Alternative therapies in health and medicine · 2023
Treating Severe Adverse Drug Reactions Caused by Ischemic Optic Neuropathy with Ginkgo Biloba Extract Injection: A Case Report.
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Yan Lixia, Wei Qiping, Gao Ying
Аннотация
BACKGROUND: Ginkgo biloba extract preparations are commonly used in ophthalmology to improve circulatory disorders and provide neurotrophic support for the treatment of optic neuropathy. However, their use also carries a higher risk of adverse drug reactions (ADRs), some of which can be severe and even life-threatening, such as anaphylactic shock. This case report highlights the importance of recognizing and managing ADRs associated with ginkgo biloba extract in ophthalmology clinical practice. This report aims to emphasize the need for appropriate patient selection, adherence to prescribing guidelines, and proactive measures to reduce ADR occurrence.
CASE PRESENTATION: We present the case of a patient who experienced a severe ADR following the administration of Ginkgo biloba and Damo injection. The patient, a middle-aged individual without a history of allergies, developed anaphylactic shock within 30 minutes of medication initiation. Prompt medical intervention, including medication withdrawal, resuscitation, and intensive care unit transfer, led to symptom relief and successful recovery.
CONCLUSIONS: This case underscores the need for vigilance when prescribing ginkgo biloba extract, particularly in middle-aged and elderly patients. Despite no previous history of allergies and adherence to the prescribed dosage, severe ADR can still occur. Close monitoring of patients within the first 30 minutes of medication administration is crucial. Furthermore, strict adherence to drug instructions, proper TCM syndrome differentiation, appropriate choice of infusion solvents, and strict control of drip rates should be considered to enhance patient safety. Other factors such as patient age, allergy history, and initial medication were also identified as important considerations in preventing ADRs. This case report emphasizes the significance of early identification, immediate withdrawal of medication, vital sign monitoring, and timely administration of anti-allergy drugs in managing ADR.
CASE PRESENTATION: We present the case of a patient who experienced a severe ADR following the administration of Ginkgo biloba and Damo injection. The patient, a middle-aged individual without a history of allergies, developed anaphylactic shock within 30 minutes of medication initiation. Prompt medical intervention, including medication withdrawal, resuscitation, and intensive care unit transfer, led to symptom relief and successful recovery.
CONCLUSIONS: This case underscores the need for vigilance when prescribing ginkgo biloba extract, particularly in middle-aged and elderly patients. Despite no previous history of allergies and adherence to the prescribed dosage, severe ADR can still occur. Close monitoring of patients within the first 30 minutes of medication administration is crucial. Furthermore, strict adherence to drug instructions, proper TCM syndrome differentiation, appropriate choice of infusion solvents, and strict control of drip rates should be considered to enhance patient safety. Other factors such as patient age, allergy history, and initial medication were also identified as important considerations in preventing ADRs. This case report emphasizes the significance of early identification, immediate withdrawal of medication, vital sign monitoring, and timely administration of anti-allergy drugs in managing ADR.