著者
土井 信幸 小見 暁子 清水 祥正 大野 祥輝 原澤 健 長谷川 紗 秋山 滋男
出版者
The Pharmaceutical Society of Japan
雑誌
YAKUGAKU ZASSHI (ISSN:00316903)
巻号頁・発行日
vol.143, no.4, pp.385-391, 2023-04-01 (Released:2023-04-01)
参考文献数
16

All medical enteral nutrition products contain phosphorus and when administered to patients with chronic kidney disease (CKD) and on dialysis, they lead to the risk of elevated serum phosphorus levels. Thus, serum phosphorus levels should be monitored, and phosphorus adsorbents should be used in cases of high serum phosphorus levels. In this study, we investigated the effect of phosphorus adsorbents on enteral nutrition, using Ensure Liquid®, a medical nutritional formula, for patients with CKD and those on dialysis. Additionally, we compared the effects of the simple suspension method, in which various phosphorus-adsorbing agents are suspended and mixed directly with the nutritional formula for tube administration (hereafter referred to as the “pre-mix method”), and the conventional method, in which only the phosphorus-adsorbing agents are administered separately from the nutritional formula for tube administration (hereafter referred to as the “normal administration method”). The administration of various phosphorus adsorbents using the pre-mix technique resulted in a phosphorus removal rate of 8–15% (approximately 12% on average). Therefore, through the pre-mix method, maintaining the phosphorus content of Ensure Liquid® below the daily phosphorus intake standard was possible for patients on dialysis. The pre-mix method via the simple suspension method of administering phosphorus adsorbent with Ensure Liquid® resulted in less drug adsorption to the injector and tube and a higher phosphorus removal rate than the normal administration method.
著者
五十嵐 中 松崎 稔矢 滕 麗達 長谷川 紗由美 常深 祐一郎
出版者
公益社団法人 日本皮膚科学会
雑誌
日本皮膚科学会雑誌 (ISSN:0021499X)
巻号頁・発行日
vol.131, no.4, pp.719-731, 2021-04-20 (Released:2021-04-21)
参考文献数
26

ホスラブコナゾールL-リシンエタノール付加物(F-RVCZ)を含む爪白癬に対する薬剤の費用対効果を,完全治癒率と質調整生存年(quality-adjusted life years:QALY)をアウトカムとして評価した.各薬剤の標準的な投与期間における投与開始48週間後の評価をした場合,F-RVCZを最も安価のテルビナフィン後発品と比較すると,費用は57,361円増大し,完全治癒率は20.7ポイント増加する.完全治癒者1人増加当たりの増分費用効果比は,277,155円,1 QALY獲得あたりの増分費用効果比は1,979,681円となり,一般的に許容可能な上限値(500~600万円/QALY)の水準を下回っており,費用対効果に優れた薬剤であると判断した.