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作 者:张冰[1,2] 吕锦涛 张晓朦 林志健[1,2] ZHANG Bing;LYU Jintao;ZHANG Xiaomeng;LIN Zhijan(School of Chinese Materia Medica,Beijing University of Chinese Medicine,Beijing 102488,China;Center for Pharmacovigilance and Rational Use of Chinese Medicine,Beijing University of Chinese Medicine,Beijing 102488,China)
机构地区:[1]北京中医药大学中药学院,北京102488 [2]北京中医药大学中药药物警戒与合理用药研究中心
出 处:《北京中医药大学学报》2022年第10期999-1004,共6页Journal of Beijing University of Traditional Chinese Medicine
基 金:国家中医药领军人才支持计划“岐黄学者”项目(No.国中医药人教函2018-284号);国家中医药管理局中医药创新团队及人才支持计划子项目(No.ZYYCXTD-C-202005-11);中国毒理学会临床毒理专项课题(No.CST2020CT501)。
摘 要:中成药说明书特殊人群用药信息是临床开展特殊人群药学服务的直接参考。由中华中医药学会团体标准《上市中成药说明书安全信息项目修订技术规范特殊人群用药》(T/CACM 1370.5-2021)引发思考,针对中成药说明书特殊人群用药信息内容缺失及不全面、界定不清、提示不足等问题,提出说明书完善思路。并切入特殊人群的生理、病理及药物体内过程特点,提出中成药特殊人群用药的临床药学服务策略。建立“信息针对化、内容精细化、服务个性化”的药学服务原则,开展以特殊人群患者为中心的药学特点认识、用药风险评估、药物方案制订与重整、药学监护、用药教育等药学服务,保障特殊人群合理用药,规避特殊人群用药风险。The information on the application for special populations in Chinese patent medicine(CPM)instructions provides a direct reference for the clinical implementation of pharmaceutical care for special populations.This paper was inspired by the Technical Specifications for Revision of Safety Information in Marketed Chinese Patent Medicine Instructions-Application for Special Populations(T/CACM 1370.5-2021),an association standard released by the China Association of Chinese Medicine.The ideas for improving the instructions were put forward,aiming at the major problems in the application for special populations in CPM instructions,including missing or incomplete information,ambiguous definitions,and limited implications.In the light of physiological and pathological characteristics and the properties of drugs in special populations,the strategies for clinical pharmaceutical care of special populations were proposed.The principle of“targeted information,subdivided content,and personalized service”should be followed to implement special population-based pharmaceutical care,including the introduction of pharmaceutical characteristics,risk assessment,medication formulation or reconciliation,pharmaceutical monitoring and medication education,which will promote rational use of medications and reduce medication risks in special populations.
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