中国药物警戒 ›› 2026, Vol. 23 ›› Issue (2): 210-212.
DOI: 10.19803/j.1672-8629.20250527

• 安全与合理用药 • 上一篇    下一篇

盐酸莫西沙星片与伏立康唑片联用致周围神经病变1例分析

吴晓平, 张永良   

  1. 山东大学附属威海市立医院药剂科,山东 威海 264200
  • 收稿日期:2025-08-06 出版日期:2026-02-15 发布日期:2026-02-13
  • 作者简介:吴晓平,女,硕士,主管药师,感染性疾病药物治疗与药品不良反应监测。

One Case of Peripheral Neuropathy Caused by Combination of Moxifloxacin Hydrochloride Tablets and Voriconazole Tablets

WU Xiaoping, ZHANG Yongliang   

  1. Department of Pharmacy Weihai Municipal Hospital Affiliated to Shandong University, Weihai Shandong 264200, China
  • Received:2025-08-06 Online:2026-02-15 Published:2026-02-13

摘要: 目的 探讨盐酸莫西沙星片与伏立康唑片联合使用致周围神经病变的不良反应及其机制,为临床合理用药提供参考。方法 分析1例老年患者联用莫西沙星与伏立康唑后出现周围神经病变的诊疗过程、危险因素、可能机制及治疗策略。结果 经关联性评价,判定周围神经病变为莫西沙星与伏立康唑联合使用所致。患者停药并予以对症治疗后,下肢活动改善,可独立行走。结论 临床上治疗肺部曲霉菌感染时,经常会合并使用莫西沙星,本例提示莫西沙星与伏立康唑联合使用时,可能会引发周围神经病变,应尽量避免两者同时使用,或监测血药浓度,确保患者用药安全。

关键词: 莫西沙星, 伏立康唑, 周围神经病变, 药品不良反应

Abstract: Objective To explore the adverse reaction-peripheral neuropathy-induced by the combination of moxifloxacin hydrochloride tablets and voriconazole tablets so as to provide a reference for rational clinical drug use. Methods The process of diagnosis and treatment, risk factors, possible mechanisms, and therapeutic strategies for peripheral neuropathy in an elderly patient following the combination of moxifloxacin and voriconazole were analyzed. Results Based on the correlation assessment, peripheral neuropathy was considered to have been caused by the combined use of moxifloxacin and voriconazole. After discontinuation of medication and symptomatic treatment, the patient's lower limb activity improved enough to enable him to walk on his own. Conclusion While moxifloxacin is commonly combined with voriconazole for pulmonary aspergillosis, the present case suggests that their concurrent use may induce peripheral neuropathy. It is recommended that this combination be avoided if possible. Prudence and pharmacovigilance are essential to safe medication.

Key words: Moxifloxacin, Voriconazole, Peripheral Neuropathy(PN), Adverse Drug Reaction

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