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Published on: August 4, 2023
Analgesics in Pregnancy and Lactation: Safe Medication Practices.
Mark Donaldson1, Jason H Goodchild2
1Associate Principal, Vizient Pharmacy Advisory Solutions, Irving, Texas; Clinical Professor, School of Pharmacy, University of Montana, Missoula, Montana; Clinical Assistant Professor, School of Dentistry, Oregon Health and Sciences University, Portland, Oregon; Adjunct Professor, Faculty of Dentistry, University of British Columbia, Vancouver, British Columbia; Fellow, American Society of Health-System Pharmacists; Fellow, American College of Healthcare Executives®.
Pregnant and breastfeeding women commonly use prescription medications. This guide offers evidence-based information on safe analgesic prescribing for dental patients, ensuring positive maternal and child health outcomes.
Area of Science:
- Pharmacology
- Obstetrics
- Dental Medicine
Background:
- Medication use during pregnancy and breastfeeding is prevalent and increasing.
- Concerns exist regarding safe analgesic prescribing for pregnant/breastfeeding women due to the opioid epidemic and updated drug safety information.
- Existing guidelines and safety data for medications like acetaminophen create uncertainty for prescribers.
Purpose of the Study:
- To provide an organized resource on analgesic use for pregnant or breastfeeding dental patients.
- To equip oral healthcare providers with evidence-based information on medication safety during pregnancy and breastfeeding.
- To support informed patient counseling for optimal maternal and child health outcomes.
Main Methods:
- Review of existing literature on medication use in pregnant and breastfeeding populations.
- Analysis of US Food and Drug Administration (FDA) pregnancy categories for common analgesics.
- Synthesis of current guidelines and safety data for pain management in dental patients.
Main Results:
- Two-thirds of pregnant women use prescription medications.
- Breastfeeding women use more medications monthly than pregnant women.
- Evidence-based data on analgesic safety is crucial for advising patients.
Conclusions:
- Oral healthcare providers need accessible, evidence-based information on safe analgesic prescribing for pregnant and breastfeeding patients.
- Informed medication therapy decisions contribute to healthy outcomes for mothers and infants.
- Preparedness with current safety data empowers providers to effectively manage pain in this patient population.
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