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产前暴露于氟哌啶醇:一项临床前叙述性综述。

Prenatal exposition to haloperidol: A preclinical narrative review.

作者信息

Santos Aline Valéria Sousa, Cardoso Débora Sterzeck, Takada Silvia Honda, Echeverry Marcela Bermúdez

机构信息

Laboratory of Neuropharmacology and Motor Behavior, Center for Mathematics, Computation, and Cognition, Federal University of ABC, São Bernardo do Campo, SP, Brazil.

Neurogenetics Laboratory, Center for Mathematics, Computation, and Cognition, Federal University of ABC, São Bernardo do Campo, SP, Brazil.

出版信息

Neurosci Biobehav Rev. 2023 Dec;155:105470. doi: 10.1016/j.neubiorev.2023.105470. Epub 2023 Nov 19.

Abstract

Pre-existing maternal mental disorders may affect the early interactions between mother and baby, impacting the child's psychoemotional development. The typical antipsychotic haloperidol can be used during pregnancy, even with some restrictions. Its prescription is not limited to psychotic disorders, but also to other psychiatric conditions of high incidence and prevalence in the woman's fertile period. The present review focused on the preclinical available data regarding the biological and behavioral implications of embryonic exposure to haloperidol. The understanding of the effects of psychotropic drugs during neurodevelopment is important for its clinical aspect since there is limited evidence regarding the risks of antipsychotic drug treatment in pregnant women and their children. Moreover, a better comprehension of the mechanistic events that can be affected by antipsychotic treatment during the critical period of neurodevelopment may offer insights into the pathophysiology of neurodevelopmental disorders. The findings presented in this review converge to the existence of several risks associated with prenatal exposure to such medication and emphasize the need for further studies regarding its dimensions.

摘要

既往存在的母亲精神障碍可能会影响母婴之间的早期互动,进而影响儿童的心理情感发育。典型抗精神病药物氟哌啶醇在孕期可使用,尽管存在一些限制。其处方不限于精神病性障碍,也适用于女性生育期高发和普遍存在的其他精神疾病。本综述聚焦于胚胎期暴露于氟哌啶醇的生物学和行为学影响的临床前现有数据。了解精神药物在神经发育过程中的作用对于临床应用很重要,因为关于孕妇及其子女使用抗精神病药物治疗风险的证据有限。此外,更好地理解在神经发育关键期可能受抗精神病药物治疗影响的机制性事件,可能会为神经发育障碍的病理生理学提供见解。本综述中的研究结果表明,产前暴露于此类药物存在多种风险,并强调有必要对其影响范围进行进一步研究。

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