看板 MuscleBeach 關於我們 聯絡資訊
我有僵直性脊椎炎,每天都要服用萬克適(Arcoxia),查了網路資料都說NSAID和肌酸同時 服用有可能會傷腎,不知道我現在服用的藥物和肌酸是否會傷腎? -- ※ 發信站: 批踢踢實業坊(ptt.cc), 來自: 223.140.96.208 (臺灣) ※ 文章網址: https://www.ptt.cc/bbs/MuscleBeach/M.1647707789.A.C13.html
arsonlolita: 問藥師吧 03/20 00:37
steven183: 問醫生 03/20 00:37
sunshinecan: 有疑慮就問醫生 03/20 00:46
selfvalue: Etoricoxib, sold under the trade name Arcoxia, is 03/20 00:53
selfvalue: a selective COX-2 inhibitor 03/20 00:53
mitsloanboy: 那就不要啊 03/20 01:07
selfvalue: All NSAIDs (including COX-2 inhibitors) have been 03/20 01:10
selfvalue: associated with the development of acute kidney in 03/20 01:10
selfvalue: jury 03/20 01:10
selfvalue: https://reurl.cc/Dd2496 03/20 01:13
selfvalue: https://reurl.cc/44zjaL 03/20 01:31
selfvalue: 藥物說明書:Renal prostaglandins may play a compen 03/20 01:32
selfvalue: satory role in the maintenance of renal perfusion. 03/20 01:32
selfvalue: Therefore, under conditions of compromised renal 03/20 01:32
selfvalue: perfusion, administration of ARCOXIA may cause a r 03/20 01:32
selfvalue: eduction in prostaglandin formation and, secondari 03/20 01:32
selfvalue: ly, in renal blood flow, and thereby impair renal 03/20 01:32
selfvalue: function. 03/20 01:32
selfvalue: https://pubmed.ncbi.nlm.nih.gov/31375416/ 03/20 01:37
wan0zei: 建議不要,腎臟負擔會更大 03/20 01:45
selfvalue: ==逛了快一個小時 03/20 01:45
selfvalue: 好奇藥師跟醫生會怎麼建議 03/20 01:47
selfvalue: 問到留一下答案 謝謝 03/20 01:48
wan0zei: 小弟藥師, 肌酸就真的跟NSAID會有交互作用,官方回答會 03/20 01:51
wan0zei: 告訴病人不要增加腎臟負擔。 但如果是自己,定期有在回 03/20 01:51
wan0zei: 診驗CrCl跟其他腎功能指數,會斟酌XD 03/20 01:51
selfvalue: 感謝您 03/20 01:52
selfvalue: 我還在看腎臟功能== 03/20 01:53
selfvalue: 感謝專業推^^ 03/20 01:53
wan0zei: 但原PO還是去問一下自己的醫師比較好,畢竟他應該最了解 03/20 01:54
wan0zei: 你的狀況@@ 03/20 01:54
selfvalue: https://reurl.cc/dX3LWg 03/20 01:55
donald218: 謝謝大家的解答 03/20 08:36
preprice: 我吃了兩個月才發現忘了去查有沒有副作用,不過這個月 03/20 10:59
preprice: 的CR反而下降 03/20 10:59
adaplant: 問醫生 03/20 12:05
iamoldtwo: 問药師☺ 03/20 12:30
FlynnZhang: 長知識 03/20 13:04
wan0zei: NSAID其實很常見也很多人吃啦,但原po劑量應該比較多吃 03/20 13:36
wan0zei: 的時間也長,才比較要注意 03/20 13:36
john11894324: 問醫師 03/21 00:22
a55665203031: 覺得這篇很暖也XD 03/21 09:11
gf000100: 身體健康為先 03/21 09:14
gene0411: 果然PTT臥虎藏龍 03/21 10:29