在哺乳期使用药物
Margarita A P Berwick1, Anika J Heuberger2, Joimishael V Martin2
1Orlando Health Winnie Palmer Hospital for Women and Babies Ob/Gyn Hospitalist Group, Orlando, FL, USA.
Seminars in perinatology
|April 2, 2025
概括
在母乳养期间管理药物是复杂的,但很少有药物真正禁用. 基于证据的哺乳期药物使用指南正在得到改进,帮助医疗保健提供者制定安全计划.
科学领域:
- 药理学和毒理学 药理学和毒理学
- 哺乳期科学 哺乳期科学
- 基于证据的医学基于证据的医学.
背景情况:
- 哺乳期的药物管理对全球医疗保健专业人员来说是一个挑战.
- 从历史上看,在母乳养期间建议不要服用许多药物,但目前的理解正在演变.
- 从病例报告,药物转移研究和哺乳生理学中积累的数据可以为更安全的药物使用提供信息.
研究的目的:
- 审查当前关于母乳养中药物使用的科学知识.
- 描述影响婴儿通过母乳接触药物的药理动力学因素.
- 提供一个实用的算法和案例研究,用于制定哺乳期患者的药物管理计划.
主要方法:
- 病例报告,定量研究和药理动力学数据的文献综述.
- 对哺乳期生理学和药物转移到母乳中的分析.
- 为药物管理开发临床算法和案例研究.
主要成果:
- 很少有药物在母乳养中绝对禁用;大多数可以通过仔细考虑来管理.
- 药物动力学原理对于理解和最大限度地减少婴儿药物暴露至关重要.
- 基于证据的指导越来越多地可用于支持临床决策.
结论:
- 医疗保健提供者可以越来越多地为哺乳期间的药物使用提供基于事实的指导.
- 综合临床资源和药理学数据的系统方法有助于安全药物管理.
- 对于需要药物治疗的哺乳期患者来说,个性化管理计划是必不可少的.
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