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 : 10時11分11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。
地震凄かったですね。
滋賀でもすごくゆれでしたが、幸い物が落ちたりもなく、停電等も問題ありませんでした。
飲料水等の備品と職員帰宅困難への食糧の備えはしときたいものです。
ガソリンも入れておかないと。

研修日時   平成30年6月1日13:00~13:30
研修タイトル 帯状疱疹治療薬アメナリーフについて
研修要旨
1、平成29年9月に日本で発売され、すでに10万人以上の患者様に処方されている。
2、帯状疱疹は身体の片方側に痛みや斑点などの症状が帯状に現れる。年間を通して発症するが、
  6月から夏場にかけて多くなる傾向があり、50~70歳代に多くみられる。急性期の痛みは皮膚や
  神経の炎症によるもの、帯状疱疹後神経痛は神経の損傷によるものでぺインクリニックなどの
  専門的な治療が必要となる場合がある。高齢者や女性はリスクが高いとされる。
3、成人に対し1回400mg(2T)を1日1回食後に7日間投与する。コーティング剤のため、錠剤は
  つぶさず服用させること。
4、アメナリーフ(成分名:アメナメビル)はヘリカーゼ・プライマーゼ複合体の活性を阻害することで
  ウイルスの増殖を抑制する。糞中排泄のため肝機能による用量調節は不要。
5、アメナメビルはCYP3Aで代謝されるため、リファンピシンは併用禁忌である。またCYP3Aを阻害
  する薬剤はアメナメビルの血中濃度を上昇させる恐れがあるため注意が必要である。動物実験に
  おいて胎盤や乳汁中に移行することが報告されている。
6、既存治療薬との比較試験において、アシクロビルよりも高い抗ウイルス活性を示し、新皮疹形成
  停止率はバラシクロビルに対し非劣性であることが検証されている。また初回投与から24時間
  以内の停止率は75%と高く、早期の投与開始(目安としては皮疹出現後5日以内)が望ましい。
7、主な副作用は臨床検査値異常で、死亡例を含む重篤な副作用は認められなかった。
8、アメナメビル服用中はグレープフルーツジュースを摂取しないよう指導する。

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