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目的:为促进我国植物药与西药药动学相互作用的研究,为临床合理使用植物药与西药提供相关依据,避免不良药物相互作用,减少不良反应的发生,以达到提高疗效,安全无害用药的目的。方法:通过检索近几年相关的医学文献,总结研究方法、植物药与西药相互作用机制与特点。结果:植物药与西药相互作用的机制主要为药物代谢酶与P=糖蛋白的含量,植物药与西药的用药时间、用药剂量与植物药与西药的生产方法都有可能影响相互作用的发生。结论:植物药与西药间存在配比上与药理学上的相互协调与相互制约,应该十分警惕二者可能发生的药动学相互作用,并要加强这方面的研究。
OBJECTIVE: To promote the research on the interaction between Chinese herbal medicine and western pharmacokinetics, provide the basis for clinical rational use of herbal medicine and western medicine, avoid the adverse drug interactions and reduce the occurrence of adverse reactions, so as to improve the curative effect, safe and harmless medication the goal of. Methods: Through the retrieval of relevant medical literature in recent years, summarize the research methods, the mechanism and characteristics of the interaction between plant medicine and western medicine. Results: The mechanism of the interaction between botanical drug and western medicine is mainly the content of drug metabolizing enzyme and P = glycoprotein, the time of using botanical drug and western medicine, the dosage of botanical drug and the production method of western medicine all may affect the occurrence of interaction. Conclusion: The compatibility and mutual restraint between the herbal medicine and the western medicine should be closely monitored and the pharmacokinetic interactions that may occur between them should be very vigilant. The research in this respect should be strengthened.