在怀孕期间启动低剂量布普伦诺芬:一个案例报告
Shivania Reddy1, Caitlin E Martin2,3
1School of Medicine, Virginia Commonwealth University, Richmond, VA (Ms Reddy).
AJOG global reports
|February 6, 2024
概括
低剂量布普伦诺芬启动为患有阿片类药物使用障碍的孕妇提供了一种新的方法,避免戒断症状. 这种方法显示承诺作为可接受的替代治疗阿片类药物使用障碍在怀孕期间.
科学领域:
- 产科和妇科 产科和妇科
- 成 药物 药物 药物 药物
- 药理学 药理学是指药理学的学科.
背景情况:
- 怀孕期间的阿片类药物使用障碍 (OUD) 对患者和胎儿都带来了重大挑战.
- 布普伦诺芬是孕妇使用OUD的推药物.
- 传统的布普伦诺芬启动方案通常要求患者在轻度到中度戒断,以防止急性戒断.
研究的目的:
- 评估低剂量布普伦诺芬在OUD孕妇患者中启动的安全性和可行性.
- 探索一种替代的OUD治疗启动策略,尽量减少戒断不适.
主要方法:
- 介绍了两项OUD孕妇患者的病例研究,这些患者接受了低剂量布普伦诺芬的启动.
- 该协议使用分裂的布普伦诺芬-纳洛膜.
- 启动是由一个特定的低剂量协议指导的,其中一个病例涉及住院和门诊阶段.
主要成果:
- 两名孕妇患者都没有在低剂量布普伦诺芬开始期间经历过急性戒断.
- 一名患者经历了先前快速启动的急剧戒断,突出了这种差异.
- 低剂量启动方案在住院和门诊环境中成功实施.
结论:
- 低剂量布普伦诺芬的启动似乎是OUD孕妇患者的安全和潜在的高度可接受的替代方案.
- 这种方法可能会规避在开始前出现戒断症状的需要.
- 需要进一步的研究来优化在怀孕期间个性化布普伦诺芬启动策略.
相关概念视频
Drugs for Treatment of Constipation-Predominant IBS
169
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
169
Opioid Analgesics: Synthetic and Semisynthetic Opioids
300
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
300
Factors Affecting Drug Response: Overview
2.0K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
2.0K


