24.03.29 () 14:57

Dailypharm

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󼱾 ¡ü ۿ ɼ
뺴ö 2018-06-09 06:20:26
󼱾 ¡ü ۿ ɼ
뺴ö 2018-06-09 06:20:26
ö ۿ Ʈ ݱ



[׸Ʈ] û ȳϽʴϱ? 'Ǿǰ ۿ Ʈ'Դϴ.

ݱ 1 Ŭ ̻ ۿ Ʈ ٽ ѹ ð غ߽ϴ.

' ۿ ùٸ ó' 'о, ۿ ' '뷮 ๰ ⺹ ȯ ۿ '  ˾ƺڽϴ.

[] ๰ ջ ۿ Ư¡ Դϱ?

[ ] ๰ ջ (myopathy) մϴ. 3 ܰ ϴ. 1. (myalgia) : CK(ũƼ īγ) ̳ Ÿ . 2. ٿ(myositis) : CK ġ 2 ̻ ϰ ̳ Ÿ . 3. Ⱦٿ(rhabdomyolysis) : CK ġ ּ 2 ̻ ϴµ 10 ̻ ϸ ̳ Ÿ ޼ջ (Һ ϰ , myoglobinuria Ÿ) ̴ .

˾Ƶμž ݵ ݵǴ ƴϰ 1. ִ 2. Ը Ÿ 찡 ִٴ Դϴ. ֽø ϴ.CK(ũƼ ī̳) ı ȿԴϴ. CK ջ ǹϰ CK ġ ˻ ֽϴ.

๰ ۿ ȣϴ 쿡 CK ġ Ȯ õմϴ. ũƼ ġϰ ũƼ ī̳ ġϰ ȥϽø ˴ϴ. ũƼ ǥμ ٸ ̴ϴ.[] ջ ۿ ๰  ͵ ֳ?[ ] ۿ ٽ 5 з˴ϴ.

1. necrotizing myopathy 2. mitochondrial myopathy 3. polymyositis or dermatomyositis 4. neuromyopathies 5. ұ .1. 缺 ๰ Ÿƾ, Ǻ극Ʈ, ƾ, зǴ ƹ̳īл, Ÿ 뷮 ŸA ǥԴϴ. 2. ܵ帮Ƽ (縳ü ) ๰ ε ǥԴϴ. 3. ٹ߼ٿ ๰ Ƽ -ϽǶ, PPI ǥԴϴ. 4. ϴ Űٺ ๰ ƹ̿ٷ, ׾ ũƾ ǥԴϴ. 5. ұ ϴ ๰ ̴, ˷̴, ׳׽ ϰ , ʰ ǥԴϴ.

ʴ ۿ ٽ 3 з˴ϴ. 1. ڸƼ ׷̵ 2. ʴ Űٺ 3. Į, ׳׽ ұ 2 . 1. ڸƼ ׷̵ ๰ ׷̵Դϴ. 2. ʴ Űٺ ๰ 󸮾Ƴ Ƽ Ŭθ, ϽŬθ, dz Űģ ǥԴϴ. 3. ұ ʴ ๰ ̴, ˷̴, ׳׽ ϰ , ʰ ǥԴϴ.

[] ๰ ۿ Ÿ Ŀ Ź帳ϴ.

[ ] 1. 缺 - Ÿƾ HMG-CoA ȯȿҸ ϱ isoprenoids ڿ ť ҽŵϴ. ̰ ջǰ CK ε巯ϴ.

2. ܵ帮Ƽ - ε ܵ帮ƿ ʼ -DNA polymerase Ͽ ܵ帮 DNA ۸ڰ ̰ ϴ.

3. ٹ߼ٿ - ϽǶ 鿪 ۿ IgM Ƽ factor Tı ϴµ muscle antigen ü ڰ鿪 ջ ߱ մϴ.

4. Į м ҽ Ű- ȣ ҽŵϴ. λ ATP մϴ. ׳׽ Ƽƿݸ к Ű- ȣ մϴ.

5. Ŭθ ϽŬθ ؿ Ǿ Ȱ ҽ ǵ ۸ڰ մϴ.

6. ׷̵ ŸII ( ߷ , Ƿ, ) 縦 ֽϴ.

[] ๰ ۿ ̱ ó ִٸ?

[ ] ۿ մϴ. ڰ鿪 ȯ ִ , ȯ ִ , 뷮 Ⱓ ش ๰ ϴ , ü , ̳ ȯ ִ Դϴ. ؼ ۿ ๰ ߺ ϰ ҿ ̳ ϰ ˻ CKġ Ȯ ݴϴ.

ۿ ߻ ๰ ۿ ´ Ȯ ʿմϴ. Ծ ۿ ߴϸ ߿ ٽ ش ۿ Ǵٽ ߻ϴ ʿմϴ. ϴ ǽɽ ๰ 뷮 ̰ų ߴ ǻ, ϰ ߴϸ ش ȯ ġ  Ǵ ʿϸ ؾ߸ ϴ ϼַ ߰ ϴ. ұ ٽ ߾ָ ˴ϴ.

[] ๰ Ÿƾ ۿ뿡 ߰ Ź帳ϴ.

[ ] Ÿƾ ԰ ٰ ϴ ֽϴ. Ÿƾ ݷ׷ ߰ LDL ҽִ ̵. LDL ԰ ġϸ ߿ ϴ.Ÿƾ ߾ִ ̶ 帮. ۿ ʿմϴ. ݷ׷ ߱ HMG-CoA ȯȿҸ ϴٰ ۿ isoprenoids ڿ ť ҽ ջ ְ. Ÿƾ Ÿ ռ մϴ.

Ÿƾ ť ġ Ƿ 纸μ ť ؼ ø Ÿ ġ ˻Ͻþ Ÿ ġ ٸ Ÿε ؼ ø ۿ ϴ. Ÿ ġ Ÿƾ ۿ ߻ ٴ ֽϴ. Ÿƾ ۿ ߻ 豺 ִµ. (Ÿƾ 뼺 ๰̱ մϴ), 50 ̻, ̳ 索 ִ , ȯ(ũƼ̳ BNU ġ ) ִ Դϴ.

׸ Ÿƾ 뷮 ϴ Դϴ.豺 ش ʴ ũ ʾƵ Ǵµ. 豺 شϴ ϸ鼭 ֱ CK ġ Ȯ ־ մϴ. Ÿƾ ϶ ϱ⵵ ϰ. ϸ Ÿƾ ߴܽŰ ʿ信 ۿ ȭֱ ֻ縦 ϱ⵵ մϴ. CK ġ 10 ̻ ö 쿡 Ÿƾ ߴ Ѿ ϱ. CK ġ 5 ö ߴؾ ƴϸ Űų 뷮 ҽų ϰ ˴ϴ. CK ġ 2 ö Ÿƾ ص ϴ.

[] ๰ ۿ Ư¡ Դϱ?

[ ] , Ǵ ڱ ϴ 찡 ֽϴ. ϴ ๰ ۿ ְ. ๰ ƴϰ ȯ ֽϴ.౹ ̷ 츦 ϰ մϴ. 索 Ÿô ϰ ʾҴµ ſ ̻ϰ ö󰬴ٴ Դϴ. ȯ ü ִµ. ⿡ ɷȴٴ ȯ ִ , 忰 , 缺 ִ ް ϵǴ Ȳ ̰ Ǹ ǰ ֽϴ.

Դ ࿡ ؼ ֽϴ. ̷ ȯڿ Ư ־İ ⵵ ϰ ü ش޶ ϱ⵵ մϴ. ǰɽǰ̳ ϹǾǰ ϴ ˸ ִ ãƳ ϴ.

[] ۿ ๰  ͵ ֳ?

[ ] ۿ ִ ๰ ù ° Ű漺 ๰Դϴ. ׷̵, ڸ 帰, ī, ׿ʸ, ȣ Ű ڱϿ ణ ½ų ֽϴ. ° ź̳ , 鿪 Դϴ. ° о, ߿ ̴ , Ÿ , Non-DHP Įä Ÿƾ 迭, ̾ƽ ֽϴ. ° ȿ, ټ ° ްԽƮ Ŀ Դϴ. ǰǰ ް3 ֽϴ.

[] ๰ ۿ ̱ ó?

[ ] ۿ տ ๰ ϴ ൿ ٶ ƴմϴ. Ÿƾ 索 ȯڿ õǴ Դϴ. 索 պ Ÿƾ ݷ׷ ־ մϴ. 索 պ պ Ÿƾ ֱ Դϴ. ŸٽŸƾ Ÿƾ ߿ ۿ ϴ. ̴ Ÿ 쵵 ȯ Ȳ ұϰ ʿ ݵ մϴ.

ҽŰ Դϴ. ſ 索 ó ϸ鼭 ϰ ˴ϴ. ̴ Į ۿ Ʈ ָ ۿ Ÿ ʽϴ. Į ġ ֱ Ȯϰ ñġ, 丶, ٳ Į dz Ծָ ˴ϴ. Ÿ ü Ÿ ָ ۿ Ÿϴ.

ȯ ʿ ״ ֱ üũϸ鼭 ϸ ˴ϴ. ׷ ȯ 1~2 ġ ó ְ ڲ ϴ ˴ϴ. ǰ˻縦 ϱ ؼԴϴ. Ӹ ƴ϶ ġ  ͸ մϴ.̳ ׷̵嵵 ö ִµ ö󰡸 ü ؼ óϱ⵵ մϴ.

ź Ŭ, ö ũ õ ϴ. ϸ õ ٲٱ⵵ մϴ. ǰǰ 쵵 ް3, ŸB3, 뷮 Ⱓ ִ üũ ʿ䰡 ϸ ǰ ǰ ٽ () ʿ䰡 ֽϴ.

[] ๰ ۿ Ư¡ ΰ?

[ ] ̶ ߷, , нɷ, ȹɷ, ذɷ, ɷ, ð ɷ, Ű ൿ ˴ϴ. ๰ ۿ ɷ ҵǸ ̷ ɷ ҵ ǹմϴ. ߿ Ư ɻ ָ ް ֽϴ.ȭ ȸ Ǹ鼭 ġα ð ִµ ๰ ġ Ÿ ۿ뿡 ٵ մϴ. ๰ ۿ뿡 ̳ нɷ Ҵ ξῡ Ư ߿ о̱⵵ մϴ.

ۿ ̰ ߻˴ϴ. ϴµ ๰ ȭ ֱ Դϴ. γȰ Ȱؼ ۿ ߻ ʽϴ.

[] ۿ ๰ ñմϴ.

[ ] ݸ ๰(Ÿ, , ̿, ๰, Ϻ ħ, ˷, , ֹ̾, Ϻ Ų, ȯ ׿), , ׾, , (Ű), ǵ(), H2 (), ۷ڸƼ̵(׷̵), SSRI(), ۿ ֽϴ.

[] ๰ ۿ ̱ ó Źմϴ.

[ ] ๰ 뷮 ּȭؾ մϴ. ๰ ȿ ִ 뷮 ؾ ۿ پϴ. Ϲ κ 뷮 ̴ Ư ־ մϴ. Ⱓ ϸ ª ְ. ܿ  ʿ 찡 ƴϸ ؾ մϴ. ̳ Ƭ ǰ˻縦 󵵸 Ϻη üũ ʿ䰡 ֽϴ. ߳󵵰 Ȯؼ 뷮 Դϴ.

๰ ȣۿ뵵 IJϰ üũ մϴ. ٸ ๰ ؼ ۿ Ÿ ִ ๰ 󵵰 ϴ ƴ, ƴϸ ٸ ๰ ߺ ۿ ʴ ׻ Ȯ ݴϴ. ȿ ٴ ؼ 󵵰 ްϰ ö󰡴 ߳󵵷 ݴϴ. ۿ Ͻ ߳󵵰 ʿ̻ ö ߻մϴ.

Ű ϸ ̰ ԰ ؾ մϴ. DUR Ǿǰ Ǿ ִ Դϴ. ๰ ۿ Ÿ ȯ ¸ ľ ־ մϴ. ġſ Ȱ ๰ ϴ οԵ ݴϴ. ̸̸ ϴ Դϴ.

γ ڱ ϱ üȰ̳ , , ϰ մϴ. ȣý ġ ҽֱ , Ÿ B6, 12 ϸ ݷ׷ ġ ߾ ϸ е մϴ. , (γ Ȱ) ϰϸ ؾ մϴ. ׻ȭ ϸ ϴ.

[Ŭ¡Ʈ] , 'Ǿǰ ۿ Ʈ' Դϴ. ð پ ҽ غؼ ãƺ˰ڽϴ. û ֽ ϴ.
뺴ö (sasiman@dailypharm.com) ٸ
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ݱ

Ǹ ͸ , Ǹ ̸ ̵ ˴ϴ. ͸ ʸ ϸ, ͸ մϴ.

ڹ(-ڴϾ-ʱ ) ˵ ϸ ȸ Խ ⡯ ĺ Ʈ ׻ ֻܿ ˴ϴ. ο ø Ϲȸ Խ ĺ ڴϾ ȸ ϴܿ ǽð ˴ϴ.

뺸 ϰ ̵ ̿ Ǵ ֽϴ.

  • ۱ǡΰݱ Ÿ Ǹ ħϴ

    α׷ ϰ , ȳϴ Խù

    Ÿ Ǵ 3 ۱ Ÿ Ǹ ħ Խù

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    Ư ̿ ο ν 弳

    Ư 븳 ϴ

    Ȯ ȵ ҹ Ű

    弳 , Ӿ

    Ź, ɿ ˵Ǵ ( û )

    Ư ̳ ü ϴ

    Ư ѼϿ ش ûϴ

    Ư (ֹεϹȣ, ȭ, ּ ) Խϴ

    Ÿ ID Ȥ г ϴ

  • Խ Ư ѵǴ

    ʴ

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    Խù,

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    Խù б

  • û ִ

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    ʿ伺 ̸

    Ÿ ˵Ǵ 縦

    Ÿ  ڰ ʿϴٰ ǴܵǴ

  • Ȯ

    ۱ڷκ , , ϴ

    Ÿ ʻ ħϰų ϴ

    翡 ̿ (Ÿ ID, йȣ )

  • ̻ Ϻ ׿ ̿ 縦 , Ρ ó ֽϴ.

    õ ̴ ҹ Ǵܵǰų ϸ 񽺿 ٶ ʴٰ ǴܵǴ ġ ϰڽϴ.

    رŸ ϸ ڿ ֽʽÿ. ּҴ dailypharm@dailypharm.comԴϴ.

ֽż ݴ
  • 2018.06.09 14:17:30

    սô

    ϴ ʴ ̰ ְ, ƴ° Ǯ Ǯ ϴ ̰ ϴ.

    0 0 0
౹ Ϲݾ Top 100(03)
ǰ Ƚ Ǹűݾ
1 Ÿ̷500mg(10) 23638 33104 101,505,000
2 Ȱť 13391 83427 97,389,700
3 Ǹť 10902 91595 73,069,159
4 ݿ 11997 88325 71,846,700
5 ũũ 4431 4720 52,151,000
6 뽺ī 20g 2332 2418 49,544,700
7 319 12291 44,946,300
8 Ź ĸ(10ĸ) 10732 15961 42,562,800
9 S 676 1227 42,429,350
10 ݴ ť÷ 8546 11210 42,423,060
11 ̰źĸ(60ĸ) 1292 2602 37,202,100
12 ġ 8140 41776 36,792,300
13 öŸ(34) 2501 3833 35,705,600
14 ׶÷ ƮŸ 3353 4312 35,035,660
15 Ʒγΰ̾(120) 657 810 34,246,900
16 ġ̽Ʈġ120g 2388 3282 34,107,490
17 öŸ(40) 2100 2586 34,093,300
18 ٿ 30g 2899 5594 33,943,700
19 (120) 1218 2384 32,914,000
20 ڶ-(40) 1737 3804 28,306,900
21 Ժ 5110 8423 27,914,600
22 Ź 3783 5019 27,081,000
23 ƽŸ 434 825 26,872,500
24 ׶÷ ݵ& Ʈ 1824 2172 25,848,300
25 (10) 8429 12233 25,619,101
26 ȲûɿŹ50ml(õ) 1192 2335 25,361,000
27 ݴ ݵť÷ 5324 6920 25,224,900
28 Ÿ̷500mg(30) 2468 3258 24,699,390
29 Ľõ򿬰10׶ 3091 3369 24,306,500
30 6089 25744 24,196,461
31 Ʒ 3226 7806 24,186,252
32 6̺(30ĸ) 2737 3245 23,701,750
33 ġ̽Ʈġ150g 1401 1754 23,469,900
34 ũ 1907 1963 23,302,401
35 λ絹÷(100) 671 1981 22,752,400
36 ݿ 5552 7933 22,665,600
37 ťýȾ0.5ml*60 1158 1319 22,004,000
38 D-׳ 2074 2207 21,799,902
39 Ľõ򿬰5g 3700 3954 20,580,200
40 뽺ī 10g 1603 1663 20,406,600
41 ӽ÷ 1879 2250 20,176,000
42 öŸ 3232 7567 19,371,321
43 ȲûɿŹ50ml() 1585 3803 19,128,000
44 Ȳûɿȯ() 255 1579 19,058,500
45 ƽƮ(150) 195 351 18,535,100
46 Ÿ̷8ð̾˼ 4493 6574 18,407,000
47 ʽ÷÷ 2748 3217 18,376,001
48 īɾ10g 2552 2817 18,221,600
49 Ʒγΰ(100) 525 1187 18,136,800
50 (10) 2814 3718 18,035,700
51 6̺꿬ĸ(10ĸ) 4711 6546 17,234,600
52 ھ ߽20ml 1500 1754 17,208,900
53 ƽŸ 313 594 16,459,972
54 ݴŰ÷ 3393 4385 15,960,800
55 ̵Ⱦ 14ml 2463 2769 15,949,650
56 ǥȲûɿ 50ml 1061 3758 15,544,646
57 ڷƮ 2mg (Ʈ) 693 1630 15,516,200
58 Ź 2643 3839 15,388,600
59 ѺŸC1000mg 814 2828 15,249,703
60 λ絹÷(270) 194 737 15,225,500
61 밢()(18) 1795 2220 15,094,100
62 ̵Ⱦ 14ml 2416 2576 14,910,600
63 λ絹(100) 491 907 14,826,800
64 ׺ƽĸ 294 546 14,789,500
65 翬ĸ(120ĸ) 372 387 14,722,300
66 Ź̵ 3100 3837 14,720,200
67 Ʈ0.1%й 1182 1495 14,673,700
68 ȭ 4074 18105 14,639,465
69 Ʒ 2856 4634 14,629,300
70 ѽŻ÷(10) 3458 5196 14,582,200
71 ׺ǵ 1246 7135 14,399,712
72 ݴŰ÷ 3107 3696 14,384,750
73 ÷ 3969 4682 14,254,868
74 ƼǪīŸö󽺸 2531 4745 13,924,700
75 ̵Ⱦ׼ 14ml 2151 2411 13,871,800
76 īٿĸ(60ĸ) 299 427 13,498,500
77 ΰ 155 206 13,325,000
78 2480 9352 13,106,010
79 ξ 487 5011 13,096,210
80 ƼǪ Ŀ 1714 3762 13,033,911
81 īɾ 6g 2647 2864 12,758,350
82 10 1610 2720 12,753,338
83 ƽúŰ÷(10) 2340 2566 12,706,610
84 ġĸ(60ĸ) 452 984 12,697,600
85 տ翬ĸ(80ĸ) 349 449 12,559,600
86 Ǫ÷ 3092 4079 12,536,300
87 īڿ;(300) 425 459 12,408,600
88 Ÿ̷ݵ忡 2519 3686 12,349,800
89 2% 120ml 683 707 12,166,600
90 ġĸ(120ĸ) 241 251 12,094,000
91 ȯ 1945 2815 12,000,300
92 Ŭƾ 972 1013 11,992,500
93 ƼǪ Ŀ 1949 4686 11,989,100
94 ݴ ť÷ 2523 3104 11,948,900
95 ǥȲûɿ50ml(õ⺯) 584 1190 11,875,100
96 1100 1463 11,805,800
97 ؽ 1141 1198 11,802,000
98 ڸŰĸ 2134 2516 11,677,500
99 Ⱦ0.5ml 573 659 11,636,000
100 ƮƮŰ& 1615 2330 11,516,140
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