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1
Safety Profile of Aripiprazole During Pregnancy and Lactation: Report of 2 Cases.妊娠期和哺乳期使用阿立哌唑的安全性:2 例报告。
Turk Psikiyatri Derg. 2023 Summer;34(2):133-135. doi: 10.5080/u26681.
2
Aripiprazole use during pregnancy, peripartum and lactation. A systematic literature search and review to inform clinical practice.妊娠期、围产期和哺乳期使用阿立哌唑。一项系统的文献检索和综述,以提供临床实践信息。
J Affect Disord. 2018 Mar 1;228:229-237. doi: 10.1016/j.jad.2017.12.021. Epub 2017 Dec 14.
3
Aripiprazole and pregnancy: A retrospective, multicentre study.阿立哌唑与妊娠:一项回顾性、多中心研究。
J Affect Disord. 2018 Oct 1;238:593-596. doi: 10.1016/j.jad.2018.06.004. Epub 2018 Jun 14.
4
Rationale and design of the PLACID study: a randomised trial comparing the efficacy and safety of inhaled loxapine versus IM aripiprazole in acutely agitated patients with schizophrenia or bipolar disorder.PLACID研究的原理与设计:一项随机试验,比较吸入用洛沙平与肌内注射阿立哌唑对急性激越的精神分裂症或双相情感障碍患者的疗效和安全性。
BMC Psychiatry. 2017 Apr 4;17(1):126. doi: 10.1186/s12888-017-1291-5.
5
Drug safety evaluation of aripiprazole in bipolar disorder.阿立哌唑治疗双相障碍的药物安全性评价。
Expert Opin Drug Saf. 2019 Jun;18(6):455-463. doi: 10.1080/14740338.2019.1617847. Epub 2019 May 17.
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Medication Adherence and Discontinuation of Aripiprazole Once-Monthly 400 mg (AOM 400) Versus Oral Antipsychotics in Patients with Schizophrenia or Bipolar I Disorder: A Real-World Study Using US Claims Data.精神分裂症或双相情感障碍患者使用阿立哌唑一月一次 400mg(AOM 400)与口服抗精神病药物相比的药物依从性和停药情况:一项使用美国索赔数据的真实世界研究。
Adv Ther. 2018 Oct;35(10):1612-1625. doi: 10.1007/s12325-018-0785-y. Epub 2018 Sep 11.
7
A Systematized Review of Atypical Antipsychotics in Pregnant Women: Balancing Between Risks of Untreated Illness and Risks of Drug-Related Adverse Effects.孕妇使用非典型抗精神病药物的系统评价:权衡未治疗疾病的风险与药物相关不良反应的风险
J Clin Psychiatry. 2017 May;78(5):e477-e489. doi: 10.4088/JCP.15r10483.
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Long-Acting Injectable Second-Generation/Atypical Antipsychotics for the Management of Bipolar Disorder: A Systematic Review.长效注射第二代/非典型抗精神病药治疗双相情感障碍的系统评价。
CNS Drugs. 2019 May;33(5):431-456. doi: 10.1007/s40263-019-00629-z.
9
Aripiprazole and lactation failure: The importance of shared decision making. A case report.阿立哌唑与泌乳失败:共同决策的重要性。一例病例报告。
Case Rep Womens Health. 2021 Mar 13;30:e00308. doi: 10.1016/j.crwh.2021.e00308. eCollection 2021 Apr.
10
Switching antipsychotic medication to aripiprazole: position paper by a panel of Italian psychiatrists.将抗精神病药物换用阿立哌唑:一组意大利精神科医生的立场文件。
Expert Opin Pharmacother. 2015 Apr;16(5):727-37. doi: 10.1517/14656566.2015.1013029. Epub 2015 Feb 12.

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Dopamine Partial Agonists in Pregnancy and Lactation: A Systematic Review.孕期及哺乳期多巴胺部分激动剂:一项系统评价
Pharmaceuticals (Basel). 2025 Jul 6;18(7):1010. doi: 10.3390/ph18071010.

本文引用的文献

1
Aripiprazole and lactation failure: The importance of shared decision making. A case report.阿立哌唑与泌乳失败:共同决策的重要性。一例病例报告。
Case Rep Womens Health. 2021 Mar 13;30:e00308. doi: 10.1016/j.crwh.2021.e00308. eCollection 2021 Apr.
2
Reproductive safety of aripiprazole: data from the Massachusetts General Hospital National Pregnancy Registry for Atypical Antipsychotics.阿立哌唑的生殖安全性:来自马萨诸塞州综合医院非典型抗精神病药物国家妊娠登记处的数据。
Arch Womens Ment Health. 2021 Aug;24(4):659-667. doi: 10.1007/s00737-021-01115-6. Epub 2021 Mar 12.
3
Affective disorders: A question of continuing treatment during pregnancy (Review).情感障碍:孕期持续治疗的问题(综述)
Exp Ther Med. 2020 Oct;20(4):3474-3482. doi: 10.3892/etm.2020.8989. Epub 2020 Jul 13.
4
Aripiprazole use during pregnancy, peripartum and lactation. A systematic literature search and review to inform clinical practice.妊娠期、围产期和哺乳期使用阿立哌唑。一项系统的文献检索和综述,以提供临床实践信息。
J Affect Disord. 2018 Mar 1;228:229-237. doi: 10.1016/j.jad.2017.12.021. Epub 2017 Dec 14.
5
Signal of Miscarriage with Aripiprazole: A Disproportionality Analysis of the Japanese Adverse Drug Event Report Database.阿立哌唑致流产信号:日本不良药物事件报告数据库的比例失调分析。
Drug Saf. 2017 Nov;40(11):1141-1146. doi: 10.1007/s40264-017-0560-z.
6
Antipsychotic Medication Use Among Publicly Insured Pregnant Women in the United States.抗精神病药物在美国公共保险孕妇中的使用情况。
Psychiatr Serv. 2017 Nov 1;68(11):1112-1119. doi: 10.1176/appi.ps.201600408. Epub 2017 Jun 15.
7
Antipsychotic Use in Pregnancy and the Risk for Congenital Malformations.孕期使用抗精神病药物与先天性畸形风险
JAMA Psychiatry. 2016 Sep 1;73(9):938-46. doi: 10.1001/jamapsychiatry.2016.1520.
8
Exposure to aripiprazole during embryogenesis: a prospective multicenter cohort study.胚胎发育期间暴露于阿立哌唑:一项前瞻性多中心队列研究。
Pharmacoepidemiol Drug Saf. 2015 Apr;24(4):368-80. doi: 10.1002/pds.3749. Epub 2015 Feb 12.
9
Bipolar disorder, affective psychosis, and schizophrenia in pregnancy and the post-partum period.妊娠期和产后的双相情感障碍、情感性精神病和精神分裂症。
Lancet. 2014 Nov 15;384(9956):1789-99. doi: 10.1016/S0140-6736(14)61278-2. Epub 2014 Nov 14.
10
Pregnancy exposure to second-generation antipsychotics and the risk of gestational diabetes.孕期暴露于第二代抗精神病药物与妊娠期糖尿病风险
Expert Opin Drug Saf. 2014 Dec;13(12):1583-90. doi: 10.1517/14740338.2014.931368. Epub 2014 Sep 5.

妊娠期和哺乳期使用阿立哌唑的安全性:2 例报告。

Safety Profile of Aripiprazole During Pregnancy and Lactation: Report of 2 Cases.

出版信息

Turk Psikiyatri Derg. 2023 Summer;34(2):133-135. doi: 10.5080/u26681.

DOI:10.5080/u26681
PMID:37357900
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10552177/
Abstract

Aripiprazole, a second-generation antipsychotic (SGA) medication, is an efficacious treatment for schizophrenia and bipolar disorder. However, its effects on pregnancy and lactation are not yet fully documented. Despite aripiprazole being available since 2002, there is only limited information on the risks and benefits of this treatment during pregnancy. Most of the information is limited to populationbased studies examining malformation risk or case studies or small case series. The knowledge in this topic is still insufficient and there is a need to expand the literature. In this report, we present 2 cases exposed to aripiprazole during pregnancy and lactational period. In both our cases of aripiprazole exposure, no teratogenic effects were reported, and it was reassuring that the mothers did not develop gestational diabetes. However, both patients reported lactation failure. Keyword: Mental illness, antipsychotics, aripiprazole, pregnancy.

摘要

阿立哌唑,一种第二代抗精神病药物(SGA),是一种有效的精神分裂症和双相情感障碍治疗药物。然而,其对妊娠和哺乳的影响尚未得到充分记录。尽管阿立哌唑自 2002 年以来就已上市,但关于妊娠期间使用这种药物的风险和益处的信息非常有限。大多数信息仅限于基于人群的研究,研究畸形风险或病例研究或小病例系列。在这个主题上,知识仍然不足,需要扩大文献。在本报告中,我们介绍了 2 例在妊娠和哺乳期暴露于阿立哌唑的病例。在我们的阿立哌唑暴露病例中,均未报告致畸作用,令人欣慰的是,母亲未发生妊娠期糖尿病。然而,两名患者均报告出现哺乳失败。关键词:精神疾病、抗精神病药物、阿立哌唑、妊娠。