适应症
伏美替尼常见的不良反应有:皮疹、腹泻、口腔溃疡、贫血等。还可能引起肝功能异常、心肌收缩力改变、间质性肺病、眼部疾病(视力下降、流泪增加、视物模糊、眼睛瘙痒、眼痛)等。
肝功能异常
患者服用本药后,建议每月检测一次肝功能,如发现肝酶(丙氨酸氨基转移酶、门冬氨酸氨基转移酶)升高,在排除其他药物相关性肝损伤之后,根据实际情况暂停或调整伏美替尼剂量。
间质性肺病
服用药物后出现呼吸困难、咳嗽、发热等急性发作和/或不明原因加重的患者,要及时做肺部CT,排除间质性肺病可能。在查找原因期间,应暂停服用伏美替尼。如果确诊为间质性肺病,则应永久停用伏美替尼,并采取必要的治疗措施。
心血管系统
参考文献:
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[5] 甲磺酸伏美替尼说明书