KETOCONAZOLE AND HIGH-DOSE METHYLPREDNISOLONE PREDISPOSING TO CYCLOSPORINE-INDUCED SEIZURES - REPORT OF 3 CASES

被引:0
|
作者
HWANG, WL [1 ]
GAU, JP [1 ]
YOUNG, JH [1 ]
CHIA, LG [1 ]
机构
[1] TAICHUNG VET GEN HOSP,DEPT MED,DIV NEUROL,TAICHUNG,TAIWAN
关键词
CYCLOSPORINE; GRAND MAL SEIZURE; KETOCONAZOLE; METHYLPREDNISOLONE;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Three consecutive cases of severe aplastic anemia undergoing immunosuppressive therapy with cyclosporin A (CyA) and high-dose methylprednisolone (HDMP) developed grand mal seizures after receiving ketoconazole treatment. All the seizures were reversed after transient discontinuation of those drugs. To our knowledge, it has not been reported as yet that the combination of ketoconazole and HDMP may considerably increase the risk of CyA-induced seizure. We would advise that ketoconazole and HDMP not be taken concomitantly with CyA treatment, and whenever ketoconazole therapy is needed, CyA be started with as small a dose as possible.
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页码:139 / 141
页数:3
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