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孕期及哺乳期的卡马西平血药浓度

Carbamazepine levels in pregnancy and lactation.

作者信息

Niebyl J R, Blake D A, Freeman J M, Luff R D

出版信息

Obstet Gynecol. 1979 Jan;53(1):139-40.

PMID:760015
Abstract

An epileptic patient whose seizures were controlled with carbamazepine and primidone was followed throughout pregnancy and lactation. Blood levels of primidone decreased during pregnancy and rose postpartum requiring dosage adjustments. Pharmacologically insignificant amounts of the drug were detected in breast milk. A review of the literature revealed 94 infants exposed to carbamazepine in utero and no evidence to date that this drug carries a teratogenic risk.

摘要

一名癫痫患者在整个孕期和哺乳期都在接受监测,其癫痫发作通过卡马西平和扑米酮得到控制。扑米酮的血药浓度在孕期降低,产后升高,需要调整剂量。母乳中检测到的药物量在药理学上无显著意义。文献回顾显示,有94名婴儿在子宫内接触过卡马西平,迄今为止没有证据表明该药物有致畸风险。

相似文献

1
Carbamazepine levels in pregnancy and lactation.孕期及哺乳期的卡马西平血药浓度
Obstet Gynecol. 1979 Jan;53(1):139-40.
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引用本文的文献

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Obstetric outcomes and effects on babies born to women treated for epilepsy during pregnancy in a resource limited setting: a comparative cohort study.在资源有限的环境下,对妊娠期间接受癫痫治疗的女性所生婴儿的产科结局和影响:一项比较队列研究。
BMC Pregnancy Childbirth. 2018 Jun 14;18(1):230. doi: 10.1186/s12884-018-1857-3.
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[Use of antiepileptic drugs during breastfeeding : What do we tell the mother?].母乳喂养期间抗癫痫药物的使用:我们该如何告知母亲?
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Anticonvulsants and breast feeding: a critical review.抗惊厥药与母乳喂养:一项批判性综述。
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Pharmacokinetic changes during pregnancy and their clinical relevance.孕期的药代动力学变化及其临床意义。
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Anticonvulsants during pregnancy and lactation. Transplacental, maternal and neonatal pharmacokinetics.孕期及哺乳期的抗惊厥药。经胎盘、母体及新生儿的药代动力学。
Clin Pharmacokinet. 1982 Nov-Dec;7(6):508-43. doi: 10.2165/00003088-198207060-00003.