74.3 🩺 內科專科考前版

74.3.0.1 📌 䞀頁重點

  • 22E: anamorelin for cachexia, olanzapine for CINV + cachexia, methylnaltrexone for OIC
  • Taiwan: 健保 opioid for cancer 寬鬆絊付

74.3.0.2 🌟 Pearls (8)

  1. Cachexia anamorelin Japan/EU (US not approved)
  2. Olanzapine 5 mg for refractory CINV (also cachexia)
  3. Methylnaltrexone IV for OIC
  4. Methadone refractory cancer pain by expert
  5. Lidocaine IV continuous for refractory neuropathic
  6. Ketamine subanesthetic for refractory cancer pain
  7. Radium-223 for prostate bone mets
  8. Palifermin (KGF) for severe HSCT mucositis

74.3.0.3 📍 Taiwan

  • 健保 cancer pain opioid 絊付寬鬆
  • 健保 5HT3 + NK1 + dexa for CINV
  • Anamorelin 自費
  • 健保 zoledronic acid / denosumab for bone mets

74.3.0.4 🎓 內專重點

  1. WHO ladder + adjuvants
  2. CINV 4-drug regimen
  3. Cachexia anamorelin
  4. CRF exercise > drug
  5. OIC methylnaltrexone

⚠ AI 草皿。