NeuroAid II (MLC901) and polypharmacy in stroke and the risk of hepatotoxicity: a case report

被引：2
|
作者：
Rashid, Anna Misya'il Abdul [1 ,2 ]
Noh, Mohamad Syafeeq Faeez Md [4 ]
Khan, Abdul Hanif Khan Yusof [1 ]
Loh, Wei Chao [1 ]
Baharin, Janudin [1 ]
Ibrahim, Azliza [1 ]
Mat, Liyana Najwa Inche [1 ]
Sulaiman, Wan Aliaa Wan [1 ]
Hoo, Fan Kee [1 ]
Hanapiah, Fazah Akhtar [3 ]
Basri, Hamidon [1 ]
机构：
[1] Univ Putra Malaysia, Fac Med & Hlth Sci, Dept Neurol, Serdang 43400, Selangor, Malaysia
[2] Univ Putra Malaysia, Inst Penyelidikan Penuaan Malaysia MyAgeing, Serdang 43400, Selangor, Malaysia
[3] Univ Teknol MARA, Fac Med, Sungai Buloh 47000, Selangor, Malaysia
[4] Univ Putra Malaysia, Fac Med & Hlth Sci, Dept Radiol, Serdang 43400, Selangor, Malaysia
来源：
EGYPTIAN JOURNAL OF NEUROLOGY PSYCHIATRY AND NEUROSURGERY | 2021年 / 57卷 / 01期
关键词：
Stroke; Chinese traditional medication; Hepatotoxicity; NeuroAid II; Elderly; TRADITIONAL CHINESE MEDICINE; MLC601 NEUROAID(R); RECOVERY; EFFICACY; WARFARIN; INFARCT; PROFILE; SAFETY; BRAIN;
D O I：
10.1186/s41983-021-00397-y
中图分类号：
Q189 [神经科学];
学科分类号：
071006 ;
摘要：
Background: NeuroAid II (MLC901) is a promising therapy for stroke patients who present outside of therapeutic window for reperfusion therapy. Studies have proven its efficacy in ischemic stroke; however, data of drug safety and combination with other medications especially anticoagulants are heterogenous. We report a possible case of hepatotoxicity induced by NeuroAid II in combination with anticoagulants. Case presentation: We report an elderly patient who developed symptoms of cardioembolic stroke presented outside of time window for reperfusion therapy. He was started on a regiment of statins, anticoagulation, beta blockers and NeuroAid II. One month later he presented with deranged liver enzymes. Cessation of NeuroAid II resulted in rapid improvement of transaminitis within days. Conclusions: We wish to highlight the potential harmful effect of administering NeuroAid II with an anticoagulant and the importance of routine follow-up and blood monitoring in the elderly patients with stroke.
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页数：6
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