1例达拉非尼联合曲美替尼致发热、水肿伴静脉血栓病例分析
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作者单位:

西宁市第一人民医院 临床药学科,青海 西宁,810000

作者简介:

赵隆芳,女,副主任药师,研究方向为医院药学。

通讯作者:

万齐华,男,副主任药师,研究方向为临床药学。

中图分类号:

R734.2;R730.6

基金项目:


A case report of fever, edema, and venous thrombosis induced by dabrafenib combined with trametinib
Author:
Affiliation:

Department of Clinical Pharmacy, the First People's Hospital of Xining, Xining, 810000, Qinghai, China

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    摘要:

    1例61岁女性非小细胞肺癌患者接受达拉非尼(150 mg,每天2次)联合曲美替尼(2 mg,每天1次)治疗,用药2个月后出现发热、下肢水肿伴静脉血栓。达拉非尼与曲美替尼被批准用于BRAF V600E突变晚期非小细胞肺癌的一线治疗,常见不良反应为发热、疲乏、恶心、呕吐等,引起静脉血栓的报道较少。本文就1例达拉非尼联合曲美替尼致发热、下肢水肿伴静脉血栓的病例进行分析,提醒临床医生和药师使用该治疗方案时注意发热、末梢水肿及静脉血栓事件的发生,为防治不良反应、提高用药安全性提供参考。

    Abstract:

    A 61-year-old female patient with non-small cell lung cancer (NSCLC) was treated with dabrafenib (150 mg twice day) combined with trametinib (2 mg once day). Two months after initiation of therapy, the patient developed fever, lower limb edema, and venous thrombosis. Dabrafenib and trametinib are approved for the first-line treatment of advanced non-small cell lung cancer with BRAF V600E-mutation, the common adverse reactions include fever, fatigue, nausea and vomiting, while venous thrombosis has been rarely reported. This article presents a case of fever, lower limb edema, and venous thrombosis associated with the combination of dabrafenib and trametinib, aiming to alert clinicians and pharmacists to the potential occurrence of such adverse events, including fever, peripheral edema, and venous thromboembolism during treatment. It may serve as a reference for adverse reaction prevention and management to improve medication safety.

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赵隆芳,张鑫,陶东红,万齐华.1例达拉非尼联合曲美替尼致发热、水肿伴静脉血栓病例分析[J].肿瘤药学,2025,15(5):693-696

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