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Determination of taurine in soft drinks by an ultrahigh-performance liquid chromatography-mass spectrometry method 超高效液相色谱-质谱法测定软饮料中的牛磺酸
Pub Date : 2023-08-31 DOI: 10.2478/afpuc-2023-0010
P. Chalova, D. Salaskova, F. Csicsay, J. Galba, A. Kovac, J. Piestansky
Abstract Taurine (2-aminoethanesulfonic acid) is a free sulfur-containing β-amino acid widely distributed in many mammalians. Owing to the energizing effects, it is mostly used in soft drinks and supplements for athletes. Regular intake of soft drinks may lead to an overdose of caffeine, taurine, and guarana and loss of bone mass, overweight, hypertension, and in older age, osteoporosis and cardiovascular diseases. Therefore, it is essential to control the maximum amount of taurine consumed by humans in the food and beverages. Here, a fast, simple, accurate, and robust method based on ultrahigh-performance liquid chromatography hyphenated with mass spectrometry (UHPLC-MS) was successfully applied for the determination of taurine in selected soft drinks sold in Slovakia. The method was characterized by coefficient of determination higher than 0.99, and the predicted value of the limit of detection was 4.29 μmol/L. The analyzed levels of taurine in selected commercial drinks ranged from 2.8 to 3.78 mg/mL. The concentration in one brand of the investigated drinks was found to be extremely low (about 70%) compared to the declared content by the manufacturer.
牛磺酸(2-氨基乙磺酸)是一种广泛存在于哺乳动物体内的游离含硫β-氨基酸。由于它的提神作用,它主要用于运动员的软饮料和补充剂中。经常饮用软饮料可能会导致咖啡因、牛磺酸和瓜拉那过量摄入,导致骨量减少、超重、高血压,在老年时还会导致骨质疏松和心血管疾病。因此,控制人体在食品和饮料中牛磺酸的最大摄取量至关重要。本文建立了一种快速、简单、准确、可靠的超高效液相色谱-质谱联用(UHPLC-MS)方法,成功地测定了斯洛伐克销售的软饮料中牛磺酸的含量。该方法的测定系数大于0.99,检出限预测值为4.29 μmol/L。选定的商业饮料中牛磺酸的分析水平在2.8至3.78毫克/毫升之间。被调查的一种饮料的浓度与制造商所声明的含量相比极低(约70%)。
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引用次数: 0
Optimization of the Microscopic Method of Observing of the Oleogel Structure 油凝胶结构微观观察方法的优化
Pub Date : 2023-08-24 DOI: 10.2478/afpuc-2023-0001
J. Zima, E. Nováková, V. Mikušová, M. Šupolíková
Abstract The subject of the research was the oleogel structure of the OraMAF oral suspension, containing a mixture of active substances in which the oleogel environment is formed by purified olive oil in combination with soy lecithin (SL) and sorbitan tristearate (STS). The objective of the research was the development of an optimal methodology for the work process, enabling microscopic observation of the structure of the oleogel suspension. Purified olive oil structured with a combination of gelators SL and STS with the addition of a solid phase of fucoidan (F) and chondroitin sulfate (CS) powders was used for the study as an alternative to OraMAF suspension. The sedimentation method of separation of the medium and staining of solid phases of the suspension brought the expected results, allowing the observation of the network structure of the gel, which consisted of interlaced gelator fibers assembling into star formations. The most interesting structures were clearly the star-like structures created from the star-shaped microtubules trapping the CS and F solid particles, colored blue.
摘要本研究的主题是OraMAF口服悬浮液的油凝胶结构,该悬浮液含有活性物质的混合物,其中油凝胶环境是由纯化的橄榄油与大豆卵磷脂(SL)和山梨糖醇三硬脂酸酯(STS)组合形成的。该研究的目的是为工作过程开发一种最佳方法,从而能够对油凝胶悬浮液的结构进行微观观察。使用由凝胶剂SL和STS的组合构建的纯化橄榄油,添加岩藻糖胶(F)和硫酸软骨素(CS)粉末的固相,作为OraMAF悬浮液的替代品进行研究。分离培养基和悬浮液固相染色的沉淀方法带来了预期的结果,允许观察凝胶的网络结构,该结构由交织的凝胶纤维组装成星形。最有趣的结构显然是由捕获CS和F固体颗粒的星形微管产生的星形结构,颜色为蓝色。
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引用次数: 0
Microemulsions as the Potential Delivery System for Nimodipine 微乳作为尼莫地平的潜在递送系统
Pub Date : 2023-08-24 DOI: 10.2478/afpuc-2023-0004
M. Čuchorová, M. Špaglová, M. Martina Papadakos
Abstract An important area of interest in pharmaceutical technology is the issue of poorly soluble drugs and their formulation into drug dosage forms that ensure optimal bioavailability. One of the options to solve solubility is the development of nanodispersion systems. This work is focused on the preparation of microemulsion systems suitable for poorly soluble drugs, for example, nimodipine. The composition and structure of microemulsion enable solubilization of different drugs and make it a universal drug carrier. Microemulsions increased the solubility of the model drug 20-fold compared to solubility in water. The use of mucoadhesive polymers – hydroxyethyl cellulose and xanthan gum – improved the in vitro release significantly. The highest amount of nimodipine was released from the microemulsion gel system with hydroxyethyl cellulose (1% w/w) and this depended on the diffusion of dissolved molecules.
摘要制药技术中一个重要的研究领域是难溶性药物及其制剂,以确保最佳生物利用度。解决溶解度问题的选择之一是开发纳米分散体系。本工作的重点是制备适用于难溶性药物的微乳体系,如尼莫地平。微乳液的组成和结构使不同药物能够增溶,成为一种通用的药物载体。与在水中的溶解度相比,微乳使模型药物的溶解度增加了20倍。使用粘性聚合物——羟乙基纤维素和黄原胶——显著改善了体外释放。从含有羟乙基纤维素(1%w/w)的微乳液凝胶体系中释放出最高量的尼莫地平,这取决于溶解分子的扩散。
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引用次数: 0
Glyceryl Laurate Tablets: Effect of the Excipients and Granule Size on the Tablet Quality 月桂酸甘油酯片辅料及颗粒剂对片剂质量的影响
Pub Date : 2023-08-24 DOI: 10.2478/afpuc-2023-0007
M. Špaglová, M. Papadakos, M. Čuchorová, D. Krchňák, V. Šimunková, D. Matúšová
Abstract Glyceryl laurate (GL) is a natural or synthetic surfactant with antiviral and antimicrobial activity and is not only effective in common colds or flu, but also against swine flu, herpes simplex, shingles, or chronic fatigue. The study aimed to formulate the GL granules as a semi-product for the compression of tablets and evaluate the influence of the substitution of sucrose laurate (Ryoto®) with sucrose ester (Sisterna®) in the composition of the granules and the effect of granule size on the quality of the compressed tablets. Four types of granules, varying in grain size and the type of additional surfactant, were prepared by melt granulation. The traditional pharmacopoeia tests were used to assess tablets’ quality. The granule size significantly affected all evaluated parameters: hardness, uniformity of mass, friability, and disintegration. The replacement of sucrose laurate with sucrose ester caused a slight decrease in tablet strength and a shortening of disintegration. However, it did not significantly impact friability and uniformity of mass. For this reason, the excipient, sucrose ester, can be evaluated as an adequate replacement in the composition of GL tablets.
月桂酸甘油酯(GL)是一种具有抗病毒和抗菌活性的天然或合成表面活性剂,不仅对普通感冒或流感有效,而且对猪流感、单纯疱疹、带状疱疹或慢性疲劳也有效。本研究旨在将GL颗粒配制为片剂压缩的半成品,并评价糖酯(Sisterna®)取代月桂酸蔗糖(Ryoto®)对颗粒组成的影响以及颗粒大小对压缩片剂质量的影响。采用熔融造粒法制备了不同粒径和不同表面活性剂类型的四种颗粒。采用传统药典试验方法评价片剂的质量。颗粒大小显著影响所有评估参数:硬度,质量均匀性,脆性和崩解。用蔗糖酯代替月桂酸蔗糖,片剂强度略有下降,崩解时间缩短。然而,它对质量的脆性和均匀性没有显著影响。由于这个原因,赋形剂蔗糖酯可以被评价为GL片剂的适当替代品。
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引用次数: 0
Evaluation of Properties of Dexamethasone Eye Drops 地塞米松滴眼液的性能评价
Pub Date : 2023-08-24 DOI: 10.2478/afpuc-2023-0009
D. Matúšová, P. Gluštíková, M. Špaglová, D. Krchňák
Abstract During the development of medicinal forms (eye drops), it is necessary to consider several parameters, so that the medicine is nonirritating to the eye and, at the same time, has the desired effect. We prepared eye drops containing dexamethasone or its water-soluble salt in a 0.1% concentration. We compared suspension eye drops (with dexamethasone) and solution eye drops (with dexamethasone sodium phosphate) without viscosity adjustment as well as with viscosity adjustment by adding chitosan low molecular weight (LMW) with the mass-produced product Unidexa 1%. Acidity (pH), surface tension, density, viscosity, and irritability were evaluated. An in vitro or ex vivo test on human erythrocytes (red blood cells [RBCs]) was used to test irritability. Hemolysis of RBC was monitored by determining hemoglobin spectrophotometrically at a wavelength of 550 nm. The addition of chitosan 0.1% as a viscosity-increasing agent reduced the irritation potential of the experimental eye drops.
摘要在药物形式(滴眼液)的开发过程中,有必要考虑几个参数,以便药物对眼睛没有刺激,同时具有预期的效果。我们制备了浓度为0.1%的地塞米松或其水溶性盐滴眼液。我们比较了没有粘度调节的悬浮滴眼液(含地塞米松)和溶液滴眼剂(含地塞米松磷酸钠),以及通过添加壳聚糖低分子量(LMW)和批量生产的产品Unidexa 1%来调节粘度。评估酸度(pH)、表面张力、密度、粘度和易激性。使用对人类红细胞(红细胞[RBCs])的体外或离体测试来测试易怒性。通过在550nm波长下分光光度法测定血红蛋白来监测RBC的溶血。添加0.1%的壳聚糖作为增粘剂降低了实验滴眼液的刺激性。
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引用次数: 0
Spheroids as 3D Cell Models for Testing of Drugs 球体作为药物测试的三维细胞模型
Pub Date : 2023-08-24 DOI: 10.2478/afpuc-2023-0008
E. Nováková, V. Mikušová, M. Šupolíková
Abstract Cell lines are an important tool for scientific research and clinical and pharmaceutical applications. Cells are isolated from animal tissues and can be expanded in culture to study cell biology and disease. The isolated cells can be used to produce antibodies, proteins, and vaccines. Immortalized cell lines can grow in vitro and are commonly used as models for complex biology. The most frequently used type of cell culture for scientific research and clinical and pharmaceutical applications is the two-dimensional (2D) model, but recently, the popularity of the three-dimensional (3D) cultivation method is growing.
细胞系是科学研究、临床和医药应用的重要工具。细胞是从动物组织中分离出来的,可以在培养中扩增,以研究细胞生物学和疾病。分离的细胞可用于生产抗体、蛋白质和疫苗。永生化细胞系可以在体外生长,通常用作复杂生物学的模型。科学研究、临床和制药应用中最常用的细胞培养类型是二维(2D)模型,但最近,三维(3D)培养方法的普及程度越来越高。
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引用次数: 0
Pilot Formulation Study of Ph-sensitive Gels ph敏感凝胶的中试配方研究
Pub Date : 2023-08-24 DOI: 10.2478/afpuc-2023-0005
T. Wolaschka, S. Rohaľová, I. Zelinska, Ľ. Balážová, M. Bačkorová, S. Kurhajec
Abstract Drugs remain for a short time on mucus membranes, such as oral, ocular, or nasal mucus, which are washed with physiological fluids. One of the possibilities to overcome this obstacle is the application of solutions that, due to the physiological environment or stimulus, turn into more viscous gels. These gels often also have mucoadhesive properties and the drug is released from them for a longer period. Carbomer 940 (C940), polycarbophil (PCP), and chitosan (CH) are gel-forming excipients, and the consistency of their solutions changes due to the concentration of protons (pH); therefore, they are referred to as pH-sensitive gelling agents. The aim of this study was to prepare pH-sensitive solutions that form gels in the pH of the oral cavity. We prepared water solutions with various concentrations of gel-forming excipients and evaluated the appearance, pH of the solution, injectability of the solution, and pH of gelation. By determining the pH of gelation, suitable concentrations (w/w) of the used polymers were found, namely, 0.1% C940, 0.225% PCP, and 2.5% CH with medium molecular weight (CHM). The 0.1% C940 and 0.225% PCP solutions were injectable through the syringe with the smallest 0.5 mm needle diameter. The 2.5% CHM solution was not injectable even through the syringe with the largest 0.8 mm needle diameter. Solgels prepared at the determined concentrations were evaluated by a dissolution test in a pH 6.8 phosphate buffer using methylene blue (MB) as a model substance. After 60 min of dissolution, 77.04% ± 5.94%, 48.85% ± 5.74%, and 77.35% ± 4.98% of MB were released from samples with C940, PCP, and CHM, respectively. The dissolution of the C940 and CHM samples took place according to the Korsmeyer–Peppas kinetic model (R2 0.999 ± 0.001, 0.978 ± 0.003) and of the PCP samples took place according to the first-order model (R2 0.994 ± 0.001). The 0.225% PCP pH-sensitive gel showed the most advantageous properties in terms of injectability, pH gelation, and prolonged release of MB.
摘要药物在粘膜上停留的时间很短,如用生理液冲洗的口腔粘液、眼粘液或鼻腔粘液。克服这一障碍的可能性之一是应用溶液,由于生理环境或刺激,这些溶液会变成更粘稠的凝胶。这些凝胶通常还具有粘膜粘附特性,并且药物从凝胶中释放的时间更长。卡波姆940(C940)、聚卡波姆(PCP)和壳聚糖(CH)是凝胶形成赋形剂,其溶液的稠度因质子浓度(pH)而变化;因此,它们被称为pH敏感胶凝剂。本研究的目的是制备在口腔pH值下形成凝胶的pH敏感溶液。我们制备了具有不同浓度凝胶形成赋形剂的水溶液,并评估了溶液的外观、pH、溶液的可注射性和凝胶化的pH。通过测定凝胶化的pH,发现所用聚合物的合适浓度(w/w),即0.1%的C940、0.225%的PCP和2.5%的中等分子量(CHM)的CH。0.1%的C940和0.225%的PCP溶液可通过具有最小0.5mm针头直径的注射器注射。2.5%的CHM溶液即使通过具有最大0.8mm针头直径的注射器也不能注射。使用亚甲基蓝(MB)作为模型物质,通过在pH 6.8的磷酸盐缓冲液中的溶解测试来评估以所确定的浓度制备的溶胶凝胶。溶解60分钟后,含有C940、PCP和CHM的样品中分别释放出77.04%±5.94%、48.85%±5.74%和77.35%±4.98%的MB。C940和CHM样品的溶解根据Korsmeyer–Peppas动力学模型进行(R2 0.999±0.001,0.978±0.003),PCP样品的溶解按照一阶模型进行(R20.994±0.001)。0.225%PCP pH敏感凝胶在注射性、pH胶凝性和MB缓释方面表现出最有利的特性。
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引用次数: 0
Effect of Saffron Extract, Astaxanthin, and Carnosic Acid on the Levels of Matrix Metalloproteinase-9 and on Body Weight Changes in Arthritis Experiments 藏红花提取物、虾青素和鼠尾草酸对关节炎患者基质金属蛋白酶-9水平及体重变化的影响
Pub Date : 2022-08-01 DOI: 10.2478/afpuc-2022-0016
M. Chrastina, S. Poništ, F. Dráfi, K. Švík, S. Khademnematolahi, K. Pružinská, A. Tchorbanov, K. Bauerová
Abstract AIM The aim of this study was to explore the potential effect of natural compounds and their combination with methotrexate (M) on levels of matrix metalloproteinase-9 (MMP-9) as a key biochemical parameter in rat adjuvant arthritis. Further change of body weight was selected as one of clinical parameters monitored in this animal model. MATERIALS AND METHODS Adjuvant arthritis (AA) was induced in Lewis rats. Methotrexate (M) was administrated twice a week in a dose of 0.3 mg/kg b.w. The saffron extract was administrated daily in two doses: 25 mg/kg b.w. (SF1) and 50 mg/kg b.w. (SF2). Both doses were administrated alone and in combination with M. Astaxanthin was administrated also daily in two doses: 1 mg/kg b.w. (AS1) and 5 mg/kg b.w. (AS2) only as monotherapy. Carnosic acid was administrated daily in one dose: 100 mg/kg (C) in monotherapy and in combination with M. All compounds and M were administrated orally. Plasma samples were collected on the 21st experimental day and used for ELISA determination. The 21st experimental day was used also for the analysis of body weight changes. RESULTS We observed a significant decrease of MMP-9 plasmatic levels in SF1 and SF2 monotherapy in AA animal groups. The decrease in levels of MMP-9 in combined therapy of SF1 and M had higher significance than the effect of M only in AA. The same decreasing effect on the levels of MMP-9 was observed in the combined therapy of C and M. Astaxanthin and saffron extract had a very similar effect on clinical parameters and the change in body weight: both have significantly increased body weight in monotherapy in both doses used. The combined therapy of M and saffron extract doses showed no significant difference from M itself. Carnosic acid did not affect the change of body weight, and the combination of C with M reached the same level as M alone. CONCLUSION Astaxanthin in monotherapy and saffron extract in monotherapy and in combined therapy with M have significantly decreased plasmatic levels of MMP-9 and increased body weight in animals suffering from AA. Lower doses were more efficient for both experiments: astaxanthin and saffron extract. Carnosic acid has no effect in monotherapy in both parameters, but a combination with M has a significant effect with respect to the improvement of cachexia as well as the inhibition of inflammation.
摘要目的探讨天然化合物及其联合甲氨蝶呤(M)对大鼠佐剂性关节炎关键生化指标基质金属蛋白酶-9 (MMP-9)水平的潜在影响。选择体重的进一步变化作为该动物模型监测的临床参数之一。材料与方法Lewis大鼠佐剂性关节炎(AA)。甲氨蝶呤(M)每周给药2次,剂量为0.3 mg/kg b.w。藏红花提取物每天给药2次:25 mg/kg b.w (SF1)和50 mg/kg b.w (SF2)。两种剂量均单独给药或与m联合给药,虾青素每日也以两种剂量给药:仅作为单药治疗,1 mg/kg b.w (AS1)和5 mg/kg b.w (AS2)。鼠尾草酸每日单剂量给药:100 mg/kg (C)单药和与M联合给药。实验第21天采集血浆标本,进行ELISA检测。试验第21天也进行体重变化分析。结果在AA动物组中,我们观察到SF1和SF2单药治疗组MMP-9血浆水平显著降低。SF1和M联合治疗对MMP-9水平的降低比M单独治疗对AA的影响具有更高的意义。在C和m的联合治疗中,观察到对MMP-9水平的相同降低效果。虾青素和藏红花提取物对临床参数和体重变化的影响非常相似:在使用的两种剂量的单药治疗中,两者都显着增加了体重。M与藏红花提取物剂量联合治疗与M本身无显著差异。鼠尾草酸对体重变化没有影响,C与M联合用药与M单独用药达到相同水平。结论虾青素单药治疗、藏红花提取物单药治疗及与M联合治疗均能显著降低AA动物血浆MMP-9水平,增加体重。低剂量的虾青素和藏红花提取物对两种实验都更有效。鼠尾草酸单药治疗在这两个参数上均无效果,但与M联合治疗在改善恶病质和抑制炎症方面均有显著效果。
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引用次数: 0
N-glycans Profiling in Pilocarpine Induced Status Epilepticus in Immature Rats 皮罗卡平诱导的未成熟大鼠癫痫状态的N-聚糖谱
Pub Date : 2022-08-01 DOI: 10.2478/afpuc-2022-0011
S. Kapoor, M. Nemčovič, J. Folbergrová, D. Kala, J. Svoboda, J. Otáhal, Z. Brnoliaková
Abstract Status epilepticus (SE) is a common neurological emergency in children and a well-known epileptogenic insult. Neonates are extremely susceptible to seizures in the neonatal period due to the higher vulnerability. Neonatal SE is associated with significant mortality and morbidity. There is an evident need for attention on neonatal SE in research due to the incredibly limited diagnostic and treatment options in current neonatology, and its serious long-term consequences. The aim of the present study was to characterize the glycoprofiles in the pilocarpine-induced SE model in immature rats to assess the overall N-glycans composition. To induce lithium-pilocarpine (Li-Pilo) SE male Wistar rat pups were pretreated with lithium chloride (127 mg/kg, n=11) on the 11th postnatal day. After 24 hours, the lithium pre-treated pups were administered either with pilocarpine intraperitoneally (i.p.) (35 kg/g, n=6) or saline (n=5) in the control group (Control). On the 19th postnatal day, serum was collected and the analytical procedures were done by mass spectrometry (MS) analytics on matrix-assisted laser desorption/ionization in combination with a time-of-flight detector (MALDI-TOF/MS). Analyzed data were processed by FlexAnalysis (Bruker Daltonics) and GlycoWorkbench software. There were 21 N-glycans that were identified, appointed, and sorted with special emphasis on their structure. We have demonstrated the significant changes in terms of N-glycans sialylation in Li-Pilo compared to the Control. We also observed some other remodelation trends in different portions of relative intenstities of N-glycan clusters according to their glycan type. Our preliminary findings have laid the foundation for additional investigation into glycosylation alterations in the SE in immature rats.
摘要癫痫持续状态(SE)是一种常见的儿童神经系统紧急情况,也是一种众所周知的致痫性损伤。新生儿在新生儿期极易癫痫发作,因为其脆弱性更高。新生儿SE与显著的死亡率和发病率相关。由于目前新生儿科的诊断和治疗选择极其有限,其严重的长期后果,研究中显然需要关注新生儿SE。本研究的目的是表征毛果芸香碱诱导的未成熟大鼠SE模型中的糖谱,以评估整体N-聚糖组成。为了诱导毛果芸香碱(Li-Pilo)SE雄性Wistar大鼠幼鼠在出生后第11天用氯化锂(127mg/kg,n=11)预处理。24小时后,锂预处理的幼崽在对照组(对照组)中腹膜内(i.p.)给予匹罗卡品(35kg/g,n=6)或生理盐水(n=5)。出生后第19天,采集血清,并通过基质辅助激光解吸/电离的质谱(MS)分析和飞行时间检测器(MALDI-TOF/MS)进行分析程序。分析数据通过FlexAnalysis(Bruker Daltonics)和GlycoWorkbench软件进行处理。有21种N-聚糖被鉴定、指定和分类,并特别强调其结构。我们已经证明,与对照组相比,李皮洛的N-聚糖唾液酸化发生了显著变化。我们还观察到,根据聚糖类型,N-聚糖簇的相对强度的不同部分存在其他一些重塑趋势。我们的初步发现为进一步研究未成熟大鼠SE的糖基化变化奠定了基础。
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引用次数: 0
Retrospective Assessment of the Use of Pharmacotherapeutic Agents in Pregnancy with Potential Impact on Neonatal Health 妊娠期药物治疗药物使用对新生儿健康潜在影响的回顾性评估
Pub Date : 2022-08-01 DOI: 10.2478/afpuc-2022-0015
K. Podolská, D. Mazánková, M. Göböová
Abstract This study focuses on the role of a clinical pharmacist in the optimisation of pharmacotherapy in the case of patients during pregnancy and its importance within the hospital sector in Slovakia. Retrospective evaluation of pharmacotherapy in pregnant patients with a focus on teratogenicity and appropriate drug selection was used. The hospital data were collected during 24 months from 22 female patients. The main observed outcome was health condition of the newborn, and it was expressed as healthy newborn, illness of the newborn, any congenital defect or malformation, spontaneous abortion, or unspecified information about the newborn. Based on a foetal risk assessment of used therapeutic agents from the Summary of Product Characteristics (SmPC), basal foetal and neonatal risk assessment (Briggs et al., 2017), and recommendations and related human past reports and supporting evidence studies, drugs were divided into two groups: confirmed foetal risk drugs and negative (nonconfirmed) foetal risk drugs. A total of 36.3% of the patients used two drugs. Patients most frequently used drugs during the first trimester (81.8%). During pregnancy, the most used drugs were for the nervous system (25.5%), anti-infective agents (23.6%), and respiratory therapeutic agents (14.5%). Of the 22 patients, 16 (73%) had healthy newborns, despite the use of therapeutic agents with different foetal-risk variations. In the group of therapeutic agents with confirmed risk, in some, negative effect on the newborn's health was clinically manifested. Spontaneous abortion was present after using norethisterone acetate and valproic acid; birth defect (unspecified) was present after usage of interferon β-1a and methylprednisolone sodium succinate. An illness (heart murmur) was present after the use of monohydrate sodium salt of metamizole. Another illness (Wilm's tumour) was present after the use of budesonide. Unspecified information about the newborn was observed in four cases after the use of prednisone, allopurinol, nadroparin, and fluvastatin.
摘要本研究的重点是临床药师在优化药物治疗的情况下,在怀孕期间的病人和其在斯洛伐克医院部门的重要性的作用。回顾性评价药物治疗的孕妇,重点是致畸性和适当的药物选择。在24个月内收集22名女性患者的医院数据。主要观察结果是新生儿的健康状况,表示为健康新生儿、新生儿疾病、任何先天性缺陷或畸形、自然流产或未明确的新生儿信息。根据产品特性总结(SmPC)、基础胎儿和新生儿风险评估(Briggs等,2017)中使用的治疗药物的胎儿风险评估,以及建议和相关的人类过去报告和支持证据研究,将药物分为两组:确认的胎儿风险药物和阴性(未确认)胎儿风险药物。共有36.3%的患者同时使用两种药物。患者在妊娠早期使用药物最多(81.8%)。妊娠期用药最多的是神经系统(25.5%)、抗感染(23.6%)和呼吸系统(14.5%)。在22例患者中,尽管使用了不同胎儿风险变异的治疗药物,但16例(73%)的新生儿健康。在已确认有风险的药物组中,部分药物对新生儿健康的负面影响已在临床表现出来。应用醋酸去甲睾酮和丙戊酸后出现自然流产;使用干扰素β-1a和琥珀酸甲基强的松龙钠后出现出生缺陷(未指明)。使用甲硝唑一水钠盐后出现心脏杂音。使用布地奈德后出现另一种疾病(Wilm肿瘤)。在使用强的松、别嘌呤醇、钠黄嘌呤和氟伐他汀后,观察到4例新生儿未明确的信息。
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引用次数: 1
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European Pharmaceutical Journal
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