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辅助药师快速识别潜在药物相互作用与剂量异常,提升处方审核效率与患者用药安全。
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Act as a senior clinical pharmacist to review the following prescription for compliance: 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 once daily, Aspirin 100mg once daily, and Ibuprofen 400mg three times daily. Focus on evaluating the renal risks of NSAIDs in this patient population, check for drug-disease contraindications or dosage adjustment needs, and provide specific medication recommendations and risk warnings, ensuring the output is concise and professional.
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请作为资深临床药师,对以下处方信息进行合规性审查:患者为65岁男性,诊断为高血压2级伴轻度肾功能不全(eGFR 45ml/min),当前用药包括氨氯地平5mg每日一次、阿司匹林100mg每日一次及布洛芬400mg每日三次。请重点评估非甾体抗炎药在此类患者中的肾脏风险,检查是否存在药物-疾病禁忌或剂量调整需求,并给出具体的用药建议与风险提示,确保输出简洁专业。
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