Linezolid Related Adverse Effects in Different Populations: A Practical Review.

IF 1.1 Q4 PHARMACOLOGY & PHARMACY
Foroud Shahbazi
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引用次数: 0

Abstract

Linezolid, an oxazolidinone antibiotic, is used to treat gram-positive infections. However, it may also lead to serious adverse effects, including bone marrow suppression, optic neuropathy, peripheral neuropathy, hyponatremia, and lactic acidosis. This review evaluates the existing evidence concerning the adverse effects of linezolid in patients undergoing treatment with this medication, both in the short and long term. The objective of this review is to summarize the most significant adverse effects associated with linezolid. A search of PubMed was conducted for articles related to linezolid and its potential adverse effects, which include thrombocytopenia, anemia, neutropenia, lactic acidosis, optic neuropathy, and peripheral neuropathy. Thrombocytopenia frequently develops within the first two weeks of therapy, whereas anemia is more likely to manifest during prolonged treatment courses. Risk factors for linezolid-induced thrombocytopenia include elevated trough concentrations (>8 mg/L), renal impairment, low body weight, and severe liver dysfunction. Patients with multidrug-resistant tuberculosis and bone infections are at an increased risk for anemia, peripheral neuropathy, and optic neuropathy. Additionally, lactic acidosis and hyponatremia can occur at any stage during treatment.

利奈唑胺在不同人群中的不良反应:一项实用综述。
利奈唑胺是一种恶唑烷类抗生素,用于治疗革兰氏阳性感染。然而,它也可能导致严重的不良反应,包括骨髓抑制、视神经病变、周围神经病变、低钠血症和乳酸酸中毒。本综述评估了利奈唑胺对接受该药物治疗的患者的短期和长期不良反应的现有证据。本综述的目的是总结与利奈唑胺相关的最显著的不良反应。检索PubMed中与利奈唑胺及其潜在副作用相关的文章,包括血小板减少症、贫血、中性粒细胞减少症、乳酸酸中毒、视神经病变和周围神经病变。血小板减少症经常在治疗的前两周内发生,而贫血更有可能在延长的治疗过程中出现。利奈唑胺诱发的血小板减少的危险因素包括谷浓度升高(8mg /L)、肾功能损害、低体重和严重的肝功能障碍。耐多药结核病和骨感染患者发生贫血、周围神经病变和视神经病变的风险增加。此外,乳酸酸中毒和低钠血症可发生在治疗的任何阶段。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Current drug safety
Current drug safety PHARMACOLOGY & PHARMACY-
CiteScore
2.10
自引率
0.00%
发文量
112
期刊介绍: Current Drug Safety publishes frontier articles on all the latest advances on drug safety. The journal aims to publish the highest quality research articles, reviews and case reports in the field. Topics covered include: adverse effects of individual drugs and drug classes, management of adverse effects, pharmacovigilance and pharmacoepidemiology of new and existing drugs, post-marketing surveillance. The journal is essential reading for all researchers and clinicians involved in drug safety.
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