在怀孕期间药物的药理学审查
Christy L Pratt1, Nicole M Hahn2
1Pharmacy Department, Kaiser Permanente Colorado, 16601 East Centretech Parkway, Aurora, CO 80011, USA; Primary Care and Obstetrics and Gynecology Departments, Kaiser Permanente Colorado, 280 Exempla Circle, Lafayette, Colorado 80026, CO, USA.
怀孕改变了身体处理药物的方式,影响了药物暴露. 了解这些生理变化对于怀孕期间安全有效的药物管理至关重要.
科学领域:
- 药理学和孕产妇健康
背景情况:
- 大多数孕妇使用药物,但生理变化可以改变药物的药理动力学.
- 了解这些变化是怀孕期间安全使用药物的关键.
研究的目的:
- 解释怀孕期间的生理变化如何影响药物的吸收,分布,新陈代谢和分泌.
- 通过应用药理动力学原理,指导孕妇患者的药物管理.
主要方法:
- 在怀孕期间影响药物的药理动力学的生理变化的审查.
- 讨论治疗甲状腺功能低下症,抑郁症和等常见疾病的药物管理原则.
主要成果:
- 在怀孕期间的生理适应会显著改变药物暴露.
- 药理动力学原理为怀孕期间的药物管理提供了一个框架,即使具体数据有限.
结论:
- 建议采用多学科的团队方法来管理孕妇患者的药物管理.
- 涉及医生,药剂师和遗传咨询师的综合护理确保了最佳的结果.
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