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[孕期抗抑郁药的药代动力学]

[Antidepressant pharmacokinetics during pregnancy].

作者信息

Maslovskiĭ S Iu

出版信息

Eksp Klin Farmakol. 2013;76(1):14-20.

Abstract

The influence of pregnancy state on the cytochrome P-450 dependent bioconversion and pharmacokinetics of antidepressants has been studied. Specific features of the bioconversion of some antidepressants are determined. Results of pharmacokinetic investigations based on the dynamics of antidepressant concentration in the blood plasma of pregnant women are considered. The necessity of changing the daily dose of antidepressants during pregnancy is discussed. Data on the ratio of the plasma concentration of antidepressants in a newborn to that in the mother and on the role of transporter proteins in the transplacentar transfer of antidepressant drugs are presented.

摘要

已研究了妊娠状态对抗抑郁药细胞色素P-450依赖性生物转化及药代动力学的影响。确定了某些抗抑郁药生物转化的具体特征。考虑了基于孕妇血浆中抗抑郁药浓度动态的药代动力学研究结果。讨论了孕期改变抗抑郁药日剂量的必要性。给出了新生儿与母亲血浆中抗抑郁药浓度比值的数据以及转运蛋白在抗抑郁药经胎盘转运中的作用。

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