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妊娠恶心和呕吐药物治疗的批判性评价:II. 多西拉敏 - B6(Diclectin)的疗效和安全性

Critical appraisal of drug therapy for nausea and vomiting of pregnancy: II. Efficacy and safety of diclectin (doxylamine-B6).

作者信息

Bishai R, Mazzotta P, Atanackovic G, Levichek Z, Pole M, Magee L A, Koren G

机构信息

The Hospital for Sick Children, Toronto, Canada.

出版信息

Can J Clin Pharmacol. 2000 Autumn;7(3):138-43.

PMID:11044759
Abstract

Nausea and vomiting of pregnancy is the most common condition in pregnancy and affects up to 80% of all pregnant women. There are a large number of pharmacological agents that are effective for the treatment of nausea and vomiting associated with conditions such as motion sickness and gastrointestinal conditions; however, their use in pregnancy is limited by the lack of sufficient data on their potential teratogenic effects. The efficacy of the delayed-release combination of doxylamine and pyridoxine (Bendectin, Diclectin) has been shown in several randomized, controlled trials. The present review aims to refute the unsubstantiated beliefs that Diclectin is unsafe when used in the treatment of nausea and vomiting of pregnancy.

摘要

妊娠恶心和呕吐是孕期最常见的情况,影响多达80%的孕妇。有大量药物可有效治疗与晕动病和胃肠道疾病等相关的恶心和呕吐;然而,由于缺乏关于其潜在致畸作用的充分数据,它们在孕期的使用受到限制。多西拉敏和吡哆醇的缓释组合(敏克静、Diclectin)的疗效已在多项随机对照试验中得到证实。本综述旨在反驳关于Diclectin用于治疗妊娠恶心和呕吐不安全的毫无根据的观点。

相似文献

1
Critical appraisal of drug therapy for nausea and vomiting of pregnancy: II. Efficacy and safety of diclectin (doxylamine-B6).妊娠恶心和呕吐药物治疗的批判性评价:II. 多西拉敏 - B6(Diclectin)的疗效和安全性
Can J Clin Pharmacol. 2000 Autumn;7(3):138-43.
2
Systemic bioavailability and pharmacokinetics of the doxylamine-pyridoxine delayed-release combination (Diclectin).地西泮-吡哆醇延迟释放复方(Diclectin)的全身生物利用度和药代动力学。
Ther Drug Monit. 2011 Feb;33(1):115-9. doi: 10.1097/FTD.0b013e3181ff8bc5.
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Safety and efficacy of antiemetics used to treat nausea and vomiting in pregnancy.用于治疗妊娠恶心和呕吐的止吐药的安全性和有效性。
Clin Pharm. 1986 Aug;5(8):660-8.
4
The delayed-release combination of doxylamine and pyridoxine (Diclegis®/Diclectin ®) for the treatment of nausea and vomiting of pregnancy.用于治疗妊娠恶心和呕吐的多西拉敏与吡哆醇缓释复方制剂(Diclegis®/Diclectin®)
Paediatr Drugs. 2014 Jun;16(3):199-211. doi: 10.1007/s40272-014-0065-5.
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Determinants of women's decision making on whether to treat nausea and vomiting of pregnancy pharmacologically.女性对于是否采用药物治疗妊娠恶心和呕吐的决策因素。
J Midwifery Womens Health. 2004 Jul-Aug;49(4):350-4. doi: 10.1016/j.jmwh.2004.03.011.
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Pharmacokinetic comparison of a delayed-release combination of doxylamine succinate and pyridoxine hydrocholoride (Diclectin) and oral solutions of these drugs in healthy women of childbearing age.琥珀酸多西拉敏与盐酸吡哆醇缓释组合制剂(Diclectin)及这些药物的口服溶液在育龄健康女性中的药代动力学比较。
Can J Clin Pharmacol. 2009 Fall;16(3):e400-6. Epub 2009 Oct 29.
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Bendectin and birth defects: hopefully, the final chapter.多潘立酮与出生缺陷:希望这是最后一章。 (注:你提供的原文中“Bendectin”一般指的是多潘立酮,不过从医学专业角度看,多潘立酮与出生缺陷并无关联,这里可能存在信息误差,正常医学文献中关于多潘立酮的内容不会提及与出生缺陷的关系。如果“Bendectin”另有正确指代,请根据实际情况调整译文。)
Birth Defects Res A Clin Mol Teratol. 2003 Feb;67(2):79-87. doi: 10.1002/bdra.10021.
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Effectiveness of delayed-release doxylamine and pyridoxine for nausea and vomiting of pregnancy: a randomized placebo controlled trial.延迟释放 doxylamine 和 pyridoxine 治疗妊娠恶心和呕吐的有效性:一项随机安慰剂对照试验。
Am J Obstet Gynecol. 2010 Dec;203(6):571.e1-7. doi: 10.1016/j.ajog.2010.07.030. Epub 2010 Sep 16.
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The pharmacologic management of nausea and vomiting of pregnancy.妊娠恶心和呕吐的药物治疗
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Evaluation of the efficacy and safety of bi-daily combination therapy with pyridoxine and doxylamine for nausea and vomiting of pregnancy.每日两次联合使用维生素B6和多西拉敏治疗妊娠恶心和呕吐的疗效及安全性评估。
Isr Med Assoc J. 2013 Jan;15(1):23-6.

引用本文的文献

1
8-Way Randomized Controlled Trial of Doxylamine, Pyridoxine and Dicyclomine for Nausea and Vomiting during Pregnancy: Restoration of Unpublished Information.多西拉敏、吡哆醇和双环胺治疗妊娠期恶心和呕吐的8向随机对照试验:未发表信息的恢复
PLoS One. 2017 Jan 4;12(1):e0167609. doi: 10.1371/journal.pone.0167609. eCollection 2017.
2
Is personalized medicine achievable in obstetrics?个性化医疗在产科可行吗?
Semin Perinatol. 2014 Dec;38(8):534-40. doi: 10.1053/j.semperi.2014.08.017. Epub 2014 Oct 3.
3
The delayed-release combination of doxylamine and pyridoxine (Diclegis®/Diclectin ®) for the treatment of nausea and vomiting of pregnancy.
用于治疗妊娠恶心和呕吐的多西拉敏与吡哆醇缓释复方制剂(Diclegis®/Diclectin®)
Paediatr Drugs. 2014 Jun;16(3):199-211. doi: 10.1007/s40272-014-0065-5.
4
Optimal management of nausea and vomiting of pregnancy.妊娠恶心呕吐的最佳管理。
Int J Womens Health. 2010 Aug 4;2:241-8. doi: 10.2147/ijwh.s6794.
5
Is a fetus a non-consenting patient?胎儿是无同意能力的患者吗?
Can Fam Physician. 2004 Sep;50:1219-21.