PMID- 28397057 OWN - NLM STAT- MEDLINE DCOM- 20170613 LR - 20220801 IS - 1993-1352 (Electronic) IS - 1672-0733 (Linking) VI - 37 IP - 2 DP - 2017 Apr TI - Clinical application analysis of andrographolide total ester sulfonate injection, a traditional Chinese medicine licensed in China. PG - 293-299 LID - 10.1007/s11596-017-1730-z [doi] AB - Andrographolide total ester sulfonate (ATES) injection is one of the products of traditional Chinese medicine (TCM) currently used against viral infection in China. ATES injection was approved for manufacturing and marketing in January 2002. It is indicated for acute respiratory infections, tonsillitis, chronic obstructive pulmonary disease, influenza, foot and mouth disease, bronchiolitis, herpangina, mumps, infectious mononucleosis and psychosis. However, its usage also carries risk. We investigated the use of ATES at the Wuhan Union Hospital from January 2014 to December 2014 and evaluated its real-world clinical application using the hospital centralized monitoring method. A total of 848 cases were enrolled in this study. In these cases, it was mainly used for postoperative anti-inflammation and treating upper respiratory infection, pneumonia and bronchitis. Among them, 39.86% were contraindicated. Irregular medication of adults and children accounted for 1.91% and 23.38%, respectively. Improper choice of solvent accounted for 3.18%. The choice of intravenous drip versus aerosol inhalation was reasonable. A case of adverse events (AEs) was observed in the monitoring period, and the incidence of adverse drug reaction (ADR) of ATES injection was 0.12%. ATES injection in our hospital is relatively safe with a low incidence of adverse reactions. The study assesses the clinical usage and adverse reactions of ATES injection, and provides suggestions for rational use in clinical practice. FAU - Zhao, Ying AU - Zhao Y AD - Department of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. FAU - Huang, Pu AU - Huang P AD - Department of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. FAU - Chen, Zhe AU - Chen Z AD - Department of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. FAU - Zheng, Si-Wei AU - Zheng SW AD - Department of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. FAU - Yu, Jin-Yang AU - Yu JY AD - Center for ADR Monitoring of Guangdong, Guangzhou, 510000, China. FAU - Shi, Chen AU - Shi C AD - Department of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. 29136909@qq.com. LA - eng PT - Journal Article DEP - 20170411 PL - China TA - J Huazhong Univ Sci Technolog Med Sci JT - Journal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban JID - 101169627 RN - 0 (Diterpenes) RN - 410105JHGR (andrographolide) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Child MH - Child, Preschool MH - China MH - Diterpenes/*administration & dosage/adverse effects MH - Drug Utilization MH - Female MH - Hospitals MH - Humans MH - Infant MH - Infant, Newborn MH - Injections MH - Male MH - Medicine, Chinese Traditional MH - Middle Aged MH - Respiratory Tract Infections/*drug therapy MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - adverse reaction OT - andrographolide total ester sulfonate OT - clinical use OT - hospital centralized monitoring OT - post-marketing reassessment EDAT- 2017/04/12 06:00 MHDA- 2017/06/14 06:00 CRDT- 2017/04/12 06:00 PHST- 2016/04/06 00:00 [received] PHST- 2016/10/26 00:00 [revised] PHST- 2017/04/12 06:00 [entrez] PHST- 2017/04/12 06:00 [pubmed] PHST- 2017/06/14 06:00 [medline] AID - 10.1007/s11596-017-1730-z [pii] AID - 10.1007/s11596-017-1730-z [doi] PST - ppublish SO - J Huazhong Univ Sci Technolog Med Sci. 2017 Apr;37(2):293-299. doi: 10.1007/s11596-017-1730-z. Epub 2017 Apr 11.