Hepatic Dosing Adjustment
定義
Modification of drug dose for patients with liver disease, as the liver is the primary site of drug metabolism. Unlike renal adjustment, hepatic adjustment is less formulaic because liver function tests (ALT, AST) don't directly correlate with metabolic capacity. The Child-Pugh score is used to guide dosing.
例
For a patient with Child-Pugh Class C cirrhosis, the starting dose of most hepatically metabolized drugs should be reduced by 50% or more.
関連用語
ガイドでの言及
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