Drugs in Pregnancy and Lactation, 2nd Edition

A special issue of Pharmaceutics (ISSN 1999-4923). This special issue belongs to the section "Clinical Pharmaceutics".

Deadline for manuscript submissions: closed (30 November 2023) | Viewed by 1512

Special Issue Editors


E-Mail Website1 Website2
Guest Editor
1. Department of Clinical Pharmacology, Faculty of Medicine, University of Ostrava, Syllabova 19, 703 00 Ostrava, Czech Republic
2. Department of Clinical Pharmacology, Department of Laboratory Medicine, University Hospital Ostrava, 708 52 Ostrava, Czech Republic
Interests: therapeutic drug monitoring; pregnancy; breastfeeding; antiepileptic drugs; multiple sclerosis
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Department of Clinical Pharmacology, Faculty of Medicine, University of Ostrava, Syllabova 19, 703 00 Ostrava, Czech Republic
Interests: therapeutic drug monitoring; clinical pharmacology; personalised medicine; drug metabolism; drug safety; pharmacodynamics; drug toxicity; multiplex sclerosis
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Women frequently take a variety of drugs during pregnancy and lactation, including prescription and over-the-counter drugs, as well as herbal agents. It is well-known that pregnancy induces significant changes in both pharmacokinetics and pharmacodynamics of most drugs with a high intra- and interpatient variability. Unfortunately, data on long-term safety of the prenatal and breastfeeding-exposed infants are still lacking for many drugs. For this reason, most medications do not include labelling information about their use during pregnancy and lactation. Choosing the appropriate drug dose for a pregnant and nursing woman is a difficult balancing act between optimal maternal treatment and minimal risk of harm to the fetuses and/or breastfed infants. Therapeutic drug monitoring may be a useful tool for dose adjustment in this period, and analysis of the umbilical cord/maternal serum drug concentration ratio is the method recommended to assess transplacental transfer. Recognizing pregnant and lactating women as special populations is essential to obtain information about the safety and efficacy of drugs, which is of crucial importance. This Special Issue welcomes the submission of original and review articles.

Dr. Ivana Kacirova
Dr. Milan Grundmann
Guest Editors

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Keywords

  • contraception/possible infertility related to the drug
  • pharmacokinetics during pregnancy and lactation
  • fetal and neonatal complications
  • intrauterine therapy of fetal diseases
  • umbilical cord serum drug concentrations
  • drug interaction with placental transporters
  • milk and breastfed infant serum drug concentrations
  • the need for multidisciplinary teams and the additional complexity of treatment

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Published Papers (1 paper)

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Research

18 pages, 4413 KiB  
Article
The Long-Term Neuroprotective Effect of the Endocannabinoid 2-AG and Modulation of the SGZ’s Neurogenic Response after Neonatal Hypoxia-Ischemia
by Gorane Beldarrain, Enrique Hilario, Idoia Lara-Celador, Marc Chillida, Ana Catalan, Antonia Ángeles Álvarez-Diaz and Daniel Alonso-Alconada
Pharmaceutics 2023, 15(6), 1667; https://doi.org/10.3390/pharmaceutics15061667 - 07 Jun 2023
Cited by 1 | Viewed by 971
Abstract
Neonatal hypoxia-ischemia (HI) often causes hypoxic-ischemic encephalopathy (HIE), a neurological condition that can lead to overall disability in newborns. The only treatment available for affected neonates is therapeutic hypothermia; however, cooling is not always effective to prevent the deleterious effects of HI, so [...] Read more.
Neonatal hypoxia-ischemia (HI) often causes hypoxic-ischemic encephalopathy (HIE), a neurological condition that can lead to overall disability in newborns. The only treatment available for affected neonates is therapeutic hypothermia; however, cooling is not always effective to prevent the deleterious effects of HI, so compounds such as cannabinoids are currently under research as new therapies. Modulating the endocannabinoid system (ECS) may reduce brain damage and/or stimulate cell proliferation at the neurogenic niches. Further, the long-term effects of cannabinoid treatment are not so clear. Here, we studied the middle- and long-term effects of 2-AG, the most abundant endocannabinoid in the perinatal period after HI in neonatal rats. At middle-term (postnatal day 14), 2-AG reduced brain injury and increased SGZ’s cell proliferation and the number of neuroblasts. At post-natal day 90, the treatment with the endocannabinoid showed global and local protection, suggesting long-lasting neuroprotective effects of 2-AG after neonatal HI in rats. Full article
(This article belongs to the Special Issue Drugs in Pregnancy and Lactation, 2nd Edition)
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