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藥品異動通知      

*藥物外觀請參閱電子處方集

 

藥品廠牌變更

變更品項:

1. 23C159 Cetirizine(1mg/ml) 內服液 60ml製造廠牌變更為晟德(舊廠牌瑞士)包裝含量不變。

2. 23C030 Cetirizine,製造廠牌變更為信東 (舊廠牌中化)包裝含量不變。

3. 23V041 Diclofenac Sod. 25mg,製造廠牌變更為中化(舊廠牌永信)包裝含量不變。

4. 23N087 Carbinoxamine&pseudoephedrine,製造廠牌變更為應元 (舊廠牌杏林新生)包裝含量不變。

*舊廠牌用完DC。

 

藥劑科藥管組99.01.26

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Lipanthyl supra(160MG) F.C.Tab(藥品代號:24F063 學名Fenofibrate(160MG) F.C.Tab)已恢復供貨

                                     

藥劑科藥管組 啟

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幼兒自費五合一疫苗Infanrix-IPV-HIB (學名DTPA-IPV-HIB 藥品代號11D090)已恢復供貨。

 

 

                                     

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藥品新增

<11F139> Flomoxef (Flumarin ® ) 1gm/ Vial

健保給付規定

依中央健保局藥品給付規定第十章『抗微生物劑用藥給付規定通則』實施。

刪除品項

 <11F105> Flomoxef (Flumarin ® ) 0.5gm/ Vial 品項用完刪除。

藥劑科藥管組啟

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幼兒自費六合一疫苗Infanrix hexa (學名DTPA-HBV-HIB-POLI  藥品代號11D101)已恢復供貨。

藥劑科藥管組 啟

 

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免費小兒流感疫苗(Vaxigrip 0.25ml 藥品代號11V070);免費成人流感疫苗Fluvirin(藥品代號11V054 ) ,用罄為止結束施打!!! 疾管局不再供貨!!!未施打的病患請洽各地衛生所!!!

 

 

 

                      藥劑科藥管組 啟

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藥品新增

<21C137> Clarithromycin (Klaricid ® ) Oral Suspension  25mg/ml, 70ml/Btl

 

新藥介紹 

<21C137> Clarithromycin (Klaricid®)Oral Susp.  25mg/ml, 70ml/Btl

作用機轉/

藥理作用

 

Clarithromycin, a semisynthetic macrolide antibiotic, inhibits protein synthesis in susceptible organisms by penetrating the cell wall and binding to 50S ribosomal subunits, thereby inhibiting translocation of aminoacyl transfer-RNA and inhibiting polypeptide synthesis.

適應症/劑量

PO,

Adult

Chronic bronchitis, bacterial exacerbations due to Haemophilus influenzae:20ml q12h for 7- 14 days.

Chronic bronchitis, bacterial exacerbations due to Haemophilus parainfluenzae: 20ml q12h for 7 days.

Chronic bronchitis, bacterial exacerbations due to M. catarrhalis, or S pneumoniae; uncomplicated skin and soft tissue infections:20ml q12h for 7- 14 days.

Disseminated Mycobacterium avium complex disease, prophylaxis :20ml BID.

Disseminated Mycobacterium avium complex disease:

20ml BID in combination with other antimycobacterial agents; clarithromycin therapy should continue for life if clinical and mycobacterial improvements are observed.

Pharyngitis, streptococcal or tonsillitis:10ml q12h for 10 days.

Community-acquired pneumonia, due to C pneumoniae, M. pneumoniae, or S pneumoniae:10ml q12h for 7- 14 days.

Community-acquired pneumonia, due to H. influenzae:

10ml q12h for 7 days.

Community-acquired pneumonia, due to H. parainfluenzae, or M. catarrhalis:40ml QD for 7 days.

Acute maxillary Sinusitis:20ml q12h for 14 days.

Pediatric

Acute otitis media; streptococcal pharyngitis; community-acquired pneumonia, due to C. pneumoniae, M. pneumoniae, or S pneumoniae; Sinusitis, acute maxillary; Skin and soft tissue infections; Tonsillitis:

7.5 mg/kg q12h for 10 days

Disseminated Mycobacterium avium complex disease:

7.5 mg/kg, up to 20ml BID

Disseminated Mycobacterium avium complex disease:

7.5 mg/kg, up to 20ml BID in combination with other antimycobacterial agents; clarithromycin therapy should continue for life if clinical and mycobacterial improvements are observed

Max. 40 ml/day

注意事項

1)      Take without regard to food.

2)      Reconstitute with 37ml drink water, shake well to make a 125mg/5ml of  70ml suspension.

3)      After reconstitution, the oral suspension may be stored at

25℃ for 14 days; don't  refrigerate the reconstituted suspension.

使用禁忌

 known hypersensitivity to clarithromycin, erythromycin, or any other macrolide antibiotic.

不良反應

L: Infection; abnormal sensation of taste; dyspepsia; flatulence; GI disturbances; headache.

R: Hepatotoxicity; hypersensitivity reaction; pseudomembranous colitis; thrombocytopenia.

懷孕危險分級

C

健保規範

1)      限用於經臨床診斷或實驗室診斷為黴漿菌(mycoplasma)或披衣菌(chlamydia)或退伍軍人桿菌(legionella)引起之感染、或經培養證實為macrolides有效之致病菌感染(需於病歷記載診斷依據,俾利審查)。

2)      使用期間不得超過十日,每日最大劑量500mg。

3)      本類製劑應儘量避免合併使用其他抗生素。

 

藥品圖檔

21C137.JPG 

                                     

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Castor oil 健保不給付,病患需自費,目前全院醫囑檔中有兩項Castor oil,請各醫師視醫療需求選擇開立:

 

1.Castor oil (30ml).檢查用(藥品代號:26C084)

    限檢查前一天當瀉劑排空大腸內容物使用,每次處方最大限量2doses(30ML),藥費已列入處置費用,不申報。

 

2.Castor  oil (30ml).自費(藥品代號:26C092)

    供病患治療便秘,當瀉劑使用,病患需自費,每dose(30ml)自費藥價16元

 

藥劑科藥管組  啟

 

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11D066  Infanrix (DTPA)0.5ml(三合一)幼兒自費三合一疫苗,恢復供貨。

 

 

藥劑科藥管組  啟

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藥品刪除

<24C115> Cilostazol (Pletaal® ) Tab. 50mg

  

藥品新增

<35A031> Azelastine HCl (Azela ® ) Nasal Spray  0.1%; 0.14mg/dose,100dose/Btl

<24C131> Cilostazol (Pletaal® ) Tab. 100mg

新藥介紹

<35A031> Azelastine HCl (Azela ®)Nasal Spray 0.1%; 0.14mg/dose,100dose/Btl

作用機轉/

藥理作用

 

Azelastine HCl, a relatively selective H(1)-antagonist, blocks

release of histamine from cells involved in the allergic response.

It also demonstrates inhibition of other mediators involved in allergic reactions (eg, leukotrienes and platelet-aggregating factor (PAF)), and reduction of chemotaxis and eosinophil activation .

適應症/劑量

Adult

Seasonal allergic rhinitis: 1 or 2 sprays per nostril twice daily.

Vasomotor rhinitis: 2 sprays per nostril twice daily.

Pediatric

Seasonal allergic rhinitis:

5 to 11 yrs, 1 spray per nostril twice daily.

12 yrs and over, 1 or 2 sprays per nostril twice daily.

Vasomotor rhinitis: over 12 yrs, 2 sprays per nostril twice daily.

使用禁忌

concurrent use of alcohol or other CNS depressants,

hypersensitivity to azelastine products.

不良反應

Bitter taste in mouth; nasal stinging/burning; somnolence,

headache; fatigue.

懷孕危險分級

C

健保規範

無相關規定

藥品圖檔

35A031.JPG 

新藥介紹

<24C131> Cilostazol (Pletaal® ) Tab. 100mg

藥理作用

1)Quinolinone-derivative selective phosphodiesterase (PDE) type 3 inhibitor; platelet-aggregation inhibitor and arterial vasodilator.

2)Appears to inhibit activation of cellular PDE type 3, resulting in suppressed degradation and increased concentrations of cAMP in platelets and blood vessels. Increased cAMP levels appear to mediate arterial vasodilation and inhibition of platelet aggregation.

3)Favorably alters concentrations of certain lipoproteins; reduces plasma triglycerides and increases high-density lipoprotein (HDL)-cholesterol concentrations. No effect on plasma concentrations of total cholesterol, low-density lipoprotein (LDL)-cholesterol, or lipoprotein(a) (Lp[a]).

適應症/劑量

PO,

Adult

Intermittent Claudication100mg BID.

Pediatric

Safety and efficacy not established.

給藥注意事項

Take 30 minutes before meals, or 2 hours after meals.

使用禁忌

congestive heart failure of any severity;

hemostatic disorders or active pathologic bleeding, such as

bleeding peptic ulcer or intracranial bleeding;

known hypersensitivity to cilostazol products.

懷孕危險分級

C

不良反應

M: Fever; tachycardia; abdominal pain; back pain; GI effects; dizziness; headache; cough; myalgia; nausea; peripheral edema; pharyngitis; rhinitis.

L: Atrial fibrillation; CHF; abnormal bleeding; anemia; neck rigidity; tongue edema; purpura; urticaria; syncope; arthralgia; gastroenteritis; esophagitis; postural hypotension; tinnitus.

健保規範

限使用於緩解間歇性跛足的症狀。

   

原<24C115> Cilostazol (Pletaal® ) Tab. 50mg 品項刪除。

藥品圖檔

24C131.JPG 

藥劑科藥管組

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