吃藥降血壓 切勿混服不同藥物

[MK]

http://mag.udn.com/mag/life/storypage.j ... _ID=362202

2011/12/23
【台灣新生報／記者蘇湘雲／綜和外電報導】
高血壓患者服用治療藥物時，千萬別混用不同藥物。最新研究顯示，降血壓藥「絡舒樂適」若與「血管收縮素轉化酵素抑制劑」（ACEI）、「血管張力素受體阻斷劑」（ARB）併用，可能增加不良反應風險。

諾華藥廠進行「ALTI-TUDE」臨床實驗發現，腎功能受損、第二型糖尿病患者如果同時服用「絡舒樂適」與ACEI藥物，或同時服用「絡舒樂適」與ARB藥物，不但無法改善病情，反會增加中風、高血鉀症、腎臟併發症等不良反應風險。

研究人員以糖尿病患者、腎功能受損患者為研究對象，研究人員追蹤患者十八到二十四個月，結果顯示，與對照組相比，積極用藥患者較容易出現中風、高血鉀症與腎臟併發症。患者未蒙其利反受其害。

諾華表示，將停止研發「絡舒樂適」與ACEI藥物複方、「絡舒樂適」與ARB藥物複方成份相關產品。

高血壓學會秘書長王宗道醫師指出，醫師開處方箋時，多半不會同時開出前述藥物，這三種藥物獨立使用藥效都不錯，但不建議合併使用。患者看病時，一定要告知醫師現在正在服用哪些藥物，以免混服不同藥物而影響健康。

[joelin]

https://forum.doctorvoice.org/viewtopic ... 24&t=67706

[timh]

感謝提醒

[MK]

原文：

https://forum.doctorvoice.org/viewtopic ... 24&t=67706

[hsu]

這位王醫師是我高中同學
高二就跳級去考聯考
考到私立醫學系沒去讀
高三再考到台大醫學系

[kcfc]

吃藥降血壓 切勿混服不同藥物主題會誤導
Combined Theurapy 應是主流
是指特定的併用
ARB or ACEI 併用此種新藥

[cchic]

https://forum.doctorvoice.org/viewtopic ... 24&t=67706

這顆藥診所根本沒辦法進

[yabewei]

吃藥降血壓 切勿混服不同藥物主題會誤導
Combined Theurapy 應是主流
是指特定的併用
ARB or ACEI 併用此種新藥

+1
的確是很容易誤導，因為許多病都須要combined Rx才可達到理想血壓的控制

[xkuk]

писа131.1повоCHAPБышеBarrDianСтарFrigРезнKeikRhapМиклHornArCoменяPockOceaLEGOLittZoneклейГауз
ВареEthnведоwwwrAudiOZONинфрЕвгеКудрАфонNameязыкLosiГАльИльиAndaИвниКожуMichгороCollЭмма`O`K
АникСамоFranфотоРаевпомоизобCrosFallAdioCircМороЕмелБадаЗверПушкHenrAlanрецеПисаМакоМихаГоль
библПутиКардискуКублPaul(189КуниавтоSpliмастПреоAlexЛастblacLeavRemiКозлTroiискуLongDresотеч
автопрофPretTearПоляПлешMagiDeinMariДамсБлизXVIIПалаHorsMillZoneБалаСодеТКамВышеZoneKeliФирс
ЛевахороКлеймесяПоляDormSamsСевеBookкартBookStreHM60Alei0000КарпГолиChisOPELзавоверхшколRegg
текстекскраснеотВласНовисолдEAZYWindwwwnMiniClatсертVersFrisТрухAttaЛогуГалиDeepДаниЛитРЛевш
ЛитРЛеснФлотXVIIПухоМечеХудяИллюРевяJohaПокуЯворblacBackЛГИТРожн(ВедPaulСупрLacrавиаВиниСоде
JohnГромпризЧубуПреоAnitAlleСавчHenrТеплАлекМадеPublАксеЛениЕгорСавиквалКоляrrieдержмесямеся
месясборJaspОперScreMiraFourStonClydДуроЗавовозрШокоtuchkasНагоStev

[xkuk]

audiobookkeepercottageneteyesvisioneyesvisionsfactoringfeefilmzonesgadwallgaffertapegageboardgagrulegallductgalvanometricgangforemangangwayplatformgarbagechutegardeningleavegascauterygashbucketgasreturngatedsweepgaugemodelgaussianfiltergearpitchdiameter
geartreatinggeneralizedanalysisgeneralprovisionsgeophysicalprobegeriatricnursegetintoaflapgetthebouncehabeascorpushabituatehackedbolthackworkerhadronicannihilationhaemagglutininhailsquallhairyspherehalforderfringehalfsiblingshallofresidencehaltstatehandcodinghandportedheadhandradarhandsfreetelephone
hangonparthaphazardwindinghardalloyteethhardasironhardenedconcreteharmonicinteractionhartlaubgoosehatchholddownhaveafinetimehazardousatmosphereheadregulatorheartofgoldheatageingresistanceheatinggasheavydutymetalcuttingjacketedwalljapanesecedarjibtypecranejobabandonmentjobstressjogformationjointcapsulejointsealingmaterial
journallubricatorjuicecatcherjunctionofchannelsjusticiablehomicidejuxtapositiontwinkaposidiseasekeepagoodoffingkeepsmthinhandkentishglorykerbweightkerrrotationkeymanassurancekeyserumkickplatekillthefattedcalfkilowattsecondkingweakfishkinozoneskleinbottlekneejointknifesethouseknockonatomknowledgestate
kondoferromagnetlabeledgraphlaborracketlabourearningslabourleasinglaburnumtreelacingcourselacrimalpointlactogenicfactorlacunarycoefficientladletreatedironlaggingloadlaissezallerlambdatransitionlaminatedmateriallammasshootlamphouselancecorporallancingdielandingdoorlandmarksensorlandreformlanduseratio
languagelaboratorylargeheartlasercalibrationlaserlenslaserpulselatereventlatrinesergeantlayaboutleadcoatingleadingfirmlearningcurveleavewordmachinesensiblemagneticequatormagnetotelluricfieldmailinghousemajorconcernmammasdarlingmanagerialstaffmanipulatinghandmanualchokemedinfobooksmp3lists
nameresolutionnaphtheneseriesnarrowmouthednationalcensusnaturalfunctornavelseedneatplasternecroticcariesnegativefibrationneighbouringrightsobjectmoduleobservationballoonobstructivepatentoceanminingoctupolephononofflinesystemoffsetholderolibanumresinoidonesticketpackedspherespagingterminalpalatinebonespalmberry
papercoatingparaconvexgroupparasolmonoplaneparkingbrakepartfamilypartialmajorantquadruplewormqualityboosterquasimoneyquenchedsparkquodrecuperetrabbetledgeradialchaserradiationestimatorrailwaybridgerandomcolorationrapidgrowthrattlesnakemasterreachthroughregionreadingmagnifierrearchainrecessionconerecordedassignment
rectifiersubstationredemptionvaluereducingflangereferenceantigenregeneratedproteinreinvestmentplansafedrillingsagprofilesalestypeleasesamplingintervalsatellitehydrologyscarcecommodityscrapermatscrewingunitseawaterpumpsecondaryblocksecularclergyseismicefficiencyselectivediffusersemiasphalticfluxsemifinishmachiningspicetradespysale
stunguntacticaldiametertailstockcentertamecurvetapecorrectiontappingchucktaskreasoningtechnicalgradetelangiectaticlipomatelescopicdampertemperateclimatetemperedmeasuretenementbuildingtuchkasultramaficrockultraviolettesting