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藥品參考

Tolvaptan

Tolvaptan is a medicine in the class endocrine. It is used for hyponatremia.

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僅供醫療專業人員參考。本頁為簡要摘要,並非醫療建議,亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。

本頁的臨床內容僅提供英文版。

重點資訊

藥物類別
Endocrine
ATC 代碼
C03XA01
常見劑型
錠劑
常見規格
30 mg, 15 mg
已知交互作用
245 (禁忌併用: 19 · 嚴重: 36 · 中度: 99 · 輕微: 91)
商品名
9
國家與市場
4

劑型、規格與商品名稱會因國家而異。請核對您手上的產品。

用途

作用方式

Selective vasopressin V2-receptor antagonist that causes an increase in urine water excretion that results in an increase in free water clearance (aquaresis), a decrease in urine osmolality, and a resulting increase in serum sodium concentration

成人常用劑量(仿單摘要)

Hyponatremia Initial: 15 mg PO qDay, Maintenance: May increase to 30 mg qDay after at least 24 hr to achieve the optimal serum sodium level; not to exceed 60 mg/day, Not to exceed 30 days of treatment

僅摘錄仿單中第一行劑量說明;完整的劑量內容請見 App。

懷孕與哺乳

懷孕
Unsafe The use of this drug is not recommended during pregnancy. Some authorities consider it contraindicated.
哺乳
Unsafe Use is not recommended, and some authorities consider it contraindicated.

已通報的副作用

  • Dry mouth
  • Nausea
  • Thirst
  • Pollakiuria
  • Urinary frequency/output increased

哪些人需要特別留意

  • Measure ALT, AST and bilirubin before initiating treatment, at 2 weeks and 4 weeks after initiation, monthly for the first 18 months ,and q3Months thereafter
  • Concomitant use of strong CYP3A inhibitors
  • Hypernatremia, hypovolemia, and/or dehydration may occur; encourage patient to drink whenever thirsty

請告知藥師或醫師您是否懷孕或哺乳、是否患有腎臟或肝臟疾病、是否有過敏,以及您正在使用的所有其他藥物或保健品。

重要交互作用 (245)

All 245 interactions, with severity and what to do

Pro+ 會員專屬

解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可開啟 Tolvaptan 的完整藥品專論:劑量、懷孕與哺乳、副作用、警示及所有交互作用。

  • Dosing by age, kidney and liver function, and further dose lines
  • Paediatric dosing
  • Patient counselling points
  • Food interactions

在網頁版免費試用 Pro+ 14 天,無需信用卡。

同類別的其他藥品

常見問題

What is Tolvaptan used for?

Tolvaptan is a medicine in the class endocrine. It is used for Hyponatremia, Polycystic kidney disease.

What side effects have been reported with Tolvaptan?

Dry mouth, Nausea, Thirst, Pollakiuria, Urinary frequency/output increased.

Can Tolvaptan be taken in pregnancy or while breastfeeding?

Pregnancy: Unsafe. The use of this drug is not recommended during pregnancy. Some authorities consider it contraindicated. Breastfeeding: Unsafe. Use is not recommended, and some authorities consider it contraindicated.

What does Tolvaptan interact with?

MediHelp lists 245 known interactions for Tolvaptan. Contraindicated: 19 · Major: 36 · Moderate: 99 · Minor: 91. The most serious include Atazanavir, Ceritinib, Cobicistat.

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