{"id":508869,"date":"2025-11-03T12:50:12","date_gmt":"2025-11-03T12:50:12","guid":{"rendered":"https:\/\/www.europesays.com\/fr\/508869\/"},"modified":"2025-11-03T12:50:12","modified_gmt":"2025-11-03T12:50:12","slug":"leurope-alerte-sur-des-erreurs-dadministration-graves","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/fr\/508869\/","title":{"rendered":"l\u2019Europe alerte sur des erreurs d\u2019administration graves"},"content":{"rendered":"<p>Le comit\u00e9 pour l\u2019\u00e9valuation des risques en mati\u00e8re de pharmacovigilance (Prac) de l\u2019Agence europ\u00e9enne des m\u00e9dicaments (EMA) a valid\u00e9 une communication aux professionnels de sant\u00e9 concernant l\u2019<a href=\"https:\/\/www.ema.europa.eu\/en\/news\/meeting-highlights-pharmacovigilance-risk-assessment-committee-prac-27-30-october-2025\" target=\"_blank\" rel=\"noopener\">acide tranexamique injectable<\/a>, plus connu en France sous le nom d\u2019<a href=\"https:\/\/www.lemoniteurdespharmacies.fr\/therapeutique\/medicaments\/fiches-medicaments\/exacyl-500-mg-comprimes-la-remise-a-disposition-confirmee\" target=\"_blank\" rel=\"noopener\">Exacyl<\/a> en solution injectable. Ce rappel vise \u00e0 pr\u00e9venir des erreurs d\u2019administration s\u00e9v\u00e8res observ\u00e9es en Europe, notamment par voies intrath\u00e9cale ou \u00e9pidurale. Ces recommandations ne sont pas encore transpos\u00e9es au niveau national.<\/p>\n<p>De nombreuses erreurs d\u2019administration<\/p>\n<p>Exacyl injectable, qui emp\u00eache la d\u00e9gradation des caillots sanguins, est utilis\u00e9 chez les adultes et les enfants \u00e0 partir d\u2019un an pour pr\u00e9venir et traiter les h\u00e9morragies. Il doit \u00eatre administr\u00e9 exclusivement par voie intraveineuse.<\/p>\n<p>Le Prac a relev\u00e9 plusieurs cas de confusion en Europe, o\u00f9 l\u2019acide tranexamique a \u00e9t\u00e9 inject\u00e9 par erreur par voie intrath\u00e9cale ou \u00e9pidurale (mais aussi intraventriculaire et intrac\u00e9r\u00e9brale), le plus souvent \u00e0 la place d\u2019un anesth\u00e9sique local. Cette administration a entra\u00een\u00e9 des <a href=\"https:\/\/www.lemoniteurdespharmacies.fr\/therapeutique\/vigilances\/pharmacovigilance-les-erreurs-medicamenteuses-en-hausse\" target=\"_blank\" rel=\"noopener\">effets ind\u00e9sirables graves<\/a> : douleurs aigu\u00ebs dans le dos et les membres inf\u00e9rieurs, crises convulsives, arythmies cardiaques et des d\u00e9c\u00e8s.<\/p>\n<p>Pour pr\u00e9venir ces erreurs, le Prac recommande notamment\u00a0:<\/p>\n<ul>\n<li>un \u00e9tiquetage clair des seringues\u00a0: \u00ab\u00a0Usage intraveineux uniquement\u00a0\u00bb,<\/li>\n<li>un stockage s\u00e9par\u00e9 de l\u2019acide tranexamique des autres injectables,<\/li>\n<li>une mise \u00e0 jour des r\u00e9sum\u00e9s des caract\u00e9ristiques du produit (RCP) et conditionnements pour renforcer les avertissements de s\u00e9curit\u00e9.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"Le comit\u00e9 pour l\u2019\u00e9valuation des risques en mati\u00e8re de pharmacovigilance (Prac) de l\u2019Agence europ\u00e9enne des m\u00e9dicaments (EMA) a&hellip;\n","protected":false},"author":2,"featured_media":508870,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1586],"tags":[11,536,1777,674,1011,27,63047,12,5794,25],"class_list":{"0":"post-508869","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-europe","8":"tag-actualites","9":"tag-communication","10":"tag-eu","11":"tag-europe","12":"tag-fr","13":"tag-france","14":"tag-iatrogenie","15":"tag-news","16":"tag-politiques-de-sante","17":"tag-republique-francaise"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@fr\/115485856587383876","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/fr\/wp-json\/wp\/v2\/posts\/508869","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/fr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/fr\/wp-json\/wp\/v2\/comments?post=508869"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/fr\/wp-json\/wp\/v2\/posts\/508869\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/fr\/wp-json\/wp\/v2\/media\/508870"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/fr\/wp-json\/wp\/v2\/media?parent=508869"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/fr\/wp-json\/wp\/v2\/categories?post=508869"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/fr\/wp-json\/wp\/v2\/tags?post=508869"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}