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雑誌文献

総合診療28巻9号

2018年09月発行

文献概要

もやもや処方の処方箋・6

薬を減らすだけが能じゃない!?

著者: 武井大1 矢吹拓2 山本祐3 青島周一4

所属機関: 1宇都宮協立診療所 2国立病院機構 栃木医療センター 内科 3自治医科大学附属病院 総合診療内科 4医療法人社団徳仁会 中野病院 薬局

ページ範囲:P.1312 - P.1319

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今月の処方箋
A病院 脳外科
•アロシトール®(アロプリノール)100mg
 1回1錠 1日1回 朝食後
•エナラプリル(後発品)5mg
 1回1錠 1日1回 朝食後
•カルデナリン®(ドキサゾシン)OD錠2mg
 1回1錠 1日1回 朝食後
A病院 泌尿器科
•タムスロシン(後発品)OD錠0.2mg
 1回1錠 1日1回 朝食後
•ベタニス®(ミラベグロン)50mg
 1回1錠 1日1回 夕食後
•ポラキス®(オキシブチニン)2mg
 1回1錠 1日1回 夕食後
歯科(後日判明)
•ロキソニン®(ロキソプロフェン)60mg
 歯痛時屯用
(サプリメントなし)

参考文献

1)Lim LM, et al : Prevalence, risk factors and health outcomes associated with polypharmacy among urban community-dwelling older adults in multi-ethnic Malaysia. PLoS One 12(3) : e0173466, 2017. PMID 28273128
2)Doan J, et al : Prevalence and risk of potential cytochrome P450-mediated drug-drug interactions in older hospitalized patients with polypharmacy. Ann Pharmacother 47(3) : 324-332, 2013. PMID 23482734
3)Becker MA, et al : Clinical efficacy and safety of successful long term urate lowering with febuxostat or allopurinol in subjects with gout. J Rheumatol 36(6) : 1273-1282, 2009. PMID 19286847
4)Chrischilles E, et al : Initiation of nonselective alpha1-antagonist therapy and occurrence of hypotension-related adverse events among men with benign prostatic hyperplasia ; a retrospective cohort study. Clin Ther 23(5) : 727-743, 2001. PMID 11394731
5)Lai CL, et al : Risk of hip/femur fractures during the initiation period of α-adrenoceptor blocker therapy among elderly males ; a self-controlled case series study. Br J Clin Pharmacol 80(5) : 1208-1218, 2015. PMID 25924025
6)American Geriatrics Society 2015 Beers Criteria Update Expert Panel : American Geriatrics Society 2015 updated Beers Criteria for potentially inappropriate medication use in older adults. J Am Geriatr Soc 63 (11) : 2227-2246, 2015. PMID 26446832
7)O'Mahony D, et al : STOPP/START criteria for potentially inappropriate prescribing in older people ; version 2. Age Ageing 44(2) : 213-218, 2015. PMID 25324330
8)Alibhai SM, et al : An approach to the management of unintentional weight loss in elderly people. CMAJ 172(6) : 773-780, 2005. PMID 15767612
9)Paul KJ, et al : Anticholinergic medications and risk of community-acquired pneumonia in elderly adults ; a population-based case-control study. J Am Geriatr Soc 63(3) : 476-485, 2015. PMID 25726764
10)Chatterjee S, et al : Anticholinergic medication use and risk of pneumonia in elderly adults ; a nested case-control study. J Am Geriatr Soc 64(2) : 394-400, 2016. PMID 26889844
11)Moonen JE, et al : Effect of discontinuation of antihypertensive treatment in elderly people on cognitive functioning--the DANTE Study Leiden ; a randomized clinical trial. JAMA Intern Med 175(10) : 1622-1630, 2015. PMID 26301603
12)Moonen JE, et al : Effect of discontinuation of antihypertensive medication on orthostatic hypotension in older persons with mild cognitive impairment ; the DANTE Study Leiden. Age Ageing 45(2) : 249-255, 2016. PMID 26758532
13)Paul IM, et al : Placebo effect in the treatment of acute cough in infants and toddlers ; a randomized clinical trial. JAMA Pediatr 168(12) : 1107-1113, 2014. PMID 25347696
14)Carvalho C, et al : Open-label placebo treatment in chronic low back pain ; a randomized controlled trial. Pain 157(12) : 2766-2772, 2016. PMID 27755279
15)Al-Lamee R, et al : Percutaneous coronary intervention in stable angina(ORBITA); a double-blind, randomised controlled trial. Lancet 391(10115) : 31-40, 2018. PMID 29103656
16)Nassaralla CL, et al : Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. Qual Saf Health Care 16(2) : 90-94, 2007. PMID 17403752
17)Kuijpers MA, et al : Relationship between polypharmacy and underprescribing. Br J Clin Pharmacol 65(1) : 130-133, 2008. PMID 17578478

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:2188-806X

印刷版ISSN:2188-8051

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