低剂量布普伦诺芬在怀孕期间的启动:系统性审查
Kyle A Grenier1, Carly S Sanderson, Giuliano Paoletta
1University of Connecticut School of Pharmacy, Storrs, CT (KAG, CSS, GP, KKA).
Journal of addiction medicine
|July 17, 2025
概括
在孕妇患者中,低剂量布普伦诺芬启动 (LDBI) 显示不常见的急性戒断. 一些戒断症状是常见的,但需要更多的研究来证实这些发现.
科学领域:
- 产科和妇科 产科和妇科
- 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:
- 传统的布普伦诺芬启动需要阿片类药物戒断.
- 低剂量布普伦诺芬启动 (LDBI) 是为了避免这种先决条件而开发的.
- 在孕妇中,LDBI越来越多地用于治疗阿片类药物使用障碍.
研究的目的:
- 为了确定使用LDBI转换为布普伦诺芬的孕妇患者的戒断率.
- 在这个人群中评估LDBI的安全性和耐受性.
主要方法:
- 系统性文献审查的Embase,MEDLINE,Scopus,谷歌,谷歌学者,和clinicaltrials.gov.gov的临床研究.
- 包括观察性研究评估LDBI在孕妇患者.
- 提取患者数据和合成戒断结果.
主要成果:
- 包括7项观察性研究,涉及25名独特患者.
- 在8%的患者中发生了急性戒断.
- 32%的患者经历了轻度到中度的戒断,尽管报告不一致.
结论:
- 新出现的证据表明,LDBI在孕妇患者中是可行的.
- 虽然有些戒断是常见的,但急性戒断是罕见的.
- 需要进一步进行高质量的研究,包括随机对照试验,以确认这些发现并解决潜在的偏见.
相关概念视频
Drugs for Treatment of Constipation-Predominant IBS
347
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...
347
Opioid Analgesics: Synthetic and Semisynthetic Opioids
438
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...
438
Factors Affecting Drug Response: Overview
2.4K
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...
2.4K
Upper Respiratory Drugs: Antitussives, Expectorants, and Mucolytics
444
Respiratory symptoms, such as congestion and cough, commonly accompany respiratory tract conditions. Various medications, such as antitussives, expectorants, and mucolytics, play crucial roles in providing relief.
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...
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...
444
Analgesia and Pain Management
811
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
811
Drug Dependence
1.2K
Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
1.2K


