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[孕期使用抗抑郁药 - 选择性5-羟色胺再摄取抑制剂与严重畸形风险:治疗与否]

[Antidepressants-SSRIs in pregnancy and risk of major malformations: treat or not to treat].

作者信息

Bellantuono Cesario, Santone Giovanni

出版信息

Recenti Prog Med. 2014 Jun;105(6):254-61. doi: 10.1701/1543.16855.

Abstract

Considering teratogenic risk, recent data suggest that selective serotonin reuptake inhibitors (SSRIs) can be prescribed during pregnancy, even though some SSRIs are to be considered as a second choice. In any case, antidepressive treatment during pregnancy must be carefully tailored to the pregnant woman, considering absolute risk/benefit ratio of SSRIs, but also availability of other effective treatments, as well as woman's preferences.

摘要

考虑到致畸风险,近期数据表明,尽管某些选择性5-羟色胺再摄取抑制剂(SSRI)被视为二线选择,但孕期仍可开具此类药物处方。无论如何,孕期抗抑郁治疗必须根据孕妇的具体情况谨慎调整,不仅要考虑SSRI的绝对风险/效益比,还要考虑其他有效治疗方法的可及性以及孕妇的偏好。

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