关于哺乳期药物治疗的资源和药物信息
概括
本综述审查了为医疗保健提供者在母乳养期间对药物做出决定的信息来源. 它强调了基于证据的资源对于安全的婴儿和母亲护理的重要性.
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:
- 哺乳是婴儿最佳营养,促进健康和母婴关系.
- 医疗保健提供者需要可靠的信息来做出哺乳期的药物决定.
研究的目的:
- 对用于母乳养药物治疗的专业信息来源进行叙述性审查.
- 评估这些来源对医疗保健提供者的有用性.
主要方法:
- 对初级证据的审查 (案例报告,研究,ADR系统).
- 对二次来源的分析 (评论,元分析).
- 评估第三级来源 (专著,指南,数据库,监管文件,药物信息服务).
主要成果:
- 确定了各种信息来源:初级,二级和三级证据.
- 突出了像海尔的药物和母亲的牛奶,LactMed和婴儿风险中心等资源.
- 强调了药理动力学数据和个性化评估的作用.
结论:
- 基于证据的来源的批判性评估对于安全的母乳养药物治疗至关重要.
- 多学科的方法确保了母乳养妇女的有效治疗.
- 有信息的决策支持婴儿健康和持续母乳养.
相关概念视频
Drug Dosing: Infants and Children
231
Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
231
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
229
Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
229
Pharmacokinetics in Pediatric Patients: Drug Distribution
240
Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
240
Pharmacokinetics in Pediatric Patients: Drug Excretion
194
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
194
Drug Administration and Therapy Phases: Overview
1.1K
Drugs, the chemical agents used in diagnosing, treating, or preventing diseases, undergo a four-phase process of development: pharmaceutic, pharmacokinetics, pharmacodynamics, and therapeutic.
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
1.1K
Factors Affecting Drug Response: Overview
2.8K
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...
2.8K


