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目前日期文章:200811 (6)

瀏覽方式: 標題列表 簡短摘要

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。

 

 

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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 

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11T026 Tetanus Toxoid (0.5ml/DS) 20ml(疾病管制局),因廠商不生產20ml劑型,故舊包裝用完,改換國光牌且劑型劑量不變

 

 

 

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藥品新增

<17K047> Kabiven® Emulsion For Injection 1440ml

 

新藥介紹

<17K047> Kabiven® Emulsion For Injection    NT 1176

Each 1440ml Kabiven® consists of a three chamber bag and an overpouch.

The individual chambers contain:

Glucose 11% 885 ml, Amino acids/electrolytes(Vamin 18) 300ml, Fat Emulsion (Intralipid) 20% 255 ml.

Total energy: approx. 1038 Kcal

作用機轉/

藥理作用

 

Fat emulsion provides essential and non-essential long chain fatty acids for energy metabolism and the structural integrity of cell membranes.

Amino acids, constituents of protein in ordinary food, are utilised for tissue protein synthesis and any surplus is channelled to a number of metabolic pathways. Studies have shown a thermogenic effect of amino acid infusion.

Glucose should have no pharmacodynamic effects apart from contributing to maintain or replete the normal nutritional status.

適應症/劑量

IV infusion,

Adult and Pediatric >10yr

Parenteral nutrition: 27 - 40 ml/kg/day, Max. 40 ml/kg/day.

Pediatric 2-10yr

Parenteral nutrition:14-28 ml/kg initially, and increased by 10-15 ml/kg/day up to a Max.of 40 ml/kg/day.

注意事項

1)The infusion rate should not exceed 3.7 ml/kg/hr (corresponding to 0.25 g glucose, 0.09 g amino acid and 0.13 g fat/kg). The recommended infusion period for individual bags of Kabiven is 12-24 hours.

2)After breaking the seals, chemical and physical in-use stability of the mixed three chamber bag has been demonstrated for 24 hours at 2-8°C or 25°C.

使用禁忌

hypersensitivity to egg-, soya- or peanut protein or to any of the ingredients;

severe hyperlipaemia;

severe liver insufficiency;

severe blood coagulation disorders;

inborn errors of amino acid metabolism;

severe renal insufficiency without access to haemofiltration or dialysis;

acute shock;

hyperglycaemia, which requires more than 6 units insulin/h;

pathologically elevated serum levels of any of the included electrolytes;

general contraindications to infusion therapy: acute pulmonary oedema, hyperhydration, decompensated cardiac insufficiency and hypotonic dehydration;

haemophagocytotic syndrome;

unstable conditions (e.g. severe post-traumatic conditions, uncompensated diabetes, acute myocardial infarction, metabolic acidosis, severe sepsis and hyperosmolar coma);

due to composition, Kabiven is not suitable for use in new-borns

or infants under 2 years of age.

不良反應

A rise in body temperature; shivering, chills; abdominal pain,

nausea/vomiting; transient increases in liver enzymes;

thrombophlebitis; hypersensitivity reactions (anaphylactic

reaction, skin rash, urticaria);respiratory symptoms (e.g.

tachypnoea); hyper/hypotension; haemolysis, reticulocytosis;

headache; tiredness.

懷孕危險分級

Unknown

健保規範

無相關規定。

其他

本藥品為小額採購品項。處方限醫師開立

藥品圖檔

17K047.JPG 

                                         

 

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Enoxaparin Sodium (藥品代號14E025  商品名Clexane6000(60mg/0.6ml/A)Inj.)因廠商缺貨,院內存藥用盡,暫時關檔,待廠商正常供貨再行開放,敬請各單位配合。

 

 

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