Pharmaceutical care for a patient with iatrogenic Cushing syndrome induced by long-term oral dexamethasone
10.13699/j.cnki.1001-6821.2017.11.020
- VernacularTitle:长期口服地塞米松致1例医源性库欣综合征患者的药学监护
- Author:
Bo-Yu LI
1
;
Cheng JI
;
Wei-Hong GE
;
Li-Hong LIU
Author Information
1. 首都医科大学附属北京朝阳医院药事部
- Keywords:
dexamethasone;
iatrogenic Cushing syndrome;
clinical pharmacist;
pharmaceutical education
- From:
The Chinese Journal of Clinical Pharmacology
2017;33(11):1026-1028
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the role of pharmacists participating in the drug therapy of glucocorticoid induced iatrogenic Cushing syndrome.Methods Clinical pharmacists provided recommendations and pharmaceutical care for a patient with iatrogenic Cushing syndrome and secondary diabetes,which was attributed to his oral intake of dexamethasone tablets for up to 10 years.Result and conclusion The patient gradually reduced the dosage of dexamethasone tablets and withdrew it finally,replaced with hydrocortisone acetate 20 mg bid.Withdrawal symptom and bounce phenomenon didn't appear during the process.Complications were treated respectively and the patient discharged then.The pharmacist plays an important role in improving the accuracy of patient medication,and could be helpful in avoiding drug-induced adverse reactions and unnecessary economic burden for patients.
