Clinical Therapeutics in Pregnancy

Most drugs are not tested for use during pregnancy, consequently, labeling, which may include information about fetal safety, includes nothing about dosing, efficacy, or maternal safety. Yet these are concerns of health care providers considering treatment of disease during pregnancy. Therefore, the...

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Main Authors: Maisa N. Feghali, Donald R. Mattison
Format: Article
Language:English
Published: Hindawi Limited 2011-01-01
Series:Journal of Biomedicine and Biotechnology
Online Access:http://dx.doi.org/10.1155/2011/783528
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spelling doaj-670a3b9ecda24636b017a80f4cb5ef802020-11-25T01:39:57ZengHindawi LimitedJournal of Biomedicine and Biotechnology1110-72431110-72512011-01-01201110.1155/2011/783528783528Clinical Therapeutics in PregnancyMaisa N. Feghali0Donald R. Mattison1Department of Obstetrics and Gynecology, Washington Hospital Center, Washington, DC 20010, USAEunice Kennedy Shriver National Institute of Child Health and Human Development , NIH, Bethesda, MD 10892, USAMost drugs are not tested for use during pregnancy, consequently, labeling, which may include information about fetal safety, includes nothing about dosing, efficacy, or maternal safety. Yet these are concerns of health care providers considering treatment of disease during pregnancy. Therefore, the practitioner treats the pregnant woman with the same dose recommended for use in adults (typically men) or may decide not to treat the disease at all. However, is the choice of not treating a woman during pregnancy better than dealing with the challenges which accompany treatment? This paper, which summarizes metabolic and physiologic changes induced by pregnancy, illustrates that standard adult dosing is likely to be incorrect during pregnancy.http://dx.doi.org/10.1155/2011/783528
collection DOAJ
language English
format Article
sources DOAJ
author Maisa N. Feghali
Donald R. Mattison
spellingShingle Maisa N. Feghali
Donald R. Mattison
Clinical Therapeutics in Pregnancy
Journal of Biomedicine and Biotechnology
author_facet Maisa N. Feghali
Donald R. Mattison
author_sort Maisa N. Feghali
title Clinical Therapeutics in Pregnancy
title_short Clinical Therapeutics in Pregnancy
title_full Clinical Therapeutics in Pregnancy
title_fullStr Clinical Therapeutics in Pregnancy
title_full_unstemmed Clinical Therapeutics in Pregnancy
title_sort clinical therapeutics in pregnancy
publisher Hindawi Limited
series Journal of Biomedicine and Biotechnology
issn 1110-7243
1110-7251
publishDate 2011-01-01
description Most drugs are not tested for use during pregnancy, consequently, labeling, which may include information about fetal safety, includes nothing about dosing, efficacy, or maternal safety. Yet these are concerns of health care providers considering treatment of disease during pregnancy. Therefore, the practitioner treats the pregnant woman with the same dose recommended for use in adults (typically men) or may decide not to treat the disease at all. However, is the choice of not treating a woman during pregnancy better than dealing with the challenges which accompany treatment? This paper, which summarizes metabolic and physiologic changes induced by pregnancy, illustrates that standard adult dosing is likely to be incorrect during pregnancy.
url http://dx.doi.org/10.1155/2011/783528
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