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處方審核助手

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利用AI技術輔助藥師進行處方前置審核,識別潛在的藥物相互作用、劑量異常及禁忌症,提升用藥安全與效率。

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Act as a senior clinical pharmacist and review the following simulated prescription: The patient is a 65-year-old male diagnosed with Stage 2 hypertension and mild renal impairment (eGFR 45ml/min). Current medications include Amlodipine 5mg qd, Aspirin 100mg qd, and Ibuprofen 400mg tid (for osteoarthritis pain). Analyze if there are drug-disease contraindications, drug-drug interactions, or dosage adjustment needs, specifically focusing on the risks of NSAID use in patients with renal impairment, and provide specific adjustment suggestions or alternative plans to ensure medication safety and compliance with clinical guidelines.

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請扮演資深臨床藥師,對以下模擬處方進行合規性審查:患者為65歲男性,診斷為高血壓2級伴輕度腎功能不全(eGFR 45ml/min),當前用藥包括氨氯地平5mg qd、阿斯匹林100mg qd及布洛芬400mg tid(用於骨關節炎疼痛)。請分析該處方中是否存在藥物-疾病禁忌、藥物-藥物相互作用或劑量調整需求,特別是非類固醇抗炎藥在腎功能不全患者中的使用風險,並給出具體的調整建議或替代方案,確保用藥安全且符合臨床指南。

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