사용상의 주의사항
1. 다음 환자에는 투여하지 말 것
1) 원발성 녹내장, 폐쇄각녹내장 및 협우각, 전방이 얕은 경우 등 안압상승의 소인이 있는 환자(급성 폐쇄각 녹내장 발작을 일으킬 수 있다.)
2) 이 약의 주성분 또는 이 약의 구성성분에 과민증 환자
2. 다음 환자에는 신중히 투여할 것
1) 다운증후군 환자
2) 뇌손상 환자
3) 연축성 마비 환자
4) 전립선 비대환자
5) 방광기능 약화로 인한 소변분비 장애, 결장비대증, 급성 폐부종 환자
6) 벨라돈나 알칼로이드에 감수성의 병력이 있는 환자(과량 투여 시 전신성 아트로핀 중독 증상을 유발할 수 있다.)
7) 아트로핀에 대해 중증 전신 반응 과거력이 있는 환자
8) 항콜린성 약물에 대한 감수성이 증가된 환자
3. 이상반응
1) 다음의 이상반응이 나타날 수 있다.
(1) 장기 사용시 낭포성 결막염, 안구충혈, 안구부종, 안구삼출 및 습진성 피부염 같은 국소 자극 현상이 나타날 수 있다.
(2) 심한 경우에는 진행성 호흡억제를 수반한 저혈압이 일어날 수 있다.
(3) 아주 어린 환자에서 혼수 및 사망이 보고된 바 있다.
(4) 과민증: 알레르기성 결막염, 안검결막염 등이 나타날 수 있으므로 이러한 증상이 나타날 경우 투여를 중지한다.
(5) 눈: 속발성 녹내장, 안압상승 등이 나타날 수 있다.
(6) 순환기계: 혈압상승, 심계항진 등이 나타날 수 있다.
(7) 정신신경계: 드물게 환상, 경련, 흥분 등이 나타날 수 있다.
(8) 소화기계: 구역, 구토, 구갈, 변비 등이 나타날 수 있다.
(9) 기타: 안면홍조, 드물게 두통, 발열 등이 나타날 수 있다.
(10) 소아환자: 동 제제 사용은 소아환자에서 정신병성 반응 및 행동변화와 연관성이 있다. 중추신경계반응은 위에 언급된 반응과 유사하게 나타난다. 동 제제는 어린이에게 고열을 일으킬 수 있다. (4. 일반적 주의 항 참조) 이러한 약물계열에서 어린이, 특히 조산아 및 저체중아 또는 다운증후군, 강직마비 또는 뇌손상이 있는 어린이에게서 특히 전신독성 위험성이 증가하였다. (7. 소아에 대한 투여 항 참조) 조산아 또는 저체중아에서 장폐쇄, 복부확장 및 서맥이 보고되었다.
(11) 첨가제: 이 약은 인산염을 포함하고 있다. 상당한 각막 손상이 있는 일부
환자에서 인산염 함유 점안액의 사용과 연관되어 각막 석회화의 사례가 매우 드물게(0.01% 미만) 보고된 바 있다.
2) 만 5세 ‑15세 일본 소아 299명을 대상으로 이 약 0.01%, 0.025% 및 위약을 투여한 핵심임상시험(2/3상)에서 소아근시진행 억제 및 안전성이 평가되었다. 가장 흔하게 보고된 약물이상반응은 광선공포증이었다.
표1. 이 약 0.025%의 2/3상 임상시험에서의 약물이상반응
|
기관계 대분류 |
매우 흔함(≥1/10) |
흔함(≥1/100, <1/10) |
흔하지 않음(≥1/1000, <1/100) |
|
각종 눈 장애 |
광선공포증 |
시각 장애
시야 흐림 |
조절 장애
눈꺼풀 습진
눈부심
동공 반사 이상 |
|
각종 신경계 장애 |
|
두통 |
|
3) 이 약물은 다른 항콜린성 약물과 비슷한 부작용을 유발한다. 운동실조, 두서없는 말, 초조, 환각, 활동 과다, 발작, 시간 및 장소에 대한 지남력 상실, 그리고 사람을 알아보지 못하는 것과 같은 중추신경계 증상이 생길 수 있다. 그 외 항콜린성 약물의 독성 현상은 피부 발진, 유아의 복부 팽만감, 비정상적인 졸음, 빈맥, 고열, 혈관 확장, 요 저류, 위장관 운동 감소, 그리고 타액, 한선, 인두, 기관지 및 비관 분비 감소이다. 중증 반응은 급속하게 진행되는 호흡부전을 수반한 저혈압으로 발현된다. 독성 증상은 대부분 일시적이지만(몇 시간 동안 지속), 24시간까지 지속될 수 있다.
4) 산동제의 국내 시판 후 조사결과
(1) 아트로핀황산염 0.125%의 국내 시판 후 조사결과
국내에서 재심사를 위하여 4년 동안 644명을 대상으로 실시한 시판 후 조사 결과, 이상사례의 발현율은 인과관계와 상관없이 15.06%(97/644명, 106건)로 보고되었다. 이 중 인과관계를 배제할 수 없는 중대한 약물이상반응은 보고되지 않았다. 인과관계를 배제할 수 없는 예상하지 못한 약물이상반응은 발현 빈도에 따라 아래 표에 나열하였다.<BR><IMG 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">
(2) 아트로핀황산염 1%의 국내 시판 후 조사결과
시판 후 조사 시 투여 후에 다음의 이상 반응이 보고되었다. 입수된 자료로부터 빈도를 추정할 수 없다. 각각의 신체기관계 내에서, 이상약물반응은 중대성이 감소하는 순으로 나타낸다.<BR><IMG 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">
4. 일반적 주의
4. 일반적 주의
1) 산동 또는 조절마비를 일으킬 수 있으므로 이 약을 투여중인 환자는 산동 또는 조절마비가 회복될 때까지 운전이나 위험한 기계조작을 하지 않도록 주의 한다.
2) 환자는 광과민성을 경험할 수 있으며, 산동 시 밝은 조명에서는 선글라스를 착용하는 등 태양광선이나 강한 빛을 직접 보지 않도록 주의한다.
3) 보호자는 어린이의 입이나 볼에 동 제제가 닿지 않도록 주의해야 하며, 동 제제 적용 후에 그들의 손 및 어린이의 손 또는 볼을 씻어야 한다.
4) 이 약 적용 후 비루관을 막거나 눈꺼풀을 약하게 감도록 권한다. 이는 눈 경로를 통한 전신흡수를 감소시켜 전신 부작용을 감소시킬 수 있다.
5) 이 약은 안압 상승을 유발할 수 있다. (3. 이상반응 항 참조)
6) 항콜린성 약물들에 대한 감수성이 증가된 환자들에서 동 제제로 인한 정신병성 반응 및 행동장애가 나타날 수 있다. (3. 이상반응 항 참조) 어린이에게 주의하여 사용해야 하지만, 이러한 반응들은 어떤 연령이든 발생할 수 있다.
7) 고열 유발 위험성 때문에 높은 온도의 환경에 노출될 수 있거나 열이 있는 환자, 특히 어린이에게 주의하여 사용하여야 한다.
8) 이 약은 홍채와 수정체 사이의 유착 위험을 증가시킬 수 있으므로 주의하여 투여하여야 한다.
9) 이 약은 조절력 감소에 대한 적절한 검사를 통해 근시로 진단된 환자에게 투여해야 한다.
‑ 임상시험 정보를 참조하여 연령 및 근시 상태와 같은 환자의 배경을 충분히 이해한 후 치료에 적합한 환자를 선택해야 한다.
‑ 조절 긴장은 가성 근시를 나타낼 수 있다.
‑ 약물 투여보다 치료 요법이 우선적으로 필요한, 약시와 사시 같은 다른 합병증이 있는지 확인해야 한다.
‑ 백내장이 있는 환자에서는 백내장의 유형 및 혼탁 정도에 따라 시력 및 굴절검사 결과를 정확하게 평가하기 어려울 수 있으므로, 근시의 진단 및 치료 효과 평가 시 이를 고려하여야 한다.
‑ 녹내장, 색소성 망막염 등과 관련된 소아 진행성 증후군성 근시의 가능성을 배제하여야 한다. 이러한 질환은 일반적인 진행성 근시와 진행 양상이 다르므로, 해당 질환에 의한 근시 진행의 억제를 목적으로 이 약을 투여해서는 안 된다.
10) 근시의 진행을 모니터링하기 위해 정기적인 검사를 수행해야 한다. 이 약의 효과가 나타나지 않을 경우, 적절한 고려 없이 투여를 지속하지 않아야 한다.
11) 이 약의 투여를 중단하는 경우 반동(근시의 급속한 진행)이 나타날 수 있으므로 투여 중단 후 1년 동안 근시의 진행 여부를 지속적으로 모니터링해야 한다.
12) 이 약에 대하여 18개월 이상 장기투여 시 안전성과 유효성은 연구되지 않았다. 이 약을 장기 투여하는 환자의 경우, 경과를 주의 깊게 관찰한다. 이 약을 장기간 투여하는 경우에는 근시의 진행 및 치료 효과뿐 아니라 전안부 발달, 안압 및 망막 상태 등 안과적 안전성을 정기적으로 평가하는 것이 권장된다.
13) 이 약에 대하여 5~12세 외의 연령을 대상으로 한 안전성과 유효성은 연구되지 않았다. 이 연령 외의 환자를 대상으로 투여하는 경우, 경과를 주의 깊게 관찰한다.
5. 상호작용
1) 아만타딘, 일부 항히스타민약, 페노치아진계 항정신병약, 삼환계 항우울약 등 항무스카린제와 병용투여 시 이 약의 작용이 강화될 수 있다.
2) 메토클로프라미드와 같은 도파민 길항약과 병용투여시 위장관 운동 능력이 감소될 수 있다.
3) 항히스타민약, 디소피라미드, 일부 항파킨슨약물과 병용투여시 약효가 증강될 수 있다.
4) 필로카르핀, 피소스티그민 함유제제와 병용투여시 약효가 감소될 수 있다.
6. 임부 및 수유부에 대한 투여
1) 이 약에 대한 동물 생식력 시험은 실시되지 않았다. 이 약의 임부 투여시 태아에 독성이 있는지 또는 생식력에 영향을 주는지는 알려지지 않았으나 치료상 꼭 필요한 경우에만 투여한다. 이 약의 점안용 투여로 인한 전신효과가 알려져 있다.
2) 이 약 및 이 약 대사체의 모유로의 이행여부는 알려지지 않았으나 많은 약들이 모유로 배출되므로 수유부에 투여시 주의한다. 아트로핀 및 항무스카린제는 동물 및 임상 연구에서 수유에 악영향을 미치는 것으로 알려져있다.
7. 소아에 대한 투여
1) 조산아 및 저체중아, 또는 다운증후군, 강직마비 또는 뇌손상이 있는 어린이는 아트로핀의 전신흡수에 따른 중추신경계 장애, 심폐 및 위장관 독성에 특히 감수성이 있다. (3. 이상반응 항 참조)
2) 적어도 다운증후군, 강직마비 또는 뇌손상이 있는 어린이에게 동 제제를 사용할 경우 극단적인 주의가 필요하다.
3) 파란 눈동자에 피부가 흰 어린이는 부작용에 대한 반응 증가 및/또는 감수성 증가를 보일 수 있다.
4) 5세 미만 어린이에 대한 안전성과 유효성은 확립되지 않았다.
8. 과량투여시의 처치
1) 증상: 홍조, 구갈, 피부건조(피진은 소아에서 일어날 수 있다.), 시야 흐림, 빠르고 불규칙한 맥박, 발열, 유아의 복부팽만, 정신이상(자극과민성, 헛소리를 포함하는) 및 경련, 환각, 신경근 공동작용의 상실 등 전신성 아트로핀 중독증상이 나타날 수 있다. 중증의 중독은 중추 신경계 저하, 혼수, 순환 및 호흡기계 부전 및 사망의 증상으로 특정 지어진다.
2) 처치
(1) 중증의 중독증상의 경우에는 피소스티그민 살리실레이트를 비경구적으로 투여하여 보다 신속하게 중독증상을 경감시켜야 한다. 이 경우에는 생리식염액 5ml 에 피소스티그민 살리실레이트가 1mg 함유되도록 한 희석액을 1 ‑5ml 정맥주사한다. 소아에게는 더 적은 용량을 투여하도록 하고 2 분이상 걸쳐서 주사한다. 심전도 검사를 하는 것이 바람직하다. 전용량이 소아 2mg, 성인 6mg 까지 매 30 분 동안 5 분 간격으로 반복투여한다
(2) 피소스티그민은 저혈압환자에게는 금기이다. 피소스티그민에 의한 서맥, 경련 또는 기관지 경축에는 아트로핀(1mg)을 신속히 주사하는 것이 효과적이다.
(3) 유아와 소아는 체표면을 보습시켜야 한다.
(4) 눈에 과량투여했을 경우 물이나 생리식염수로 씻어 내는 것이 바람직하다. 국소 축동제의 사용이 요구될 수도 있다.
9. 적용상의 주의
1) 점안 시 환자는 원칙적으로 옆으로 누운 상태에서 눈꺼풀을 들어 결막낭내에 점안하고 1 ‑5분간 눈꺼풀을 닫고 누낭부를 압박한 후 눈을 뜬다.
2) 점안용으로만 사용한다.
3) 용기와 제제의 오염을 방지하기 위해 점안 시 용기의 입구가 직접 눈에 닿지 않도록 주의해야 한다.
4) 오염을 방지하기 위해 될 수 있는 한 공동으로 사용하지 않는다.
5) 반복해서 투여하지 않는다.
6) 개봉 시 용기에서 떨어진 파편이 있을 경우 이를 제거하기 위해 이 약의 첫 번째 또는 두 번째 방울을 버린다.
10. 보관 및 취급상의 주의사항
1) 소아의 손이 닿지 않는 곳에 보관한다.
2) 직사일광을 피하고 되도록 서늘한 곳에 보관한다.
3) 오용을 막고 품질의 보존을 위하여 다른 용기에 바꾸어 넣지 않는다.
4) 알루미늄 파우치를 개봉한 후, 개별 제품은 빛을 차단하기 위해 파우치 안에서 실온 보관해야 한다. 파우치 개봉 후 3개월 이내에 사용해야 한다.
11. 전문가를 위한 정보
1) 약리작용
이 약의 주성분인 아트로핀은 아세틸콜린 및 다른 콜린에스테르의 무스카린 유사 작용에 길항하는 항무스카린 성분이다. 아트로핀의 주요 작용은 다른 항무스카린 제제와 같이, 작용기관의 수용체에서 아세틸콜린의 농도 증가 시 억제작용을 한다.
아트로핀황산염은(atropine sulfate)은 무스카린 수용체(muscarinic receptors)에 결합하여 무스카린 수용체를 차단함으로써 안구의 형태 변화(remodeling)을 자극하고, 결과적으로 안구가 길어지는 망막에서의 성장 억제 신호를 유도함으로써 근시 진행을 억제하는 것으로 유추된다.
2) 임상시험 정보
만 5 ‑15세 근시 일본 소아 ▪청소년을 대상으로 이 약의 근시진행억제 효과를 평가하기 위해 무작위배정, 다기관, 이중 눈가림, 위약대조 제 2/3상 임상시험을 실시하였다.
일차 유효성 평가변수로 기저치 대비 임상시험용 의약품 투여 24개월 후 조절마비 자동 굴절검사로 평가한 구면대응치 변화량을 측정한 결과, 이 약 0.01% 투여군에서 ‑1.308±0.0765D, 0.025% 투여군에서 ‑1.022±0.0927D, 위약에서 ‑1.645±0.0929D이었고, 모든 시험군과 대조군간 통계적 유의한 차이가 있었다.(0.01%군 p<0.0001, 0.025%군 p<0.0001).