哺乳母亲处方药的使用和婴儿暴露:基于登记册的队列研究
Ditte Resendal Gotfredsen1,2, Ida M Heerfordt1, Christoffer Storm Baden1
1Department of Clinical Pharmacology, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Copenhagen, Denmark.
超过一半的纯母乳养母亲使用处方药,许多药物缺乏关键的婴儿安全数据. 这凸显了母乳养母亲及其婴儿的信息缺口.
科学领域:
- 药理学 药理学是指药理学的学科.
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 母乳被认为是婴儿的最佳营养.
- 母亲在母乳养期间使用处方药可以导致婴儿暴露.
- 关于在哺乳期母亲中使用处方药的患病率和安全性的数据有限.
研究的目的:
- 为了确定在母乳养母亲中使用处方药的流行率和模式.
- 评估这些药物的相对婴儿剂量 (RID) 信息是否可用.
- 为了确定暴露于孕产妇使用药物的婴儿的潜在风险.
主要方法:
- 一项基于人口的队列研究,利用2006年至2022年全国的丹麦登记数据.
- 在纯母乳养期间包括所有注册的母婴对.
- 通过国家卫生登记册识别活产婴儿,母乳养情况和母亲使用处方药的情况.
主要成果:
- 超过54%的纯母乳养婴儿 (n=290,945 out of 534,080) 接触过至少一种母亲使用的处方药.
- 通常处方的药物是用于,避孕,感染和疼痛管理.
- 很大一部分 (51.5%) 使用的全身性药物缺乏婴儿相对剂量信息.
结论:
- 在纯母乳养期间观察到处方药的使用率很高.
- 许多处方药在母乳中转移方面具有未知的安全性.
- 迫切需要更新监管措施和加强制药公司的努力,以提供可靠的婴儿安全数据.
更多相关视频
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
05:25Preclinical Model of Prenatal Delta-9-Tetrahydrocannabinol Exposure to Assess Its Impact on Neurodevelopmental Outcomes
Published on: February 28, 2025
相关概念视频
Factors Affecting Drug Response: Overview
Pharmacovigilance
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
Prescription, Nonprescription and Orphan Drugs
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...
Drug Regulation
Upper Respiratory Drugs: Antitussives, Expectorants, and Mucolytics
Antitussives include codeine, dextromethorphan (Robitussin), and benzonatate (Tessalon). Codeine and dextromethorphan exert their effects centrally by suppressing the cough reflex center in the medulla. Benzonatate operates peripherally within the respiratory tract by...
Drug Excretion: Pulmonary and Glandular Routes
Drugs can also be excreted in breast milk, which is crucial for breastfeeding infants. The...
