lodoco会引起神经肌肉毒性和横纹肌溶解。同时使用降低秋水仙碱代谢或肝或肾功能障碍的药物会增加产生神经肌肉毒性的风险。胃肠道症状通常是秋水仙碱毒性的第一个迹象,因此新症状应促使毒性评估。在肾衰竭(肌酐清除率小于15 mL/分钟)或严重的肝功能障碍以及同时使用强CYP3A4抑制剂或P-糖蛋白抑制剂的患者中使用Lodoco。[请参阅禁忌症(4)]。应避免使用中度CYP3A4抑制剂与Lodoco使用中等的CYP3A4抑制剂,以增加秋水仙碱全身暴露的危险因素的患者[请参阅特定种群中的使用(8.6,8.7)和药物相互作用(7)]。
4.1我们认为,与靶向炎症的研究有关的措辞尚不清楚或准确,因此我们要求措辞相应地更改。先前的研究显示了治疗炎症患者的作用(例如木星,Cantos,Lodoco和Colcot试验),但这些研究都没有针对冠状动脉炎症,因为到目前为止,还没有检测或量化冠状动脉炎症的方法。我们要求将此句子更改为以下内容:“委员会同意可以接受链接的证据方法。外部评估组(EAG)确定的研究表明,心血管疾病患者的炎症与减少心脏事件或死亡的炎症之间的联系,但无法解决冠状动脉炎症。”
来自:Cynthia neuhofel,Pharm.D。 Division of Medical Services Pharmacy Program DATE: February 12, 2025 SUBJ: AR Medicaid Prior Authorization Edits approved at the AR Medicaid DUR Board January 15, 2025 meeting for the following: Preferred Drug List Full Review: Glucagon agents, GLP-1 agonists, uterine disorder agents, Duchenne Muscular Dystrophy agents, ulcerative colitis agents Preferred Drug List Abbreviated Review: Alpha glucosidase inhibitors, DPP-4 inhibitors, meglitinides, metformin products, SGLT-2 inhibitors, sulfonylureas, thiazolidinediones, amylin analogues, antiemetics, non-sedating antihistamines, intranasal rhinitis Manual Review PA Criteria: Nemluvio® (nemolizumab-ilto), Miplyffa™ (arimoclomol citrate), Aqneursa™ (levacetylleucine), Hympavzi™ (marstacimab-hncq), Vyalev™ (foscarbidopa/foslevodopa), Duvyzat™ (givinostat), Lodoco® (colchicine), Yorvipath® (palopegteriparatide), FUROSCIX®(FUOSEMIDE)更新:在PA标准文档中清理手册评论药物,更新常规药物策略来自:Cynthia neuhofel,Pharm.D。Division of Medical Services Pharmacy Program DATE: February 12, 2025 SUBJ: AR Medicaid Prior Authorization Edits approved at the AR Medicaid DUR Board January 15, 2025 meeting for the following: Preferred Drug List Full Review: Glucagon agents, GLP-1 agonists, uterine disorder agents, Duchenne Muscular Dystrophy agents, ulcerative colitis agents Preferred Drug List Abbreviated Review: Alpha glucosidase inhibitors, DPP-4 inhibitors, meglitinides, metformin products, SGLT-2 inhibitors, sulfonylureas, thiazolidinediones, amylin analogues, antiemetics, non-sedating antihistamines, intranasal rhinitis Manual Review PA Criteria: Nemluvio® (nemolizumab-ilto), Miplyffa™ (arimoclomol citrate), Aqneursa™ (levacetylleucine), Hympavzi™ (marstacimab-hncq), Vyalev™ (foscarbidopa/foslevodopa), Duvyzat™ (givinostat), Lodoco® (colchicine), Yorvipath® (palopegteriparatide), FUROSCIX®(FUOSEMIDE)更新:在PA标准文档中清理手册评论药物,更新常规药物策略