Drug safety: Pregnancy rating classifications and controversies

被引:22
作者
Wilmer, Erin [1 ]
Chai, Sandy [1 ]
Kroumpouzos, George [1 ]
机构
[1] Brown Univ, Dept Dermatol, Warren Alpert Med Sch, Providence, RI 02912 USA
关键词
SYSTEMIC-LUPUS-ERYTHEMATOSUS; TOPICAL CORTICOSTEROIDS; RHEUMATOID-ARTHRITIS; RISK CLASSIFICATION; MATERNAL EXPOSURE; OCULAR TOXICITY; HYDROXYCHLOROQUINE; OUTCOMES; WOMEN; INFORMATION;
D O I
10.1016/j.clindermatol.2016.02.013
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
This contribution consolidates data on international pregnancy rating classifications, including the former US Food and Drug Administration (FDA), Swedish, and Australian classification systems, as well as the evidence-based medicine system, and discusses discrepancies among them. It reviews the new Pregnancy and Lactation Labeling Rule (PLLR) that replaced the former FDA labeling system with narrative -based labeling requirements. PLLR emphasizes on human data and highlights pregnancy exposure registry information. In this context, the review discusses important data on the safety of most medications used in the management of skin disease in pregnancy. There are also discussions of controversies relevant to the safety of certain dermatologic medications during gestation. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:401 / 409
页数:9
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