Dutasteride【X】

Agents Used to Treat Urological Disorders
OAVOD1 “Avodart soft capsule” 0.5 mg/cap

適應症:治療具有症狀之攝護腺肥大症。而有緩解相關症狀、降低急性尿滯留之發生率、減少攝護腺肥大症相關手術必要性之效果。

Usual dose:

Adult: male, 0.5mg qd.

Precaution:

Women may be pregnant should not handle this capsule.

Men treated with dustasteride should not donate blood until at least 6 mon have passed following their last dose.

Contraindication: use in children and women.

Adverse effect:

Common: disorder of breast and ejaculation, impotence, reduced libido.

Serious: cutaneous hypersensitivity ,immune hypersensitivity reaction, angioedema.

健保給付規範:(86/1/1、87/4/1、93/10/1、101/3/1、102/12/1)

1.限良性前列腺肥大且有阻塞症狀,經直腸超音波前列腺掃描 (TRUS of prostate) 或經腹部超音波測量(僅限無法實施直腸超音波前列腺掃描者)前列腺大於30mL或最大尿流速 (Qmax) 小於15 mL/sec之病人,前列腺特異抗原 (PSA) 高於正常參考值之病人,需經病理診斷無前列腺癌,無法接受切片檢查者,應於病歷詳載原因方可使用。(102/12/1)

2.服藥後第一年,每半年需作直腸超音波前列腺掃描或腹部超音波測量(僅限無法實施直腸超音波前列腺掃描者)或尿流速儀(uroflow-metry) 檢查,需證明前列腺有縮小或尿流速有增加,方得繼續使用。(102/12/1)

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