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1. ÀüÀ̼º °áÀå, Á÷Àå¾Ï¿¡ 1Â÷ Ä¡·áÁ¦·Î½á 5-fluorouracil ¹× folinic acid(leucovorin)¿Í º´¿ë Åõ¿©ÇÑ´Ù.
2. ¿ø¹ß Á¾¾çÀ» ¼ö¼ú·Î ¿ÏÀüÈ÷ ÀýÁ¦(complete resection)ÇÑ stage III (Duke's C) °áÀå¾Ï¿¡ 5-fluorouracil°ú folinic acid(leucovorin)¸¦ º´¿ëÇÏ¿© º¸Á¶Àû ¿ä¹ý(adjuvant treatment)À¸·Î »ç¿ë
3. ¼ö¼úÀÌ ºÒ°¡´ÉÇÑ ÁøÇ༺ ¶Ç´Â ÀüÀ̼º À§¾Ï
4. Ä«Æä½ÃŸºó°ú º´¿ëÇÏ¿© stage ¥±, ¥² À§¾ÏÀÇ ¼ö¼ú ÈÄ º¸Á¶¿ä¹ý
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* Àý´ë ÀÓÀǺ¹¿ëÇÏÁö ¸¶½Ã°í ¹Ýµå½Ã ÀÇ»ç ¶Ç´Â ¾à»ç¿Í »ó´ãÇϽñ⠹ٶø´Ï´Ù.
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1. ÀüÀ̼º °áÀå, Á÷Àå¾Ï¿¡ 1Â÷ Ä¡·áÁ¦·Î½á 5-fluorouracil ¹× folinic acid(leucovorin)¿Í º´¿ë Åõ¿© : ±ÇÀå¿ë·®Àº 85mg/m2À¸·Î ¸Å 2ÁÖ¸¶´Ù Á¤¸Æ³»Åõ¿©ÇÑ´Ù.
2. ¿ø¹ß Á¾¾çÀ» ¼ö¼ú·Î ¿ÏÀüÈ÷ ÀýÁ¦(complete resection)ÇÑ stage III (Duke's C) °áÀå¾Ï¿¡ 5-fluorouracil°ú folinic acid(leucovorin)¸¦ º´¿ëÇÏ¿© º¸Á¶Àû ¿ä¹ý(adjuvant treatment)À¸·Î »ç¿ë : ±ÇÀå ¿ë¹ý¡¤¿ë·®Àº ´ÙÀ½°ú °°ÀÌ ¸Å 2ÁÖ¸¶´Ù Åõ¿©Çϸç, 12ÁÖ±â(6°³¿ù)µ¿¾È Áö¼ÓÇÑ´Ù.
Åõ¿© 1ÀÏ: ÀÌ ¾à 85mg/m2¸¦ Á¡ÀûÁ¤ÁÖÇÏ°í µ¿½Ã¿¡ leucovorin 200mg/m2À» ´Ù¸¥ bagÀ¸·Î 2½Ã°£¿¡ °ÉÃÄ Á¡ÀûÁ¤ÁÖÇÑ ÈÄ, 5-fluorouracil 400mg/m2À» bolus·Î Á¤¸ÆÁÖ»çÇϰí, 5-fluorouracil 600mg/m2À» 22½Ã°£¿¡ °ÉÃÄ Á¡ÀûÁ¤ÁÖÇÑ´Ù.
Åõ¿© 2ÀÏ: leucovorin°ú 5-fluorouracil¸¦ Åõ¿© 1Àϰú µ¿ÀÏÇÏ°Ô Åõ¿©ÇÑ´Ù (leucovorin 200mg/m2À» 2½Ã°£¿¡ °ÉÃÄ Á¡ÀûÁ¤ÁÖÇÑ ÈÄ, 5-fluorouracil 400mg/m2À» bolus·Î Á¤¸ÆÁÖ»çÇϰí, 5-fluorouracil 600mg/m2À» 22½Ã°£¿¡ °ÉÃÄ Á¡ÀûÁ¤ÁÖÇÑ´Ù)
3. ¼ö¼úÀÌ ºÒ°¡´ÉÇÑ ÁøÇ༺ ¶Ç´Â ÀüÀ̼º À§¾Ï : ±ÇÀå ¿ë·®Àº ÀÌ ¾à 100mg/m2·Î Ưº°ÇÑ µ¶¼ºÀÌ ³ªÅ¸³ªÁö ¾ÊÀº °æ¿ì, ¸Å 2ÁÖ¸¶´Ù Á¡ÀûÁÖÀÔÀ¸·Î Åõ¿©µÈ 5-fluorouracil ¹× folinic acid(leucovorin)¿Í º´¿ëÅõ¿©ÇÑ´Ù.
4. stage ¥±, ¥² À§¾ÏÀÇ ¼ö¼ú ÈÄ º¸Á¶¿ä¹ý : ÀÌ ¾àÀÇ ±ÇÀå ¿ë·®Àº 130 mg/m2·Î, ¸Å 3ÁÖ¸¶´Ù 2½Ã°£¿¡ °ÉÃÄ Á¤¸ÆÁÖÀÔÇϸç, º´¿ëÅõ¿©ÇÏ´Â Ä«Æä½ÃŸºóÀº 3ÁÖ¸¦ 1ÁÖ±â·ÎÇÏ¿© 2ÁÖ µ¿¾È 1ÀÏ 2ȸ 1000 mg/m2À» °æ±¸Åõ¿©Çϰí 1ÁÖ ÈÞ¾àÇÑ´Ù.
¿ë·®Àº ³»¾à¼º¿¡ µû¶ó Á¶ÀýµÇ¾î¾ß ÇÑ´Ù.
ÀÌ ¾àÀº 5-fluorouracil º¸´Ù Ç×»ó ¸ÕÀú Åõ¿©µÇ¾î¾ß ÇÑ´Ù.
ÀÌ ¾àÀº Èñ¼®ÇÑ ÈÄ Åõ¿©ÇÑ´Ù. ÀÌ ¾àÀº ¹Ýµå½Ã ±ÇÀå ¿ë¸Å¸¦ ÀÌ¿ëÇÏ¿© Èñ¼®µÇ¾î¾ß ÇÑ´Ù.
ÃÖÁ¾³óµµ°¡ 0.2mg/mlÀÌ»óÀÌ µÇµµ·Ï 5% Æ÷µµ´ç ¿ë¾× 250-500ml·Î Èñ¼®ÇÑ ÈÄ ¸»ÃÊÁ¤¸Æ ȤÀº Á᫐ Á¤¸Æ¼±À» ÅëÇØ 2-6½Ã°£ µ¿¾È Á¡ÀûÅõ¿©ÇÑ´Ù.
ÀÌ ¾àÀº Åõ¿© ºÎÀ§¿¡ ¼³Ä¡µÈ Y-lineÀ» ÀÌ¿ëÇÏ¿©, 5% Æ÷µµ´ç ¿ë¾×¿¡ Èñ¼®ÇÑ folinic acid¿Í µ¿½Ã¿¡ Åõ¿©ÇÒ ¼ö ÀÖ´Ù. ÀÌ ¾à¹°µéÀº µ¿ÀÏÇÑ ÁÖÀÔ¿ë bag ¾È¿¡¼ È¥ÇյǾ ¾ÈµÇ¸ç, folinic acid´Â Æ®·Î¸ÞŸ¸ôÀ» ÷°¡Á¦·Î Æ÷ÇÔÇØ¼´Â ¾ÈµÈ´Ù.
ÀÌ ¾àÀº ÁÖ·Î 5-fluorouracilÀÇ ¿¬¼Ó Á¡ÀûÁÖÀÔÀ» ±âº»À¸·Î ÇÏ´Â ¿ä¹ý°ú º´¿ëÇÏ¿© Åõ¿©µÇ¾ú´Ù. ¸Å 2ÁÖ¸¶´Ù Åõ¿©½Ã, 5-fluorouracilÀ» bolus·Î Åõ¿©Çϰí, ¿¬¼Ó Á¤ÁÖÇÏ´Â Åõ¿©¿ä¹ýÀÌ »ç¿ëµÇ¾ú´Ù.
ÀÌ ¾à Åõ¿©½Ã hydration ÇÒ ÇÊ¿ä´Â ¾ø´Ù.
ÀÏÇ÷(extravasation)ÀÌ ¹ß»ýÇÏ´Â °æ¿ì¿¡´Â Áï°¢ Åõ¿©¸¦ ÁßÁöÇÑ´Ù(¡®10. Àû¿ë»óÀÇ ÁÖÀÇ¡¯ Ç× ÂüÁ¶).
½ÅÀå¾Ö ȯÀÚ : ÀÌ ¾àÀº ÁßÁõÀÇ ½ÅÀå¾Ö ȯÀÚ¿¡°Ô Åõ¿©Çؼ´Â ¾ÈµÈ´Ù. ÁßµîÁõÀÇ ½ÅÀå¾Ö ȯÀÚ¿¡°Ô Åõ¿©ÇÒ ¶§ Á¤»óÀûÀÎ ±ÇÀå¿ë·®À¸·Î Åõ¿©¸¦ ½ÃÀÛÇÒ ¼ö ÀÖÀ¸¸ç, °æÁõÀÇ ½ÅÀå¾Ö ȯÀÚ¿¡°Ô Åõ¿©ÇÒ ¶§´Â ¿ë·®À» Á¶ÀýÇÒ Çʿ䰡 ¾ø´Ù(»ç¿ë»ó ÁÖÀÇ»çÇ× Áß ¡®1. °æ°í¡¯ Ç× ÂüÁ¶).
°£Àå¾Ö ȯÀÚ : ¸î¸î ´Ü°èÀÇ °£Àå¾Ö ȯÀÚ¸¦ Æ÷ÇÔÇÑ 1»ó ÀÓ»ó½ÃÇè¿¡¼, °£´ãµµ°è ÀÌ»óÀÇ ºóµµ ¹× ÁßÁõµµ´Â ÁøÇàµÈ Áúȯ ¹× ±âÀú °£±â´É °Ë»ç ÀÌ»ó°ú °ü·ÃµÈ °ÍÀ¸·Î º¸¿´´Ù. °³¹ßµµÁß °£±â´É °Ë»ç°á°ú°¡ ºñÁ¤»óÀûÀΠȯÀÚ¿¡¼ Ưº°ÇÑ ¿ë·®Á¶ÀýÀº ¾ø¾ú´Ù.
°í·ÉÀÚ : ÀÌ ¾àÀ» ´Üµ¶ ȤÀº 5-fluorouracil °ú º´¿ëÅõ¿©ÇÑ °æ¿ì 65¼¼ ÀÌ»óÀÇ È¯ÀÚ¿¡¼ ÁßÁõ µ¶¼ºÀº Áõ°¡ÇÏÁö ¾Ê¾Ò´Ù. µû¶ó¼ °í·ÉÀÚ¸¦ ´ë»óÀ¸·Î Ưº°ÇÑ ¿ë·®Á¶ÀýÀº ÇÊ¿äÇÏÁö ¾Ê´Ù.
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2) ÀӺΠ¶Ç´Â ÀÓ½ÅÇϰí ÀÖÀ» °¡´É¼ºÀÌ ÀÖ´Â ºÎÀÎ, ¼öÀ¯ºÎ
3) ù¹øÂ° Åõ¿©ÁÖ±â ÀÌÀü¿¡ È£Áß±¸¼ö < 2 x 109/L À̰í/À̰ųª Ç÷¼ÒÆÇ¼ö< 100 x 109 /L·Î½á °ñ¼ö ¾ïÁ¦°¡ Àִ ȯÀÚ
4) ù¹øÂ° Åõ¿©ÁÖ±â ÀÌÀü¿¡ ±â´ÉÀû ¼Õ»óÀÌ ÀÖ´Â ¸»Ãʰ¨°¢½Å°æº´ÁõÀÌ Àִ ȯÀÚ(¸»ÃʽŰæÁõ»óÀÌ ¾Ç鵃 ¿ì·Á°¡ ÀÖ´Ù.)
5) ½Å±â´ÉÀÌ ½ÉÇÏ°Ô ¼Õ»óµÈ ȯÀÚ(Å©·¹¾ÆÆ¼´Ñ û¼ÒÀ²ÀÌ 30ml/min ÀÌÇÏ)(ÀϹÝÀû ÁÖÀÇÇ× ÂüÁ¶)
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1) ½ÉÁúȯÀÌ Àִ ȯÀÚ(½ÉÁúȯÀÌ ¾Ç鵃 ¿ì·Á°¡ ÀÖ´Ù)
2) °¨¿°ÁõÀÌ Àִ ȯÀÚ(ÀÌ ¾àÀÇ °ñ¼ö±â´É ¾ïÁ¦ÀÛ¿ë¿¡ ÀÇÇØ °¨¿°ÁõÀÌ ¾Ç鵃 ¿ì·Á°¡ ÀÖ´Ù)
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º¹¾àÀ̹ÌÁöÀÇ Ç¥½Ã¿©ºÎ´Â ½ÇÁ¦ ¾à¹°º¹¿ë½Ã Á߿䵵¿¡ µû¸¥°ÍÀº ¾Æ´Ï¸ç ´Ü¼øÈ÷ Çã°¡Á¤º¸»ó Ű¿öµå¸¦ ±âÁØÀ¸·Î µî·ÏµÇ¾ú½À´Ï´Ù. |
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±ÍÇϰ¡ º¹¾àÀ̹ÌÁö Á¤º¸¸¦ ½Å·ÚÇÔÀº ÀüÀûÀ¸·Î ±ÍÇÏÀÇ Ã¥ÀÓÀÔ´Ï´Ù. µå·°ÀÎÆ÷´Â ÀÌ¿¡ ´ëÇÑ ¾î¶°ÇÑ º¸Áõµµ ÇÏÁö ¾Ê½À´Ï´Ù. |
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°áÀå¾Ï »óº´¿¡ XELOX(Á©·Î´Ù+¿¤·Ï»çƾ) Ä¡·á ½ÇÆÐ ÈÄ Åõ¿©µÈ FOLFOX(5-¿¡ÇÁÀ¯ + ·ùÄÚº¸¸° + ¿¤·Ï»çƾ) ¿ä¹ý¿¡ ´ëÇÏ¿©
¡á û±¸³»¿ª ¡Û »ó º´ ¸í : ±¸ºÒ°áÀå ¾Ç¼º½Å»ý¹° ¡Û ÀÔ¿øÀϼö : 6ÀÏ(¡®09.9.6 ~ 9.11) ¡Û ÁÖ¿äû±¸³»¿ª [ÁÖ»ç·á] 5-¿¡ÇÁÀ¯ÁÖ 3X2 (500mg) 2X2 (250mg) (9/8) Æú¸®³×ÀÌÆ®Ä®½· 4X2 (100mg) (9/8) ¿¤·Ï»çƾÁÖ 1X1 (100mg) 2X1 (50mg) (9/8)
¡á Áø·á³»¿ª(³²/56¼¼) ¡Û XELOX(Á©·Î´Ù+¿¤·Ï»çƾ) : 2009.1.5 ~ 6.29 1~7Â÷ Åõ¿© ¢Ñ ¿¤·Ï»çƾ¿¡ °ú¹Î¹ÝÀÀ(Anaphylaxis)ÀÌ ³ªÅ¸³ª 7Â÷ Åõ¿© ù³¯(6/29ÀÏ) Åõ¿© Áß´ÜÇÔ. ¡Û 8/27ÀÏ CT°Ë»ç °á°ú »ó ¾ÇÈ¼Ò°ß È®ÀεÊ. ¡Û 9/8ÀÏ FOLFOX(5-¿¡ÇÁÀ¯ÁÖ/Æú¸®³×ÀÌÆ®Ä®½·+¿¤·Ï»çƾÁÖ) 1Â÷ Åõ¿©
¡á Âü°í ¡Û NCCN Clinical Practice guideline in oncology, Colon cancer, v.3.2009 ¡Û Advanced colorectal cancer: ESMO Clinical Recommendations for diagnosis, treatment and follow-up, E. Van Cutsem, Annals of Oncology 20 (Supplement 4): iv61.iv63, 2009
¡á ½ÉÀdz»¿ë µ¿ °ÇÀº °áÀå¾Ï »óº´¿¡ XELOX(capecitabine + Oxaliplatin) 7Â÷ Ä¡·á Áß ¹ß»ýÇÑ Anaphylaxis·Î ¾àÁ¦ Åõ¿©¸¦ Áß´ÜÇÏ´Ù 2°³¿ù ÈÄ ¾ÇȼҰßÀÌ È®ÀεǾî FOLFOX(5-FU+Leucovorin+Oxaliplatin) ¿ä¹ýÀ» Åõ¿©ÇÑ »ç·Ê·Î ÃæºÐÇÑ Åõ¿©(1Â÷~7Â÷) ÈÄ ¾àÁ¦°¡ Áß´ÜµÈ »óÅ¿¡¼ 2°³¿ù ¸¸¿¡ º´ÀÌ ÁøÇàµÈ °ÍÀº ¾àÁ¦ Åõ¿© ½ÇÆÐ·Î ÆÇ´ÜµÇ¸ç ÀÌ¹Ì ½ÇÆÐÇÑ ¾àÁ¦´Â ³»¼º µîÀ» °¨¾ÈÇÏ¿© Àç Åõ¿©ÇÏÁö ¾Ê´Â °ÍÀÌ ÀϹÝÀûÀÎ ¿øÄ¢Àι٠µ¿ °Ç¿¡ Åõ¿©µÈ FOLFOX(5-FU+Leucovorin+Oxaliplatin) ¿ä¹ýÀº ÀÎÁ¤ÇÏÁö ¾Æ´ÏÇÔ.
[2010.6.28 Áø·á½É»çÆò°¡À§¿øÈ¸]
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[º´¿ë¿¬·É±Ý±â ÀǾàǰ / ÀӺαݱâ ÀǾàǰ / ºñ¿ëÈ¿°úÀû ÇÔ·® ÀǾàǰ / ¾ÈÀü¼º °ü·Ã ±Þ¿©ÁßÁö ÀǾàǰ]
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| DUR (ÀǾàǰ»ç¿ëÆò°¡) |
º´¿ë±Ý±â :
°í½ÃµÈ º´¿ë±Ý±â ³»¿ëÀº ¾ø½À´Ï´Ù.
[»óÈ£ÀÛ¿ë/º´¿ë±Ý±â°Ë»ö]
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°í½ÃµÈ ¿¬·É±Ý±â ³»¿ëÀº ¾ø½À´Ï´Ù.
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| Mechanism of Action |
Oxaliplatin¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ After activation oxaliplatin binds preferentially to the guanine and cytosine moieties of DNA, leading to cross-linking of DNA, thus inhibiting DNA synthesis and function.
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| Pharmacology |
Oxaliplatin¿¡ ´ëÇÑ Pharmacology Á¤º¸ Oxaliplatin selectively inhibits the synthesis of deoxyribonucleic acid (DNA). The guanine and cytosine content correlates with the degree of Oxaliplatin-induced cross-linking. At high concentrations of the drug, cellular RNA and protein synthesis are also suppressed.
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| Absorption |
Oxaliplatin¿¡ ´ëÇÑ Absorption Á¤º¸ Bioavailability is complete following intravenous administration.
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| Toxicity |
Oxaliplatin¿¡ ´ëÇÑ Toxicity Á¤º¸ There have been five cases of oxaliplatin overdose reported. One patient received two 130 mg/m2 doses of oxaliplatin (cumulative dose of 260 mg/m2) within a 24-hour period. The patient experienced Grade 4 thrombocytopenia (<25,000/mm3) without any bleeding, which resolved. Two other patients were mistakenly administered oxaliplatin instead of carboplatin. One patient received a total oxaliplatin dose of 500 mg and the other received 650 mg. The first patient experienced dyspnea, wheezing, paresthesia, profuse vomiting and chest pain on the day of administration. She developed respiratory failure and severe bradycardia, and subsequently did not respond to resuscitation efforts. The other patient also experienced dyspnea, wheezing, paresthesia, and vomiting.
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| Drug Interactions |
Oxaliplatin¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Not Available
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CYP450 Drug Interaction |
[CYP450 TableÁ÷Á¢Á¶È¸]
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| Drug Target |
[Drug Target]
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| Description |
Oxaliplatin¿¡ ´ëÇÑ Description Á¤º¸ Oxaliplatin is a platinum-based chemotherapy drug in the same family as cisplatin and carboplatin. It is typically administered in combination with fluorouracil and leucovorin in a combination known as Folfox for the treatment of colorectal cancer. Compared to cisplatin the two amine groups are replaced by cyclohexyldiamine for improved antitumour activity. The chlorine ligands are replaced by the oxalato bidentate derived from oxalic acid in order to improve water solubility. Oxaliplatin is marketed by Sanofi-Aventis under the trademark Eloxatin¢ç.
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| Drug Category |
Oxaliplatin¿¡ ´ëÇÑ Drug_Category Á¤º¸ Antineoplastic Agents
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| Smiles String Canonical |
Oxaliplatin¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ [Pt++].[O-]C(=O)C([O-])=O.NC1CCCCC1N
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| Smiles String Isomeric |
Oxaliplatin¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ [Pt++].[O-]C(=O)C([O-])=O.N[C@@H]1CCCC[C@H]1N
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| InChI Identifier |
Oxaliplatin¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/C6H14N2.C2H2O4.Pt/c7-5-3-1-2-4-6(5)8;3-1(4)2(5)6;/h5-6H,1-4,7-8H2;(H,3,4)(H,5,6);/q;;+2/p-2/t5-,6-;;/m1../s1/fC6H14N2.C2O4.Pt/q;-2;m
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| Chemical IUPAC Name |
Oxaliplatin¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ (1R,2R)-cyclohexane-1,2-diamine; oxalate; platinum(+2) cation
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µå·°ÀÎÆ÷ ÀǾàÇмúÁ¤º¸´Â ½ÄǰÀǾàǰ¾ÈÀüóÀÇ Á¦Ç°Çã°¡»çÇ×, Çмú¹®Çå, Á¦¾àȸ»ç Á¦°øÁ¤º¸ µîÀ» ±Ù°Å·Î ÀÛ¼ºµÈ Âü°í Á¤º¸ÀÔ´Ï´Ù.
Á¤º¸ÀÇ Á¤È®¼ºÀ» À§ÇØ ³ë·ÂÇϰí ÀÖÀ¸³ª ÆíÁý»óÀÇ ¿À·ù, Çã°¡»çÇ× º¯°æ, Ãß°¡ÀûÀÎ Çмú¿¬±¸ ¶Ç´Â Àӻ󿬱¸ ¹ßÇ¥ µîÀ¸·Î ÀÎÇØ ¹ß»ýÇÏ´Â ¹®Á¦¿¡ ´ëÇØ µå·°ÀÎÆ÷´Â
Ã¥ÀÓÀ» ÁöÁö ¾Ê½À´Ï´Ù. ÀÚ¼¼ÇÑ ³»¿ëÀº ¡°Ã¥ÀÓÀÇ ÇÑ°è ¹× ¹ýÀû°íÁö¡±¸¦ ÂüÁ¶ÇØ ÁֽʽÿÀ.
¹Ýµå½Ã Á¦Á¶¡¤¼öÀÔ»ç, ÆÇ¸Å»ç, ÀÇ»ç, ¾à»ç¿¡°Ô ÃÖÁ¾ÀûÀ¸·Î È®ÀÎÇϽñ⠹ٶø´Ï´Ù.
ÀüÈ: 02-3486-1061 ¤Ó À̸ÞÀÏ: webmaster@druginfo.co.kr
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