[药理学中的性别问题]。

Harefuah Pub Date : 2024-07-01
Marek Glezerman
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引用次数: 0

摘要

导言:性别和性别意识医学旨在提高公众和专业人员对男女身体各系统功能可能不同这一现象的认识。这些差异可能很小,但对健康和疾病的影响却很大,而且还会影响药代动力学和药效学。由于对药物的研究仍以男性为主,研究结果也适用于女性,因此男性的药代动力学和药效学实际上已成为 "黄金标准",在实践中适用于男女两性。尽管女性的体重通常低于男性,而且脂肪、肌肉和水在两性之间的分布也不尽相同。此外,她们的新陈代谢和通过肾脏清除药物的能力也可能不同。因此,女性有时会发现自己对各种药物的治疗不足或治疗过度,并且遭受的药物不良反应是男性的两倍。即使是美国食品及药物管理局等监管机构的介入,也不足以彻底改变这种状况。在这篇综述中,我将讨论这个问题的各个方面,举例说明不同类别的药物,并特别提到药物对妇女的副作用问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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[GENDER AND SEX ASPECTS IN PHARMACOLOGY].

Introduction: Sex- and Gender-Conscious Medicine aims to raise awareness among the general public and among professionals to the phenomenon that the function of all body systems in women and men can be different. The differences may be small but significant for the health and disease and also affect pharmacokinetics and pharmacodynamics. Since medications are still studied mostly in men and the results are applied to women, pharmacokinetics and pharmacodynamics of men have actually become the "gold standard", which is applied in practice to both sexes. This is the case, despite the fact that the body weight of women is usually lower than that of men and the compartmental distribution of fat, muscle and water is different between the sexes. In addition, metabolism and clearance of drugs through the kidneys can differ between them. As a result, women sometimes find themselves undertreated or over-treated with regard to various medications and suffer twice as much from adverse drug reactions than men. Even the involvement of regulatory institutions such as the FDA in the USA was not enough to change the situation decisively. In this review, I will discuss various aspects of the problem, present examples of different groups of drugs and will especially refer to the problem of the side effects of medications in women.

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