臨床藥學大觀園 《論藥之道》 Harnalidge®OCAS®需整粒吞服(下) ◎文╱陳柏瑋 處方評估(續) 3. 疑義說明 (1) 此病人因良性攝護腺肥大,開立Harnalidge® OCAS® tab一天一次,一次0.4 mg。 (2) 病人採鼻胃管給藥,但Harnalidge® OCAS®不可磨粉,應調整為其他可磨粉之α1交感神經受體拮抗劑,如Urief® tab。 檢驗項目參考值 BUN (blood urea nitrogen): 7-20 mg/dL; SCr (serum creatinine): male: 0.7-1.5 mg/dL; female: 0.5-1.2 mg/dL; CCr (Creatinine clearance rate): >60 mL/min; ALT (alanine aminotransferase): 0-40 U/L; AST (aspartate aminotransferase): 5-45 U/L (全文完) 參考資料 1. Tamsulosin. Lexi-Drugs. Lexicomp. Wolters Kluwer Health, Inc. Riverwoods, IL. Available at: http://online.lexi.com. Accessed February 11, 2022. 2. Debra A Schwinn, David T Price, Perinchery Narayan. alpha1-Adrenoceptor subtype selectivity and lower urinary tract symptoms. Mayo Clin Proc 2004;79:1423-34. (本文作者為臺北榮民總醫院藥學部臨床藥師 / 陽明大學藥理所碩士)