By Christof Schaefer, Paul W.J. Peters, Richard K Miller

ISBN-10: 0444520724

ISBN-13: 9780444520722

The newest variation is the source for any working towards OB/GYN, relatives doctor, midwife, or pharmacist who prescribes medicinal items to or evaluates environmental or occupational exposures in girls who're or may perhaps turn into pregnant. according to the hugely profitable seven German versions of this reference, the up to date drug listings were revised right into a convenient pocket advisor colour tabbed for fast entry to special info. effortless to reference every one drug is indexed discussing the negative effects, common impression on organ platforms, power toxicity, and dangers prior to supplying dosage innovations. it's the in basic terms booklet of its variety to supply conclusive details on remedies for ailments while pregnant and lactation and activities to be taken after (inadvertant) publicity to medicines suspected to be developmentaly poisonous. in contrast to different dosage publications, this version is a reasonable, compact compendium of information at the very most modern medicines and their results on pregnant/lactating ladies.

* presents conclusive details at the prevention of delivery defects during the secure use of substances ahead of being pregnant, in addition to while pregnant and lactation

* crucial new info on herbs, supplements, and meals vitamins used while pregnant

* dependent in accordance with indication team, instead of alphabetically, delivering a extra hassle-free advisor that makes it more uncomplicated to check medications

* features a very easily detachable 'quick reference' card of most often used medicines and their safeguard

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Additional info for Drugs During Pregnancy and Lactation. Treatment options and risk assessment

Sample text

Considering the low figures (5 of 22 exposed pregnancies) and other methodological limitations (no dosage specification), the results should be interpreted with caution. Salicylate poisoning during pregnancy has been associated with intrauterine deaths. When an overdose has been taken, metabolic acidosis, as caused by salicylic acid, can occur more rapidly in the fetus with its already low arterial pH than in the mother, with serious consequences. 22). 2 Aspirin (acetylsalicylic acid) The major pharmacologic action of aspirin (and the other NSAIDs) on the fetus is mediated through inhibition of prostaglandin synthesis.

For clonidine, flunarizine, ketanserin, and pizotifen there are insufficient data on the use during pregnancy. 2 Pregnancy uterine contractions and perfusion disturbances in the placenta (Fox 2005, Silberstein 2004). Individual cases of birth defects due to vascular disruption and stillbirths have been observed (Hughes 1988, Schaefer unpublished observations). Epidemiological studies have not, as yet, documented a clear increase in the rate of birth defects (Raymond 1995). The other ergotamine derivatives, which are available in oral form, lisuride and methysergide, are not well studied for their tolerability during pregnancy, and should also be avoided (Fox 2005, Silberstein 2004).

Briggs GG, Freeman RK, Yaffe SJ. Classification of drugs for teratogenic risk: an anachronistic way of counseling: a reply to Merlob and Stahl. Birth Defects Res A 2003; 67: 207–8. 25 1 Pregnancy Briggs GG, Freeman RK, Yaffe SJ. Drugs in Pregnancy and Lactation, 7th edn. Baltimore: Williams & Wilkins, 2005. Carney EW, Scialli AR, Watson RE et al. Mechanisms regulating toxicant disposition to the embryo during early pregnancy: an interspecies comparison. Birth Defects Res C Embryo Today 2004; 72: 345–60.

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Drugs During Pregnancy and Lactation. Treatment options and risk assessment by Christof Schaefer, Paul W.J. Peters, Richard K Miller

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