Chinese Journal of Pharmacovigilance ›› 2023, Vol. 20 ›› Issue (2): 206-208.
DOI: 10.19803/j.1672-8629.20211034

Previous Articles     Next Articles

Pharmaceutical care for a case of severe skin ulcer and corneal perforation caused by erlotinib hydrochloride tablets

YUAN Qi1,2, WANG Yingxian, CHEN Siying1*, YOU Haisheng1   

  1. 1Department of Pharmacy, the First Affiliated Hospital of Xi’an Jiaotong University, Xi’an Shaanxi 710061, China;
    2Department of Pharmacy, Shaanxi Provincial Cancer Hospital, Xi’an Shaanxi 710061, China;
    3Department of Laboratory Medicine, the First Affiliated Hospital of Xi’an Jiaotong University, Xi’an Shaanxi 710061, China
  • Received:2021-11-29 Online:2023-02-15 Published:2023-02-17

Abstract: Objective To optimize medication monitoring by clinical pharmacists and improve the role of therapeutic drug monitoring (TDM) via observation and follow-up of one case of adverse reactions caused by oral erlotinib. Methods Soon after one patient with lung cancer developed skin ulcer and corneal perforation following treatment with oral erlotinib, clinical pharmacists gave pharmaceutical care using evidence-based pharmacy and TDM. Results Through adjustment of the individualized medication regimen, symptomatic and supportive treatment of adverse reactions, the pain of the patient was significantly relieved, although her skin ulcer and corneal perforation were not cured. Conclusion In the course of medication for cancer patients, clinical pharmacists can use their expertise and knowledge to assist clinicians in providing individualized pharmaceutical care for patients, and contribute to rational clinical use of drugs.

Key words: erlotinib, skin ulcers, corneal perforation, adverse drug reaction, overexposure, blood concentration

CLC Number: