Chinese Journal of Pharmacovigilance ›› 2025, Vol. 22 ›› Issue (11): 1296-1299.
DOI: 10.19803/j.1672-8629.20240757

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One Case of Hypokalemia Caused by Abiraterone Actae Tablets

REN Guiling1, SU Changhai1, WANG Xing1, CHEN Gang1, YAN Qiuqiang2, YANG Junli1*   

  1. 1Department of Pharmacy, Erdos Central Hospital, Erdos Inner Mongolia 017000, China;
    2College of Stomatology, Inner Mongolia Medical University, Hohhot Inner Mongolia 010059, China
  • Received:2024-09-27 Online:2025-11-15 Published:2025-11-14

Abstract: Objective To study limb weakness caused by abiraterone-induced hypokalemia so as to provide references for safe use of abiraterone. Methods One case of limb weakness due to abiraterone-induced hypokalemia in a 74-year-old male patient with prostate cancer was analyzed. Related literature was retrieved to explore the mechanism of action, incidence and precautions related to abiraterone-induced hypokalemia. Results The clinical pharmacist took into consideration the history of disease and medications and concluded that the patient's limb weakness might be related to hypokalemia caused by abiraterone. After symptomatic treatment and optimization of treatment plans, the patient's blood potassium level returned to normal, and the symptoms of muscle weakness improved. Conclusion Clinicians should remind patients to take prednisone regularly while they take abiraterone, and monitor the blood potassium levels regularly (at least once a month) so as to detect and manage related adverse reactions quickly and ensure the safety of patients.

Key words: Abiraterone Acetate Tablets, Hypokalemia, Weakness of Limbs, Prednisone, Adverse Drug Reaction

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