循環障礙疾病用藥
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Dihydro-ergotoxin
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Headgen (1.5)
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Age-related mental
capacity decline
1-2# b-tid
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[副]: GI upset, flush/rash, 鼻塞,頭暈, cramps
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Nicergoline
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Sermion (10)
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腦循環障礙引起的智能衰退
1-2# tid
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GI, flush, 頭暈, 失眠
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Piracetam
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Syntam (2.4g/pk)
Nootropil (200mg/ml, 60ml/bt)
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Cognative促進劑in 腦循環障礙
PO: 1.2-2.4g/d
(max 2 pk)
Iv: 1.2-2.4g
(1-2 bt) x20-60min
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Pentoxifylline
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Fylin (400)
Trental (100/5ml/amp)
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PAD/PAOD, asthenospermia (精蟲活力減弱)
PO 400 b-tid
Iv 200-300mg x2h BID
Critical limb
ischemia :
Ivd 600mg
x4-6h bid
Ivd 1200mg
x24h ~21day
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GI upset
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腎差: 減少ds
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Alprostadil (PG E1)
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Promostan (20ug/vial)
Prostin VR (500ug/ml/amp)
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PAD
Ivd 40-60ug in
N/S x2h qd-bid
IAD 10-15 ug
in N/S x24h
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[副]: phlebitis
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Flunarizine
(neuronal Ca blocker)
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Sibelium (5/cap)
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PAD, central vascular d/o,
vertigo, 暈動症, 預防偏頭痛
1-2 cap HS
(max 4#)
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[副]: 想睡, 變胖, GI, 頭痛, 憂鬱, EPS
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Nicametate
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Songora (50)
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PAD: 1-2# tid
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Flush, 發癢, 發熱
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Diphenidol
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Diphenidol (25)
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Vertigo, Meniere’s dz
1-2# tid
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GI, 想睡
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具弱抗膽鹼effect
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Ginkgo biloba extract
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Gintec (40)
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循環障礙疾病: 1# tid
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GI, 頭暈, 頭痛
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Nimodipine
(CCB)
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Nimotop (10mg/50ml/bt)
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創傷或腦血管瘤破裂後之血管痙攣
1mg/5ml/h (15ug/kg/h) x2h
->may 增量到 10ml/h for 5-14d
< 70kg, or
BP不穩: 2.5ml/h
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