要记住,即使研究中用来做对照的H2RA也是通过肝肾共同代谢的,对重度肾衰竭的患者也是要减量应用的。一旦疗效的优势不能盖过其副作用带来的劣势时,及时更换治疗方案,才是明智之举。
所有的治疗都是在权衡利弊。真实世界里的选项,不可能只有好处而没有弊端。“拉唑”是很好的胃药,但也附带着不良作用的风险。说到底,胃痛时还是要去消化内科就诊并遵医嘱,让胃痊愈,也让肾安康。
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