A case of successful concomitant administration of warfarin and uracil-tegafur/leucovorin achieved by self-measurement of INR
Autor: | Sachiko Hosokawa, Ryota Koga, Takuya Yamada, Norio Watanabe, Toshiya Higashi, Keiko Yamamura, Takahiro Imanishi, Yukio Osumi |
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Rok vydání: | 2017 |
Předmět: |
0301 basic medicine
medicine.medical_specialty Colorectal cancer Pharmacist Case Report Pharmacy Pharmacology INR self‐measurement Uracil tegafur 03 medical and health sciences 0302 clinical medicine Self measurement health services administration Internal Medicine Medicine heterocyclic compounds cardiovascular diseases Hospital pharmacy tegafur‐uracil/leucovorin business.industry Warfarin medicine.disease time in the therapeutic range warfarin 030104 developmental biology 030220 oncology & carcinogenesis Concomitant Emergency medicine Geriatrics and Gerontology Family Practice business medicine.drug |
Zdroj: | Journal of General and Family Medicine |
ISSN: | 2189-7948 |
Popis: | A woman in her seventies who was started on warfarin after heart valve replacement began outpatient adjuvant chemotherapy with tegafur‐uracil/leucovorin for rectal cancer. The patient performed weekly INR self‐measurements at a health insurance pharmacy between outpatient visits. Results recorded in her personal medicine notebook were shared between her physician, a hospital pharmacist, and a pharmacy pharmacist. When INR values were outside the therapeutic target range, doses were altered according to the physician's instruction. Our approach enables the fine adjustment of warfarin doses according to changes in INR and contributes to the maintenance of the therapeutic target range and safe and appropriate outpatient chemotherapy. |
Databáze: | OpenAIRE |
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