药理动力学的性别差异
Irving Zucker1, Brian J Prendergast2
1Departments of Psychology and Integrative Biology, University of California, Berkeley, CA, USA. irvzuck@berkeley.edu.
妇女往往经历的药物度较高和更长的排泄时间比男性,导致更多的药物不良反应. 标准剂量忽略了这些药理动力学性别差异,冒着过度服用药物的风险和对女性的伤害.
科学领域:
- 药理学 药理学是指药理学的学科.
- 临床药理学 临床药理学
- 药品安全 药品安全
背景情况:
- 在临床试验中对女性的有限纳入限制了对基于性别的药理动力学差异的理解.
- 现有的数据显示,许多药物的药理动力学 (PK) 性差异显著.
研究的目的:
- 分析药物处置中的药理动力学性别差异的程度和临床影响.
- 评估PK性别差异与性别特异性药物不良反应 (ADR) 之间的关系.
主要方法:
- 分析了2020年的数据集,检查了86种药物的PK性别差异.
- 关联的PK变化与报道的ADR发生率的性别分层的变化.
主要成果:
- 与许多药物相比,女性通常表现出较高的血液度和长时间的药物消除.
- 在女性中较高的PK值和女性中增加的ADR发生率 (96%) 之间存在强烈的关联.
- 相反,当男性具有更高的PK值 (29%) 时,男性偏差的ADRs的预测很差.
结论:
- 药理动力学的性别差异很普遍,并且具有临床意义,有助于性别特异性的ADR模式.
- 当前的统一剂量实践忽略了PK变异,可能导致女性过度服用药物和增加副作用.
- 基于证据的,针对性别的剂量调整对于减轻这些风险和提高药物安全至关重要.
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