[适合孕妇及其未出生的孩子的药物剂量]
Charlotte Koldeweij1,2, Jolien J M Freriksen1, Saskia N de Wildt1
1Radboudumc, divisie Farmacologie en Toxicologie, afd. Farmacie, Nijmegen.
药理动力学模型可以帮助孕妇和其他缺乏基于证据的指导方针的人群确定安全的药物剂量. 这种方法旨在减少对母亲和儿童的治疗失败和毒性风险.
科学领域:
- 药理学 药理学是指药理学的学科.
- 药理动力学 药理动力学
- 药物新陈代谢 药物新陈代谢
背景情况:
- 怀孕期间使用药物是常见的,但生理变化可以改变药物处置.
- 缺乏孕期调整的药物剂量增加了治疗失败和孕妇和胎儿的毒性风险.
- 基于证据的剂量对儿童,老年人和肥胖患者等其他人群也很少.
研究的目的:
- 强调药理动力学 (PK) 模型在确定适当药物剂量的有用性.
- 解决孕妇和其他脆弱患者群体基于证据的剂量需求.
- 将PK模型预测转化为临床适用剂量的要求概述.
主要方法:
- 在药理动力学模型中利用生理和/或人口数据.
- 整合PK建模证据与临床研究数据.
- 涉及多学科专家评估.
主要成果:
- PK模型为计算孕妇和胎儿调整的药物剂量提供了一个框架.
- 这些模型还可以为儿科,老年和肥胖患者群体提供剂量信息.
- 成功的翻译需要严格的模型验证和专家评估.
结论:
- 药物动力学建模是优化怀孕期间药物安全性和有效性的宝贵工具.
- 这种方法可以弥合各种患者群体的证据差距.
- 临床实施需要强有力的验证,专家审查和对剂量考虑的明确沟通.
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