1
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Methicillin-Resistant Staphylococcus Aureus in the Hospital Sector in Germany 2008-2011. Eur J Public Health 2014. [DOI: 10.1093/eurpub/cku165.056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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2
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UFIREG - An evidence base for short-term health effects of ambient ultrafine particles in Europe. Eur J Public Health 2014. [DOI: 10.1093/eurpub/cku165.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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3
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Occupational Health Management in the geriatric care with particular focus on the care of people with dementia. Eur J Public Health 2014. [DOI: 10.1093/eurpub/cku166.059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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4
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Arbeitsbelastungen in der stationären Altenpflege unter besonderer Berücksichtigung der Pflege dementer Menschen – Betriebliches Gesundheitsmanagement zur Stärkung der Gesundheitspotentiale von Pflegekräften. DAS GESUNDHEITSWESEN 2014. [DOI: 10.1055/s-0034-1386886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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5
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Alte Wirkstoffe in neuem Gewand – Losartan und Fenofibrat als potenzielle Gicht-Therapeutika? Dtsch Med Wochenschr 2014; 139:608. [DOI: 10.1055/s-0033-1360078] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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6
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Human Trafficking, Public Health and the Law. A Spring School from the New Haven Perspective, ERASMUS Intensive Programme (IP), 4 – 16 March 2013, Siena, Italy. Eur J Public Health 2013. [DOI: 10.1093/eurpub/ckt124.061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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7
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Development of a user-oriented application for diabetes patients 50+. Eur J Public Health 2013. [DOI: 10.1093/eurpub/ckt123.143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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8
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Levomethadon in der Substitutionstherapie von opioidabhängigen Patienten. Dtsch Med Wochenschr 2013; 138:2052-6. [DOI: 10.1055/s-0033-1349519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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9
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LB017-SUN PREVENTION OF MALNUTRITION IN THE ELDERLY. Clin Nutr 2013. [DOI: 10.1016/s0261-5614(13)60595-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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10
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Entwicklung einer anwendergerechten mobilen Applikation für Diabetespatienten 50+. DIABETOL STOFFWECHS 2013. [DOI: 10.1055/s-0033-1347768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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11
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Versorgung von Patienten mit Morbus Behçet. Dtsch Med Wochenschr 2013; 138:1365-8. [DOI: 10.1055/s-0033-1343223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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12
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Behandlung von Patienten mit Multifokaler Motorischer Neuropathie (MMN) mit Immunglobulinen im prospektiven SIGNS-Register. KLIN NEUROPHYSIOL 2013. [DOI: 10.1055/s-0033-1337233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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13
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Elucidation of Neu-P11 metabolism in urine of volunteers by liquid chromatography–tandem mass spectrometry. J Chromatogr A 2013; 1278:69-75. [DOI: 10.1016/j.chroma.2012.12.063] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2012] [Revised: 12/06/2012] [Accepted: 12/23/2012] [Indexed: 10/27/2022]
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14
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[Transcatheter aortic valve implantation (TAVI) for the treatment of aortic stenosis: aspects of health care research]. Dtsch Med Wochenschr 2013; 138:218-22. [PMID: 23340945 DOI: 10.1055/s-0032-1332828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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15
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[Amoxicillin for chlamydia infection during pregnancy?]. Dtsch Med Wochenschr 2012; 138:46. [PMID: 23250697 DOI: 10.1055/s-0032-1327375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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16
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HProImmune – Förderung von Impfungen für im Gesundheitswesen tätige Personen in Europa – HProImmune – Promotion of Immunization for Health Professionals in Europe. Dtsch Med Wochenschr 2012. [DOI: 10.1055/s-0032-1323220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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17
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Europäische Regionen fordern Aktionen gegen Suizid – EUREGENAS – European Regions Enforcing Actions Against Suicide. Dtsch Med Wochenschr 2012. [DOI: 10.1055/s-0032-1323186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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18
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Verordnungsverhalten von Aliskiren in Kombination mit ACE-Hemmern und AT1-Antagonisten. Dtsch Med Wochenschr 2012. [DOI: 10.1055/s-0032-1323362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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19
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PROMOVAX – Förderung von Impfungen in der Migrantenbevölkerung in Europa – PROMOVAX – Promote Vaccinations among Migrant Populations in Europe. Dtsch Med Wochenschr 2012. [DOI: 10.1055/s-0032-1323219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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20
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Glitazone in der Behandlung des Diabetes mellitus Typ 2– Änderungen im Verordnungsverhalten. Dtsch Med Wochenschr 2012. [DOI: 10.1055/s-0032-1323394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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21
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Osteoproaktiv – eine pharmakoepidemiologische Studie zur Versorgungsqualität von Osteoporosepatienten in Sachsen und Thüringen. Dtsch Med Wochenschr 2012. [DOI: 10.1055/s-0032-1323213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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22
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Arbeitsbedingungen und -belastungen von Pflegepersonal – Ansätze der Prävention und Gesundheitsförderung. Dtsch Med Wochenschr 2012. [DOI: 10.1055/s-0032-1323218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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23
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Arzneimittelberatungen für Versicherte der AOK PLUS und Polymedikationsreduktionsmanagement im Rahmen eines Modellprojektes. Dtsch Med Wochenschr 2012. [DOI: 10.1055/s-0032-1323325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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24
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Analyse des Antibiotikaeintrages in das Abwasser im urbanen Raum. Dtsch Med Wochenschr 2012. [DOI: 10.1055/s-0032-1323352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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25
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Überlegungen zur Versorgungsforschung. Dtsch Med Wochenschr 2012; 137:1241. [DOI: 10.1055/s-0032-1305083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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26
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Simultaneous determination of drugs in human autopsy material using phase-optimized liquid chromatography. Biomed Chromatogr 2012; 26:1608-16. [DOI: 10.1002/bmc.2739] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2012] [Accepted: 02/27/2012] [Indexed: 11/10/2022]
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28
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Nahrungsergänzungsmittel - Evaluation der Patientenanfragen an einen Arzneimittelberatungsdienst. Dtsch Med Wochenschr 2012; 137:881-6. [DOI: 10.1055/s-0031-1299039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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29
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Anwendung von Immunglobulinen bei primären und sekundären Immundefekten und neurologischen Autoimmunerkrankungen. Dtsch Med Wochenschr 2012; 137:675-80. [DOI: 10.1055/s-0032-1304844] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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30
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[Benefits and risks of current pharmacotherapy in the treatment of type 2 diabetes]. Internist (Berl) 2012; 53:478, 480-5, 487. [PMID: 22388922 DOI: 10.1007/s00108-012-3014-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
The development of new drugs for the treatment of type 2 diabetes (T2DM) and metabolic disorders is currently one of the most innovative areas of drug development. However, a considerable number of newly developed drugs have either not reached the market and were stopped late in development or have been withdrawn after initial approval soon after market authorization due to serious safety concerns. How can drug safety problems be anticipated and, even more important, how can adverse events definitely caused by a drug be differentiated from incidences of naturally occurring diseases? This review article will provide an update about the state of the art treatment of type 2 diabetes and reflect on the newest available study evidence on glitazones, incretin mimetics (GLP-1 agonists and DPP-4 inhibitors), SGLT-2 inhibitors (gliflocines) and pan-PPAR agonists (glitazars). Furthermore, new and still experimental approaches for the treatment of T2DM, such as bardoxolone, salsalate and anakinra will be briefly reviewed.
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31
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Der Stellenwert des neuen Diodenlasers ERASER in der chirurgischen Therapie von Lungenmetastasen. Pneumologie 2012. [DOI: 10.1055/s-0032-1302646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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32
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Frühe Nutzenbewertung von Arzneimitteln: Verfahrensweise und Entscheidungsgrundlagen. Dtsch Med Wochenschr 2012; 137:78-82. [DOI: 10.1055/s-0031-1292860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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33
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Beeinflusst Johanniskraut die Wirkung von Finasterid? Dtsch Med Wochenschr 2011; 136:1746. [DOI: 10.1055/s-0031-1286070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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34
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Distribution of metoprolol, tramadol, and midazolam in human autopsy material. J Chromatogr A 2011; 1218:4988-94. [DOI: 10.1016/j.chroma.2010.12.113] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2010] [Revised: 12/03/2010] [Accepted: 12/31/2010] [Indexed: 11/27/2022]
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35
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Poster Session 2. Europace 2011. [DOI: 10.1093/europace/eur222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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36
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Wirkverlust oraler Protonenpumpenhemmer durch Tablettenteilen? Dtsch Med Wochenschr 2011; 136:910. [DOI: 10.1055/s-0031-1275828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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37
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Distribution of metoprolol in human autopsy material. DIE PHARMAZIE 2011; 66:115-118. [PMID: 21434573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
In forensic medicine autopsy material is primarily investigated to find out the cause of death. But the results of corresponding toxicology measurements often involve more information. With screening methods drugs were detected not being related to the cause of death. Liquid/liquid extraction and LC/MS/MS methods were used for the determination of drug concentrations. In seven cases metoprolol could be determined in different autopsy materials. In all cases the dosage of the drug was unknown. In cases with oral application probably the patients took a normal customary continuous dosage. Intoxication with metoprolol could be excluded in all cases. The concentrations of metoprolol in blood were all in the therapeutic range. The time between oral intake and death was unknown. Therefore and because of the low number of cases statistic calculations were not meaningful and an individual case study was necessary. In three cases the highest concentration of metoprolol was found in the liver. Probably, metoprolol was taken shortly before the person died. In the other cases the highest concentration of metoprolol was found in urine. This means the elimination process of the drug predominated at the time of death. In all cases the concentrations of metoprolol were similar in the compartments heart blood, venous blood and brain. In this study it was possible to measure the distribution of metoprolol in human directly in several compartments. Measurement of drug concentrations in human autopsy material deepen the knowledge of its pharmacokinetics.
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[Urinary bladder tuberculosis and bacillus calmette-guérin instillation: reduced efficacy of bisoprolol in hypertension]. Aktuelle Urol 2010; 41:372-4. [PMID: 21082517 DOI: 10.1055/s-0030-1262676] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
HISTORY AND ADMISSION FINDINGS A 71-year-old patient with a superficial carcinoma of the urinary bladder and high risk of recurrence was treated with intravesical instillation of Bacillus Calmette-Guérin (BCG) after transurethral resection. As a complication of the catheterization during BCG-instillation therapy the patient suffered from tuberculosis. The patient received a tuberculosis triple-therapy including rifampicin 600 mg once daily, isoniazid 300 mg once daily and ethambutol 400 mg thrice daily. The existing arterial hypertension had successfully been controlled by 3.75 mg bisoprolol medication once daily for the last 15 years. An increase of blood pressure and cardiac arrhythmia were seen after combining the β (1)-receptor blocker treatment with the triple-therapy. INVESTIGATIONS AND DIAGNOSIS The blood pressure was 160 / 90 mmHg. The heart rate reflected a value of 98 beats per minute. In the resting ECG monotopic ventricular extrasystoles could be diagnosed. TREATMENT AND COURSE The dosage of bisoprolol was changed to 3.75 mg in the morning and additional 1.875 mg in the evening. Due to this increase of dosage the blood pressure could be controlled sufficiently. CONCLUSION Rifampicin is one of the best known potent enzyme inducing drugs. It strongly induces the expression of cytochrome P450 3A4 in the liver. The enzyme induction enhance the hepatic bisoprolol metabolism, hence the metabolic clearance of the drug increased. The maximal plasma level of bisoprolol decrease and in our use the arterial hypertension could not be treated sufficiently. It is well known that half the dose of bisoprolol undergoes oxidative metabolism in the liver and the rest eliminated unchanged in the kidney. A dosage adjustment of bisoprolol is necessary if the clinical status of the patient requires treatment with the antituberculosis drug rifampicin.
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[Urinary bladder tuberculosis and Bacillus Calmette-Guérin instillation: reduced efficacy of bisoprolol in hypertension]. Dtsch Med Wochenschr 2010; 135:1968-70. [PMID: 20922637 DOI: 10.1055/s-0030-1263343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
HISTORY AND ADMISSION FINDINGS A 71-year-old patient with a superficial carcinoma of the urinary bladder and high risk of recurrence was treated with intravesical instillation of Bacillus Calmette-Guérin (BCG) after transurethral resection. As a complication of the catheterization during BCG-instillation therapy the patient suffered from tuberculosis. The patient received a tuberculosis triple-therapy including rifampicin 600 mg once daily, isoniazid 300 mg once daily and ethambutol 400 mg thrice daily. The existing arterial hypertension had successfully been controlled by 3.75 mg bisoprolol medication once daily for the last 15 years. An increase of blood pressure and cardiac arrhythmia were seen after combining the β1-receptor blocker treatment with the triple-therapy. INVESTIGATIONS AND DIAGNOSIS The blood pressure was 160/90 mm Hg. The heart rate reflected a value of 98 beats per minute. In the resting ECG monotopic ventricular extrasystoles could be diagnosed. TREATMENT AND COURSE The dosage of bisoprolol was changed to 3.75 mg in the morning and additional 1.875 mg in the evening. Due to this increase of dosage the blood pressure could be controlled sufficiently. CONCLUSION Rifampicin is one of the best known potent enzyme inducing drugs. It strongly induces the expression of cytochrome P450 3A4 in the liver. The enzyme induction enhance the hepatic bisoprolol metabolism, hence the metabolic clearance of the drug increased. The maximal plasma level of bisoprolol decrease and in our use the arterial hypertension could not be treated sufficiently. It is well known that half the dose of bisoprolol undergoes oxidative metabolism in the liver and the rest eliminated unchanged in the kidney. A dosage adjustment of bisoprolol is necessary if the clinical status of the patient requires treatment with the antituberculosis drug rifampicin.
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Ambulante Versorgung von Patienten mit Neurodermitis: Hohe Heterogenität im Verordnungsverhalten sowohl bei Dermatologen als auch bei Pädiatern. DAS GESUNDHEITSWESEN 2010. [DOI: 10.1055/s-0030-1266595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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41
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Metoclopramid zur Steigerung der Laktation? Dtsch Med Wochenschr 2010; 135:1454. [DOI: 10.1055/s-0030-1262434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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42
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Antihypertensiva – Kombination von AT 1-Rezeptorblocker mit Beta-Blocker. Dtsch Med Wochenschr 2010; 135:98. [DOI: 10.1055/s-0029-1244825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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43
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[Presentation and management of atrial fibrillation: current state and perspective for research]. Dtsch Med Wochenschr 2010; 135 Suppl 2:S20. [PMID: 20221973 DOI: 10.1055/s-0030-1249203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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44
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[Health-related quality of life of patients with atrial fibrillation managed by cardiologists: MOVE study]. Dtsch Med Wochenschr 2010; 135 Suppl 2:S26-32. [PMID: 20221975 DOI: 10.1055/s-0030-1249205] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND AND OBJECTIVE In daily clinical practise, there is a lack of representative and robust data on the health-related quality of life (QoL) of patients with atrial fibrillation (AF). PARTICIPANTS AND METHOD In the non-interventional MOVE study, 638 physicians (predominantly cardiologists) in ambulatory care (78.0% of all centres) or hospital-based (12.7%), documented prospectively and retrospectively data from 3354 consecutive patients with ECG-confirmed AF in the previous 12 months (mean age 68.9 +/- 10.1 years; 62.4% males, mean CHADS (2) score 1.9 +/- 1.3). 1136 (33.9%) had paroxysmal, 899 (26.8%) persistent and 1295 (38.6%) permanent AF. RESULTS Symptoms within the previous 4 weeks were present in 89.9% of the cases and 43.1% of the patients reported palpitations in the range from sometimes to very frequently. As treatment aim, physicians reported rate control in 64%, rhythm control in 8%, and both in 19% of the cases (not stated: 8%). In the University of Toronto Atrial Fibrillation Severity Scale (AFSS), emergency room attendance or hospitalizations for AF or associated diseases in the previous 12 months were reported in 24.2% or 30.8%, respectively. Rhythm control was associated with higher emergency room admittance or hospitalization rates, respectively. The EQ-5D index (0.94 points) was near the maximum of 1; thus this index does not appear to reflect QoL of AF patients adequately. Analyses of the Visual Analogue Scale (VAS) of the EuroQol (EQ-5D), and the assessment scale or specific questions of AFSS, respectively, indicated an intermediate QoL or disease burden, respectively. No or only small differences were documented between subgroups with different AF types, or subgroups treated according to different aims. CONCLUSION The great majority of AF patients had one or more recent AF symptoms, and their overall QoL was limited. In daily practise, rate control is not inferior to rhythm control in AF patients with respect to QoL.
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Klinisch-pharmakologisches und elektrophysiologisches Profil von Dronedaron. Dtsch Med Wochenschr 2010; 135 Suppl 2:S43-7. [DOI: 10.1055/s-0030-1249208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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[Lyme borreliosis: How should erythema migrans be treated in pregnant women?]. Dtsch Med Wochenschr 2009; 134:2354. [PMID: 19894205 DOI: 10.1055/s-0029-1242694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Suchtprävention: Chancen der ärztlichen Versorgung nutzen! Dtsch Med Wochenschr 2009; 134:2381. [DOI: 10.1055/s-0029-1242697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Kosten für antihyperglykämische Arznei- und Verbrauchsmittel und Therapiezufriedenheit bei Typ-2-Diabetes. Dtsch Med Wochenschr 2009; 134:2355; author reply 2355-6. [DOI: 10.1055/s-0029-1242695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Antihypertensive drug therapy and blood pressure control in men and women: an international perspective. J Hum Hypertens 2009; 24:336-44. [PMID: 19798089 DOI: 10.1038/jhh.2009.76] [Citation(s) in RCA: 88] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Cardiovascular death represents the single largest cause of mortality in women with 70% of deaths attributable to modifiable risk factors, such as hypertension. This analysis aims at evaluating, whether there are gender disparities in antihypertensive drug usage and blood pressure (BP) control. We included 18 017 patients with arterial hypertension from the International Survey Evaluating Microalbuminuria Routinely by Cardiologists in patients with Hypertension (I-SEARCH). The study was conducted between September 2005 and March 2006 in 26 countries, and data on patient demographics, cardiovascular disease and risk factors, BP, and cardiovascular drug treatment were collected. Mean systolic blood pressure (SBP) was 2.1 mm Hg higher in women (150.6+/-0.35 mm Hg, n=8357/18 017) than in men (148.5+/-0.35 mm Hg; P<0.0001, n=9526/18 017), whereas no difference in diastolic BP was seen (88.2+/-0.20 vs 88+/-0.20 mm Hg; P=0.198). Gender differences in SBP were more pronounced in diabetic as compared with non-diabetic patients (3.5 vs 1.7 mm Hg, n=4272 vs n=13 611; P<0.0001) and became evident at an age 55 years old. Overall BP-control rate was 33.6% in men and 30.6% in women (P<0.0001) and was lower in diabetic as compared with non-diabetic patients. In all, 30% of patients used one, 40% used two and 30% used > or = 3 drugs without gender differences. Response rates to different drug regimens appeared to be similar. However, women received more frequently thiazides and beta-blockers, and less frequently ACE-inhibitors as monotherapy. Major efforts are required to improve BP-management, especially in women.
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Nichtansprechen auf Protonenpumpenhemmer bei gastroösophagealer Refluxkrankheit. Dtsch Med Wochenschr 2009; 134:1956. [DOI: 10.1055/s-0029-1237540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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