由於傳統抗凝血劑warfarin 的使用劑量與INR 的波動會受到各種因素之影響(肝臟與腎臟功能、疾病狀態、營養狀態與飲食習慣、藥品交互作用等),而國外藉由藥師主導的抗凝血門診服務已證實可提升病人使用warfarin 的療效及安全性,臺大醫院藥劑部也於2012 年成立抗凝血門診。本文將分享臺大醫院抗凝血門診的執行方式,以供國內其他醫療院所參考。
There are many factors will influence the dosage of warfarin and the INR level (e.g. liver and renal function, disease status, nutritional status, and drug-drug interaction). The effectiveness of pharmacist anti-coagulation clinic has been approved that can improve the efficacy and the safety of using warfarin. The pharmacist anticoagulation clinic in National Taiwan University Hospital has been established since 2012. This article will share the execution of pharmacist anti-coagulation clinic.