在接受阿片类药物使用障碍药物治疗的妇女中,怀孕率
Jennifer K Bello1, Kevin Y Xu2, Joanne Salas3
1Department of Family and Community Medicine, Saint Louis University School of Medicine, St. Louis, MO, USA. jennifer.bellokottenstette@health.slu.edu.
Journal of general internal medicine
|February 29, 2024
概括
药物治疗阿片类药物使用障碍 (MOUD) 对OUD患者的受孕率产生影响. 延长释放的纳尔特雷克松增加了怀孕的几率,而甲和布普伦诺芬降低了它们.
科学领域:
- 生殖健康 生殖健康
- 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:
- 患有阿片类药物使用障碍 (OUD) 的人需要有关阿片类药物使用障碍 (MOUD) 药物如何影响生育能力的信息.
- 有限的研究存在于MOUD对OUD的孕妇对怀孕的影响.
研究的目的:
- 确定MOUD治疗与OUD患者分娩时怀孕概率之间的关联.
- 利用国家行政索赔数据来分析受孕率.
主要方法:
- 采用了回顾性案例交叉研究设计.
- 分析了2006-2016年国家行政索赔数据.
- 条件后勤回归模拟的怀孕几率基于MOUD暴露 (布普诺芬,甲,纳尔特雷).
主要成果:
- 分析包括来自19,133名OUD患者的21,928例分娩.
- 与没有MOUD相比,甲和布普伦诺芬治疗与受孕几率降低有关.
- 延长释放的纳尔特雷克松与怀孕几率的增加有关,而口服纳尔特雷克松没有显著差异.
结论:
- MOUD 对怀孕的影响因药物类型而异.
- 与没有MOUD相比,延长释放的纳尔特雷克松与受孕的相关性更高.
- 进一步的临床研究对于验证这些发现至关重要.
相关概念视频
Opioid Analgesics: Synthetic and Semisynthetic Opioids
295
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...
295
Prescription, Nonprescription and Orphan Drugs
728
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
728
Opioid Analgesics: Morphine and Other Natural Cogeners
249
Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
249
Drug Abuse and Addiction: Pharmacological Phenomena
472
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
472
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
Drugs for Treatment of Constipation-Predominant IBS
163
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...
163


