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Browsing by Author "PV, Kishore"

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    Drug induced hepatitis with anti-tubercular chemotherapy: Challenges and difficulties in treatment
    (Kathmandu University, 2007) PV, Kishore; S, Palaian; R, Paudel; P, Mishra; M, Prabhu; PR, Shankar
    Tuberculosis is a major health burden worldwide. In Nepal, it is a significant cause of morbidity and mortality. Although better drugs are available for managing tuberculosis, treatment failure is one of the common problems encountered. Among the various causes which can cause treatment interruption, drug induced hepatotoxicity is a common cause. Isoniazid and Pyrazinamide are the common drugs causing hepatotoxicity. Upon occurrence of hepatotoxicity, the hepatotoxic drugs should be stopped and reintroduced as per the available guidelines. The healthcare professional should also counsel the patients for recognizing the early symptoms due to hepatotoxicity which could prevent morbidity. Key words: Adverse effects, Hepatotoxicity, Tuberculosis.
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    Interaction between warfarin and tamoxifen: A case report
    (Kathmandu University, 2007) D, Mishra; R, Paudel; PV, Kishore; S, Palaian; D, Bista; P, Mishra
    Warfarin is a commonly used anticoagulant with documented reports of drug interactions. Tamoxifen is used in the adjuvant hormonal treatment of women with oestrogen-receptor- positive breast cancer. Warfarin and tamoxifen are known to interact with each other with a resultant increase in the bleeding tendency. These reports are mainly from the white population. We report a case of drug interaction between warfarin and tamoxifen with an acute onset. This report suggests that when these drugs are co administered, careful monitoring of the coagulation profile is needed. Key words: Drug interaction, Tamoxifen, Warfarin

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