我有僵直性脊椎炎，每天都要服用萬克適（Arcoxia），查了網路資料都說NSAID和肌酸同時
服用有可能會傷腎，不知道我現在服用的藥物和肌酸是否會傷腎？
--
[問題] [問題] 我可以服用肌酸嗎？
肌肉
22141
我有僵直性脊椎炎，每天都要服用萬克適（Arcoxia），查了網路資料都說NSAID和肌酸同時
服用有可能會傷腎，不知道我現在服用的藥物和肌酸是否會傷腎？
--
→ arsonlolita1樓問藥師吧 03/20 00:37
steven1832樓問醫生 03/20 00:37
sunshinecan3樓有疑慮就問醫生 03/20 00:46
selfvalue4樓Etoricoxib, sold under the trade name Arcoxia, is 03/20 00:53
→ selfvalue5樓a selective COX-2 inhibitor 03/20 00:53
→ mitsloanboy6樓那就不要啊 03/20 01:07
→ selfvalue7樓All NSAIDs (including COX-2 inhibitors) have been 03/20 01:10
→ selfvalue8樓associated with the development of acute kidney in 03/20 01:10
→ selfvalue9樓jury 03/20 01:10
selfvalue11樓https://reurl.cc/44zjaL 03/20 01:31
→ selfvalue12樓藥物說明書：Renal prostaglandins may play a compen 03/20 01:32
→ selfvalue13樓satory role in the maintenance of renal perfusion. 03/20 01:32
→ selfvalue14樓Therefore, under conditions of compromised renal 03/20 01:32
→ selfvalue15樓perfusion, administration of ARCOXIA may cause a r 03/20 01:32
→ selfvalue16樓eduction in prostaglandin formation and, secondari 03/20 01:32
→ selfvalue17樓ly, in renal blood flow, and thereby impair renal 03/20 01:32
→ selfvalue18樓function. 03/20 01:32
wan0zei20樓建議不要，腎臟負擔會更大 03/20 01:45
selfvalue21樓==逛了快一個小時 03/20 01:45
selfvalue22樓好奇藥師跟醫生會怎麼建議 03/20 01:47
→ selfvalue23樓問到留一下答案 謝謝 03/20 01:48
wan0zei24樓小弟藥師， 肌酸就真的跟NSAID會有交互作用，官方回答會 03/20 01:51
→ wan0zei25樓告訴病人不要增加腎臟負擔。 但如果是自己，定期有在回 03/20 01:51
→ wan0zei26樓診驗CrCl跟其他腎功能指數，會斟酌XD 03/20 01:51
selfvalue27樓感謝您 03/20 01:52
→ selfvalue28樓我還在看腎臟功能== 03/20 01:53
→ selfvalue29樓感謝專業推^^ 03/20 01:53
wan0zei30樓但原PO還是去問一下自己的醫師比較好，畢竟他應該最了解 03/20 01:54