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长效注射用阿立哌唑治疗妊娠期精神分裂症患者:病例系列报告

Long-acting injectable aripiprazole in pregnant women with schizophrenia: a case-series report.

作者信息

Fernández-Abascal Blanca, Recio-Barbero Maria, Sáenz-Herrero Margarita, Segarra Rafael

机构信息

Department of Psychiatry, Marqués de Valdecilla Hospital, Santander, Cantabria, Spain.

Biocruces Bizkaia Health Research Institute, Cruces University Hospital, Barakaldo, Spain.

出版信息

Ther Adv Psychopharmacol. 2021 Jan 31;11:2045125321991277. doi: 10.1177/2045125321991277. eCollection 2021.

Abstract

Antipsychotic long-acting formulations (LAI-AP) have emerged as a new therapeutic choice to treat patients presenting a severe mental disorder. Despite that, to date, there is a lack of safety data and studies regarding the use of LAI-AP formulations in pregnant women. Here we present the first six-case series of pregnant women with schizophrenia treated with aripiprazole-LAI reported in the literature. All patients remained psychopathologically stable through pregnancy and the postpartum period, and all of them were in treatment with aripiprazole-LAI. To date, all infants remain healthy with normal developmental milestones, without the presence of congenital malformations or adverse effects. Lack of information on safety data regarding the use of new antipsychotic formulations remains important in treating women with mental illness who desire to become pregnant. Further studies in this clinical population with a larger number of patients included remains necessary.

摘要

抗精神病长效制剂(LAI-AP)已成为治疗重度精神障碍患者的一种新的治疗选择。尽管如此,迄今为止,关于孕妇使用LAI-AP制剂的安全性数据和研究仍然缺乏。在此,我们呈现文献中报道的首例使用阿立哌唑长效注射剂治疗的6例妊娠合并精神分裂症患者的病例系列。所有患者在孕期及产后精神病理状态均保持稳定,且均接受阿立哌唑长效注射剂治疗。迄今为止,所有婴儿均健康,发育里程碑正常,无先天性畸形或不良反应。对于希望怀孕的患有精神疾病的女性,在治疗中缺乏关于使用新型抗精神病制剂安全性数据的信息仍然是一个重要问题。对这一临床人群进行更多患者参与的进一步研究仍然是必要的。

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