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接受新冠病毒治疗的呼吸疾病患者的药物相互作用。

Drug Interactions for Patients with Respiratory Diseases Receiving COVID-19 Emerged Treatments.

机构信息

Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, GR-71004 Heraklion, Crete, Greece.

Computational BioMedicine Laboratory, Institute of Computer Science, Foundation for Research & Technology-Hellas (FORTH), GR-70013 Heraklion, Crete, Greece.

出版信息

Int J Environ Res Public Health. 2021 Nov 8;18(21):11711. doi: 10.3390/ijerph182111711.

Abstract

Pandemic of coronavirus disease (COVID-19) is still pressing the healthcare systems worldwide. Thus far, the lack of available COVID-19-targeted treatments has led scientists to look through drug repositioning practices and exploitation of available scientific evidence for potential efficient drugs that may block biological pathways of SARS-CoV-2. Till today, several molecules have emerged as promising pharmacological agents, and more than a few medication protocols are applied during hospitalization. On the other hand, given the criticality of the disease, it is important for healthcare providers, especially those in COVID-19 clinics (i.e., nursing personnel and treating physicians), to recognize potential drug interactions that may lead to adverse drug reactions that may negatively impact the therapeutic outcome. In this review, focusing on patients with respiratory diseases (i.e., asthma or chronic obstructive pulmonary disease) that are treated also for COVID-19, we discuss possible drug interactions, their underlying pharmacological mechanisms, and possible clinical signs that healthcare providers in COVID-19 clinics may need to acknowledge as adverse drug reactions due to drug-drug interactions.

摘要

冠状病毒病(COVID-19)大流行仍在给全球的医疗保健系统带来压力。到目前为止,缺乏可用的 COVID-19 靶向治疗方法导致科学家们研究药物重定位实践,并利用现有的科学证据寻找可能阻断 SARS-CoV-2 生物途径的有效药物。到目前为止,已经有几种分子成为有前途的药理制剂,并且在住院期间应用了不止一种药物治疗方案。另一方面,考虑到疾病的严重性,对于医疗保健提供者,尤其是 COVID-19 诊所的医护人员(即护理人员和治疗医生)来说,识别可能导致不良反应的潜在药物相互作用非常重要,这可能会对治疗结果产生负面影响。在本次综述中,我们重点关注同时患有呼吸系统疾病(即哮喘或慢性阻塞性肺疾病)且正在接受 COVID-19 治疗的患者,讨论可能的药物相互作用、其潜在的药理学机制以及 COVID-19 诊所的医护人员可能需要识别的临床迹象,这些迹象可能是由于药物-药物相互作用导致的不良反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d80d/8583457/a99f50299877/ijerph-18-11711-g001.jpg

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