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A decreasing plasma concentration of a toxicologically active metabolite 9-carboxymethoxymethylguanine after dialysis - A potential new clinical biomarker for improving encephalopathy in patients treated with acyclovir.
Author: AdachiKoichiro, BeppuSatoru, InadaAkiyoshi, ShimizuMakiko, UnitaRyo, YamazakiHiroshi
Original Abstract of the Article :
Although acyclovir is a key drug for the treatment of herpes infections, a consciousness disorder known as "acyclovir encephalopathy" is among its side effects. We encountered a patient with encephalopathy and measured the plasma and cerebrospinal fluid concentrations of acyclovir and its toxicologi...See full text at original site
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引用元:
https://doi.org/10.1016/j.jiac.2023.07.001
データ提供:米国国立医学図書館(NLM)
Acyclovir Encephalopathy: Deciphering the Role of a Toxic Metabolite
The use of [acyclovir] in treating [herpes infections] is widespread, but its potential side effects remain a concern. This study delves into the perplexing issue of [acyclovir encephalopathy], examining the role of a [toxicologically active metabolite, 9-carboxymethoxymethylguanine (CMMG)]. The researchers investigated [a patient with encephalopathy] measuring [plasma and cerebrospinal fluid concentrations of acyclovir and CMMG]. They found [a decreasing plasma concentration of CMMG after dialysis, leading to improvement in consciousness], suggesting that [CMMG] may be a crucial factor in the development of [acyclovir encephalopathy]. This research offers valuable insights into the pathogenesis of this adverse drug reaction.
Unlocking the Mystery of Acyclovir Encephalopathy: A Potential Biomarker
This study sheds light on the complex mechanisms underlying [acyclovir encephalopathy]. The researchers identified [CMMG] as a [toxicologically active metabolite] that may play a significant role in the development of this adverse reaction. Their findings suggest that [decreasing plasma CMMG concentration could be one of clinical biomarkers for improving consciousness in patients with encephalopathy associated with acyclovir]. This discovery opens new avenues for monitoring and managing [acyclovir encephalopathy] and potentially improving patient outcomes.
Navigating the Sands of Drug Therapy: A New Path for Understanding
This research highlights the need for a deeper understanding of the [pharmacokinetic and pharmacodynamic] properties of medications, especially those that can lead to adverse reactions. The findings demonstrate the importance of recognizing [toxicological metabolites] and their potential role in causing [acyclovir encephalopathy]. By carefully monitoring [CMMG levels] and implementing appropriate interventions, we can potentially prevent or mitigate this adverse effect, ensuring the safe and effective use of [acyclovir] in treating [herpes infections].
Dr. Camel's Conclusion
Just as a desert traveler must carefully navigate the shifting sands, so too must we understand the complex interactions between medications and the human body. This study sheds light on the potential role of [CMMG] in the development of [acyclovir encephalopathy], offering a new path towards understanding and managing this adverse reaction. By recognizing and addressing the role of [CMMG] in the pathogenesis of [acyclovir encephalopathy], we can improve patient outcomes and ensure the safe and effective use of this valuable medication.
Date :
- Date Completed 2023-09-18
- Date Revised 2023-09-18
Further Info :
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