Administration of Kampo medicine through a tube at an advanced critical care center

  • Niimura Takahiro
    Department of Clinical Pharmacology and Therapeutics, Institute of Biomedical Sciences, Tokushima University Graduate School
  • Zamami Yoshito
    Department of Clinical Pharmacology and Therapeutics, Institute of Biomedical Sciences, Tokushima University Graduate School Department of Pharmacy, Tokushima University Hospital Department of Emergency Pharmaceutics, Graduate School of Medicine Dentistry and Pharmaceutical Sciences, Okayama University
  • Imai Toru
    Department of Pharmacy, Nihon University Itabashi Hospital
  • Ito Tsuyoshi
    Department of Emergency Pharmaceutics, Graduate School of Medicine Dentistry and Pharmaceutical Sciences, Okayama University
  • Sagara Hidenori
    Department of Pharmaceutical Information Sciences, Matsuyama University
  • Hiroyuki Hichiya
    Godai Pharmacy
  • Esumi Satoru
    Department of Hospital Pharmacy, Okayama University Hospital
  • Takechi Kenshi
    Clinical Trial Center for Developmental Therapeutics, Tokushima University Hospital
  • Imanishi Masaki
    Department of Clinical Pharmacology and Therapeutics, Institute of Biomedical Sciences, Tokushima University Graduate School Department of Pharmacy, Tokushima University Hospital
  • Koyama Toshihiro
    Department of Clinical Pharmacy, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
  • Amano Manabu
    Section of Clinical Pharmaceutics, School of Pharmacy, Hyogo University of Health Sciences
  • Kurata Naomi
    School of Pharmacy, Showa University
  • Kitamura Yoshihisa
    Department of Hospital Pharmacy, Okayama University Hospital
  • Nakura Hironori
    Department of Emergency Pharmaceutics, Graduate School of Medicine Dentistry and Pharmaceutical Sciences, Okayama University
  • Sendo Toshiaki
    Department of Hospital Pharmacy, Okayama University Hospital
  • Ishizawa Keisuke
    Department of Clinical Pharmacology and Therapeutics, Institute of Biomedical Sciences, Tokushima University Graduate School Department of Pharmacy, Tokushima University Hospital

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<p>n emergency and critical care medical centers, tube administration is employed for patients who have difficulty swallowing oral drugs owing to decreased consciousness or mechanical ventilation. However, tube clogging due to drug injection is a concern. We compared the crushing method with the simple suspension method for the passage of amlodipine, an antihypertensive drug, in combination with rikkunshito, which has been used to treat upper gastrointestinal disorders such as functional dyspepsia and gastroesophageal reflux in emergency and critical care medical centers, to ascertain the effect of Kampo products on the passage of other drugs during tube administration. When the crushing method was employed, poorly water‐soluble solid products were formed, while a uniformly dispersed suspension was obtained using the simple suspension method. In addition, the passage rate of amlodipine through the tube was 64% and 93% in the crushing and simple suspension methods, respectively, thereby indicating that the simple suspension method provided more favorable than the crushing method. The results of this study suggested that the passage rate of amlodipine for patients who received Kampo products concurrently was higher when the simple suspension method was used, and an appropriate drug amount might well be able to administered to patients using this method. J. Med. Invest. 65:32‐36, February, 2018</p>

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