文档介绍:注射剂中添加剂的不良反应问题研究
赵祎镭* 宋永熙( 哈尔滨医科大学第一临床医院药学部,哈尔滨市 150010)
摘要目的:综述注射剂中常用添加剂引起的不良反应及临床表现,通过分析原因寻求降低不良反应发生率的途径。方法:根据添加剂的结构性质,对注射剂中添加剂的不良反应信息进行综述,并从合理用药、配伍禁忌和制剂等方面提出合理的改进意见。结果:多数注射剂中添加剂在临床使用中均发生不同程度的不良反应。结论:注射剂中的添加剂是一些药物产生不良反应的根源。
关键词:注射剂;添加剂;不良反应
Research on the adverse reactions of drug additives in the injectable preparation
Li Lihua, Song Yongxi (Department of pharmacy, The First Affiliated Hospital of Harbin Medical University, Harbin 150010, China)
ABSTRACT OBJECTIVE: To summarize the adverse reactions and clinical manifestations of mon used additives in the injectable preparation, and to explore the way of reducing the incidence rate of the adverse reactions. METHODS: According to the constitutive properties of these additives, the information of these adverse reactions were summarized, and then some reasonable progressive opinions were proposed, such as rational administration, patibility and pharmaceutical preparation. RESULTS: It was likely that the additives in the majority injection happened with some adverse reactions to a certain extent. CONCLUTIOND: The additives in the injectable preparation maybe the source of the adverse reactions.
KEY WORDS: injectable preparation; additive; adverse reactions
注射剂是速效剂之首,但是,在快速治疗疾病的同时,注射剂所引起的不良反应也具有发病迅速、难以控制等特点。随着新药品不断地研发,药物在生产过程中常加入一些助溶剂、增溶剂、潜溶剂等附加剂。虽然多数附加剂为惰性物质,但是经过长期临床实验证明,此类物质也可能是不良反应的源头。2006年我国曾发生鱼腥草注射液中毒事件,经调查造成过敏的原因是