharm/pc/free2.html
薬局HP http://www.myph.jp/sun_pharm/pc/index.html
薬局スマホサイト http://sun-ph.jp/sumaho/ 

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局内研修会報告 SGLTジャディアンス

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サン調剤薬局

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ジャンル : 日記

滋賀県守山市サン調剤薬局西川です。
一時よりは減ったもののインフルエンザの流行が続いてますね。
こんなに感染しやすいB型って、どうなってるんでしょう。

研修日時 平成30年1月30日13:00~13:30
研修タイトル エフィエント
1、エフィエントの用法用量は以下の通りである。
  通常、成人には、投与開始日に20㎎を1回投与し、その後、維持用量として1日1回3.75mgを経口投与。
  原則、アスピリンと併用する。
  PCI施行前に3.75㎎を5日程度投与されている場合、初回の20㎎投与は必須ではない。
  (投与開始5日間で定常状態に達すると想定されるため。)
  2.5㎎の規格は過去に出血傾向があった人や低体重の人に使用されることあり。
2、同種薬の開発の歴史は以下の通りで、開発が進み肝機能異常などの副作用が少なくなった。
  1981年 チクロピジン
  2006年 クロピドグレル
  2014年 プラスグレル
3、プラスグレルの特徴は以下の通りである。
 ・服用開始早期から、血小板抑制作用を示す。
 ・欧米人より日本人に多いとされるCYP2C19の遺伝子多型に影響されない。チクロピジンやクロピドグレルは
  遺伝子多型があると、代謝異常があり薬が効いていない可能性がある。
 ・プラスグレルは初回投与から2~4時間後から、安定した血小板凝集抑制作用を示す。クロピドグレルは肝で
  2回代謝を受けて活性代謝物となるが、プラスグレルは1回で活性代謝物となる。それが立ち上がりの早さに
  関係している。

前回研修会報告 前立腺肥大症に禁忌の薬http://blog.cabrain.net/CN112049/article/id/104241.html
局内研修会履歴 http://www.myph.jp/sun_pharm/pc/free2.html
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ジャンル : 日記

滋賀県守山市サン調剤薬局西川でございます。
滋賀はインフルエンザの流行が続いております。
A型の方もいらっしゃいますが、B型の方が多い印象です。
この流行はいつまで続くのでしょうか?

去年行った局内研修会のまとめです。

研修日時   平成29年5月13日土曜日15:30~16:00
研修タイトル 前立腺肥大に禁忌の薬
1、抗コリン薬の禁忌記載にも、以下のようにいろいろなものがある。
  前立腺肥大による排尿障害のある患者
  明らかな下部尿路閉塞症状である排尿困難・尿閉等を有する患者
  尿閉を有する患者
2、前立腺肥大を伴う過活動膀胱に、α1ブロッカーと抗コリン薬を使うとQOL向上に有効であるという
  報告がある。
3、前立腺肥大症にのみ禁忌の薬
  泌尿器用薬 ブラダロン
          スピロペント
  抗うつ薬 トレドミン
3、前立腺肥大症と緑内障ともに禁忌の薬
  第一世代抗ヒスタミン薬 タベジール・テルギンG・クレママレット
                  ポララミン
                  ヒベルナ・ピレチア
                  アタラックスP
                  ペリアクチン
  第二世代抗ヒスタミン薬 ゼスラン・ニポラジン
  総合感冒薬 PL配合顆粒
          ピーエイ配合錠
  副腎皮質ホルモン合剤 セレスタミン
  鎮咳薬 フスコデ配合
       カフコデN
  過敏性腸症候群治療薬 トランコロン
  吸入用抗コリン薬 アトロベント
  吸入用抗コリン薬合剤 ウルティブロ
  吸入用LAMA スピリーバ
            シーブリ
  神経因性膀胱治療薬 ポラキス
                バップフォー
  過活動膀胱治療薬 デトルシトール
               トビエース
               ベシケア
               ウリトス
               ステーブラ
               ネオキシテープ
  消化性潰瘍治療薬 コランチル配合顆粒
  抗めま薬 トラベルミン配合錠
  副交感神経遮断薬 ブスコパン
               ロートエキス
               セスデン
               チアトン
  昇圧剤 リズミック
  抗うつ薬 ノリトレン
        ルジオミール
        トフラニール
        トリプタノール
        アナフラニール
  抗不整脈薬 リスモダン
           シベノール
  パーキンソン病薬 パーキン

前回局内研修会 原薬メーカーとアルピニー事件報道 http://blog.cabrain.net/CN112049/article/id/103913.html
局内研修会履歴 http://www.myph.jp/sun_pharm/pc/free2.html
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局内研修会報告 前立腺肥大に禁忌の薬

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サン調剤薬局

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