模型引导的移植患者他克莫司精准用药专家共识
Expert Consensus on the Model Informed Precision Dosing of Tacrolimus in Transplant patients
移植患者服用他克莫司(Tacrolimus, TAC)后体内药动学与药效学个体差异较大,导致患者间疗效与不良反应的差异,可出现免疫不足的排异或过量引起的毒性反应。采用模型引导的精准用药(Model induced precise dosing, MIPD)方法,根据患者治疗药物监测结果和病理生理特征信息,预测、制定和调整TAC个体化给药方案,提高血药浓度达标率。本专家共识探讨移植患者服用TAC后中常用的MIPD方法,及其在移植患者初始给药方案制定与给药方案调整、不良反应预测、用药依从性及经济性方面的应用,推动TAC的临床精准用药。
There is significant inter-individual variation of pharmacokinetics and pharmacodynamics in patients receiving therapy of tacrolimus(TAC) after transplantation, which cause the rejection or toxic action. Through modeling and simulation based on results of therapeutic drug monitoring and pathophysiological index of transplant patients, the individualized therapeutic regimen can be designed and adjusted. Thus, the target of rational drug using can be obtained. In the consensus, the different methods of model induced precise dosing used for patients received TAC after transplantation were introduced, which can be used for the designing and adjusting doing regimen, predicting adverse drug reaction, improving medication adherence and economics after transplantation.
丁俊杰、左笑丛、王卓、张弋、陈冰、赵维、高建军、焦正、王玉珠、相小强、李新刚、周佩军、李晓宇、邱晓燕、尚德为
医药卫生理论药学临床医学
他克莫司模型引导的精准用药治疗药物监测药动学专家共识
tacrolimusModel informed precision dosingtherapeutic drug monitoringpharmacokineticsconsensus
丁俊杰,左笑丛,王卓,张弋,陈冰,赵维,高建军,焦正,王玉珠,相小强,李新刚,周佩军,李晓宇,邱晓燕,尚德为.模型引导的移植患者他克莫司精准用药专家共识[EB/OL].(2024-12-30)[2025-08-16].http://www.paper.edu.cn/releasepaper/content/202412-63.点此复制
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