Chinese Journal of Pharmacovigilance ›› 2025, Vol. 22 ›› Issue (2): 227-230.
DOI: 10.19803/j.1672-8629.20240455

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One Case of Thrombocytopenia and Leukopenia Induced by Teicolanin and Rebabapide

KOU Jiejian1,2, WANG Yangai1,*   

  1. 1Department of Pharmacy, Xuanwu Hospital of Capital Medical University, Beijing 100053, China;
    2Department of Pharmacy, Huaihe Hospital, Henan University, Kaifeng Henan 475000, China
  • Received:2024-07-02 Online:2025-02-17 Published:2025-02-17

Abstract: Objective To investigate the clinical characteristics and possible mechanism of thrombocytopenia and leukopenia induced by teicoplanin and rebamipide and provide a reference for safe clinical use. Methods One case of thrombocytopenia and leukopenia induced by teicoplanin and rebamipide was reported. Based on related literature, the mechanism of adverse reactions was analyzed. Results The patient experienced thrombocytopenia and leukopenia after using teicoplanin and rabamipide for 2 days respectively. Clinical pharmacists traced the patient's medications and consulted the drug instructions and related literature before they concluded that thrombocytopenia was related to teicolanin, and leukopenia to rebabapide. Therefore, they recommended that these two drugs be discontinued. Eight days and four days after discontinuation of teicoplanin and rebamipide, respecvtively, platelet transfusion was given and the platelet and white blood cell counts gradually returned to normal. Conclusion Clinicians are to be alert to the risk of such adverse reactions as thrombocytopenia and leukopenia caused by teicoplanin and rebamipide. In case of adverse reactions, related drugs should be discontinued promptly and symptomatic treatment should be given to ensure safe medication.

Key words: Teicoplanin, Rebamipide, Thrombocytopenia, Leukopenia, Adverse Drug Reaction

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