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Dailypharm

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"NOAC 뷮, Ƚϰ óϼŵ ˴ϴ"
ȣ 2019-07-11 06:20:33
"NOAC 뷮, Ƚϰ óϼŵ ˴ϴ"
ȣ 2019-07-11 06:20:33
[DPͺ][ͺ] DZ١̼ҷ 뺴 峻



  DZ () ̼ҷ
ű԰汸(NOAC, New Oral Anti-Coagulant) ̻ 'ű', Ȥ 'New' ľ ︮ ʴ´.

2011 ù 㰡 2013 ޿簡 ̷ 4 NOAC ̹ ӻ 忡 ߴ. а迡 ̰ 'DOAC(Direct Antagonist Oral Anticoagulant)'̶  ϱ⵵ Ѵ.

׿. ѱ 츮 ο NOAC Ȱ뿡 ߴ. DZ١̼ҷ 뺴 پ ã ִ.

̵ ѱ ü ɹ漼 ȯڿ NOAC , ׹° NOAC 'þƳ()' ȿ Ȯϴ ǥߴ. ֱٿ 'ڷ(ٷϻ)' ǥؿ뷮 뷮 ȿ 񱳿 ǥ, ָ ޾Ҵ.

װ ǥؿ뷮 ð ѱο 뷮 ؿ ǰ ӵ Դ Ȳ ̹ ǥ ϰ ִ. ϸ DZ, ̼ҷ 츮 NOAC Ȱ뿡 ǰ ô.

-ǥؿ뷮 ϰ Ⱑ ֳ?

DZ :츮 NOAC ȯ Ѵ 64.4% 뷮 NOAC ó ް ִ.

̴ ƽþ ο ü ۰ Ư ޶ ߰ ǰ ֱ ̴.

Ϻ ũƼ û 50mL/min ̻ ű ȯڿ ڷ 15mg ǰϰ ִ. 븸 15mg óϴ ʰ ( 80%) ƽþ 뷮 Ȯ ʿ伺 Դ. NOAC ӻ󿬱(RCT) ƽþ , Ȯ ٰŸ ϰ ִ.

̰ Ȳ 'ڷ(ٷϻ)' ó ű(ũƼ û 50mL/min ̻) Ǹ ɹ漼(NVAF) ȯڿ 20mg(뷮) ̴, Ȯ ;.

-뷮 ó ̽ ٸ NOAC鵵 ִ. Ư ڷ並 ִ°?

: 뷮 DZ ̶ Ѵ. κ NOAC 2 뷮 ִµ ڷ 20mg, 15mg, 10mg 뷮 üϰ ִ. Դٰ ű ϳ 뷮 ϱ ϴ.

ռ ߵ, Ϻ 븸 20mg ʱ 뷮 㰡 츮󿡼 ƽþ 15mg ̰ űɿ 10mg ´, 20mg ȯڰ ʾҴ ô.

  ̼ҷ
- °? ָ ִ°?

̼ҷ : Ѹ, ڷ 뷮, 㰡 뷮 ó .

, ű ȯڿ ڷ 뷮 20mg 뷮 15mg ĸ , ο ״.

Ư 15mg ġ ȯں 20mg ġᱺ , ΰ , ο ϴ ̴ 80 ̻ ȯڿ 50kg̸ ü ȯڿ ϰǰ ƴ. 뷮 뷮 ʾҴ ̴.

-: 15mg ĸ ȿ . ٸ 15mg 20mg ű 20mg ó ̵ Ȯߴ.

ű ִ ȯڿԼ Ȯ 뷮 ߻ ϴ. ũƼ û 50mL/min ̸ ȯڿԴ 15mg óϴ ϴ.

ٸ 츮󿡼 20mg ó ũƼ û 50mL/min ʿ䰡 ִ ʿ δ. 60mL/min ΰ 20mg óϸ  ʹ.

-̰ ⼺ ٸ NOAC ϰ ȴٰ °?

: Ϲ ׷. 'ڻ(ٺƮ)' ƿ 뷮 ̽  ̶ 150mg 110mg Ȱ ϴٰ Ѵ. ٸ NOAC Ƿ ǴϿ 㰡 뷮 Ѵ. (Off-lable) ó ٰ .

'' 㰡 뷮̶ ϴ, 뷮 ÿ ؼ ʿ䰡 ִ. ٸ NOAC ޸, 뷮 5mg, 뷮 2.5mg ǥؿ뷮 ̴. ڷó 20mg 15mg ̴ Ͱ Ȳ ٸ.

뷮 ٿ ٴ ׸ŭ ǿ ´ ؾ Ѵٴ ǹ̴. RCT 뷮 ȯڿ ü .

: þƳ 3 ENGAGE AF TIMI48 30mg(뷮) 뱺 Ƿ ߻ þ. 뷮 ʿ䰡 ȯڿ ȿ, ٶ ƴٴ ̹ .

-ű ü, ҵ鿡 ҾȰ ִ.

: ü߿ ִ. ̹ ǥϰ " űɸ ׷, 20mg ̳?" ޱ⵵ ߴ.

κп м ־. , 50kg ̸ ȯڿ 뷮 óص . . 80 ȯڶ űɿ ٸ 뷮 ó ߻ ʾҴ.

, ü߰ ̹ NOAC ǥؿ뷮 ϴµ, ̹ ݿ ִٴ 츮 ޼.

츮󿡴 4 NOAC ִ. ڷ 뷮 ʴ Ȳ ° ٸ ǥؿ뷮 ü ִ.

-NOAC ñ ̴. ó , 뷮 ó ӵȴٸ Ŀ ߻ ʰڴ°?

: ٽ ѹ ڸ Ͱ Ű ִ. δ㰨 뷮 óϰ Ȯε 뷮 ٰ پ ͵ ƴ϶ ̴.

뷮 µ, 뷮 Ѵٸ ó ?

-, ֱٿ NOAC ó Ȯ뿡 ʿ伺 εǰ ִ. ʿϴٰ ϴ°?

: Ѵ. NOAC 1Ƿ ó ִ ̶ Ѵ. ĸ ô뿡 INR ͸ ó ó濡 ־ Ȳ ٸ.

ű ȯ Ȯϰ 㰡׿ óϸ ٰ . ó Ȱȭž 츮 ɹ漼 ִٰ Ѵ.

: ó ʿ伺 Ѵ. ٸ 2, Ȥ 3 Ƿ ް ٺ ġ ʿ伺 Ǵ Ŀ 1 Ƿ ؼ NOAC ó鼭 ޴ ü谡 ʿϴ.

ƽǸ óϰ ð Ǹ ġ ִ. ȸ Ȯϰ Ȯ ν Ͽ NOAC ȰDZ ٶ.

3 Ƿ ɹ漼 ϰ 뷮 ϸ 1 Ƿ þƾ Ѵ. ܰ ù ๰ ؾ ϴ ì ƴ.
ȣ (unkindfish@dailypharm.com) ٸ
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ֽż ݴ
ٺ Ϲݾ ǸŰ (2024 04)
౹ 31
ǰ ְ
ѽŻ÷(10) 3,500 2,500 1,000 3,009
޾(100) 24,000 23,000 1,000 23,200
Ʒγΰ(100) 30,000 28,000 2,000 28,500
īɾ(10g) 7,000 6,000 1,000 6,559
Ľõ򿬰(5g) 5,000 4,500 500 5,138
Ź(4) 5,000 4,000 1,000 4,438
ڶ(20) 6,000 6,000 0 6,000
(10) 6,000 4,500 1,500 5,071
Ժ(10) 4,000 3,500 500 3,712
ڱ׸(20) 5,000 4,500 500 4,717
ť(10) 3,000 2,500 500 2,990
Ȱť(1) 1,200 900 300 1,182
Ǯɾ(3.3ml) 26,000 23,000 3,000 24,250
޵𿬰(10g) 7,000 5,900 1,100 6,289
öŸ(34) 13,000 11,000 2,000 11,866
뽺ī(20g) 22,000 18,000 4,000 20,184
ġ(1) 1,000 1,000 0 1,000
ӽ÷(21) 10,000 8,500 1,500 9,205
ͺ(10) 3,500 3,000 500 3,196
ݿ(1ڽ) 3,000 3,000 0 3,000
׶÷糪ƮŸ(6) 8,000 7,000 1,000 7,524
߽Ÿ(120) 70,000 50,000 20,000 60,385
Źĸ(10ĸ) 3,000 2,000 1,000 2,989
Ÿ̾(120) 60,000 50,000 10,000 51,538
տ(60ĸ) 29,000 25,000 4,000 27,600
Ÿ̷ER(6) 3,000 2,500 500 2,750
ٿ(30g) 12,000 9,000 3,000 11,444
(120) 25,000 22,000 3,000 24,991
Ʒ(6) 4,000 3,000 1,000 3,262
ǽõĸ(270ĸ) 110,000 110,000 0 110,000
B(120) 70,000 70,000 0 70,000
׳(10) 3,000 2,500 500 2,778
6̺(10) 3,000 3,000 0 3,000
(60) 230,000 220,000 10,000 223,333
Ⱦ 12,000 10,000 2,000 10,143
̰źĸ(60ĸ) 35,000 30,000 5,000 33,231
Ųť(20) 5,500 4,500 1,000 4,903
λ絹÷(100) 35,000 32,000 3,000 33,297
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