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Openai/693ba2e3-b928-8004-920f-e506d7f76c92
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==== 18. 章末快速比較(必做) ==== ===== 18.1 「同成分不同適應症/劑量」快速表 ===== | 成分 | 產品 | 主要用途(TFDA) | 給藥頻率 | 主要最大劑量(TFDA) | | ----------- | -------- | ------------------------------------ | ------ | ------------------------------------------------------------------------------------------------ | | semaglutide | Ozempic | type 2 DM 血糖控制 + 降低 MACE + 降低 CKD 結局 | 週 1 次 | 1 mg/週【TFDA|Indications/Dosage】Wegovy 衛部菌疫輸字第001224號114.03.04 Saxenda 衛部菌疫輸字第001140號114.04.07 | | semaglutide | Rybelsus | type 2 DM 血糖控制(口服) | 每日 1 次 | 14 mg/日【TFDA|Dosage】Ozempic 衛部菌疫輸字第001107號114.04.17 | | semaglutide | Wegovy | 慢性體重管理;特定族群降低 MACE;HFpEF+肥胖改善 HF | 週 1 次 | 2.4 mg/週【TFDA|Indications/Dosage】Wegovy 衛部菌疫輸字第001224號114.03.04 Rybelsus 衛部菌疫輸字第001171號114.05.22 | | liraglutide | Victoza | type 2 DM 血糖控制(含 ≥10 歲)+ 降低 MACE | 每日 1 次 | 1.8 mg/日【TFDA|Indications/Dosage】Saxenda 衛部菌疫輸字第001140號114.04.07 Saxenda 衛部菌疫輸字第001140號114.04.07 | | liraglutide | Saxenda | 慢性體重管理(含 12–18 歲) | 每日 1 次 | 3 mg/日【TFDA|Indications/Dosage】Saxenda 衛部菌疫輸字第001140號114.04.07 Rybelsus 衛部菌疫輸字第001171號114.05.22 | ===== 18.2 臨床最常比較點(摘要表) ===== | 藥物 | 週/日給藥 | 是否具 MACE 降低核准(TFDA) | 重度腎功能不全(eGFR<30 或 CrCl<30) | 重要交互作用提示 | | --------- | ----- | ----------------------- | -------------------------- | ------------------------------------------------------------------------------------------------------------------------ | | Ozempic | 週 1 次 | 有(type 2 DM + CVD) | 不建議(eGFR<30) | 延遲胃排空;口服藥吸收需留意【TFDA|Renal/Interactions】Soliqua 衛部菌疫輸字第001080號114.05.21 Saxenda 衛部菌疫輸字第001140號114.04.07 | | Rybelsus | 每日 | 無(本仿單未列) | 可(含 ESRD 不需調整) | 服藥方式與 levothyroxine 交互作用需留意【TFDA|Renal/Interactions】Ozempic 衛部菌疫輸字第001107號114.04.17 Rybelsus 衛部菌疫輸字第001171號114.05.22 | | Wegovy | 週 1 次 | 有(CVD + BMI≥27) | 不建議(eGFR<30) | 一般性延遲胃排空交互作用;另有精神症狀警語【TFDA|Renal/Warn】Wegovy 衛部菌疫輸字第001224號114.03.04 Mounjaro 衛部藥輸字第028468號114.05.21 | | Victoza | 每日 | 有(type 2 DM + CVD) | ESRD 經驗有限,宜謹慎 | 延遲胃排空交互作用提示【TFDA|Renal/Interactions】Victoza 衛署菌疫輸字第000914號114.04.11 Saxenda 衛部菌疫輸字第001140號114.04.07 | | Saxenda | 每日 | 無(本仿單未列) | 不建議(重度/ESRD) | 不得與 Victoza 或其他 GLP-1 RA 併用;有自殺意念警語【TFDA|Renal/Limitations/Warn】Saxenda 衛部菌疫輸字第001140號114.04.07 Mounjaro 衛部藥輸字第028468號114.05.21 Mounjaro 衛部藥輸字第028468號114.05.21 | | Trulicity | 週 1 次 | 有(type 2 DM + CVD/多重風險) | 可(含 ESRD 不需調整,仍宜謹慎) | 延遲胃排空交互作用提示【TFDA|Renal/Interactions】Trulicity 衛部菌疫輸字第000978號114.05.… Rybelsus 衛部菌疫輸字第001171號114.05.22 | | Soliqua | 每日 | 無(本仿單未列) | 不建議(CrCl<30/ESRD) | 含胰島素:低血糖與劑量錯誤風險;延遲胃排空交互作用提示【TFDA|Renal/Warn】Ozempic 衛部菌疫輸字第001107號114.04.17 Soliqua 衛部菌疫輸字第001080號114.05.21 | | Mounjaro | 週 1 次 | 無(本仿單未列) | 可(含 ESRD 不需調整) | 可能降低口服避孕藥效力;不建議與任何 GLP-1 RA 併用【TFDA|Renal/Interactions/Limitations】Mounjaro 衛部藥輸字第028468號114.05.21 Mounjaro 衛部藥輸字第028468號114.05.21 Mounjaro 衛部藥輸字第028468號114.05.21 |
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