Therapeutic Drug Management for Transplanted Women with a Planned Pregnancy: About Two Cases of Lung and Heart-lung Transplantation

被引:0
作者
Zecchini, Celine [1 ]
Chanoine, Sebastien [1 ,2 ]
Chapuis, Claire [1 ]
Claustre, Johanna [3 ]
Schir, Edith [4 ]
Allenet, Benoit [1 ,2 ]
Saint Raymond, Christel [3 ]
Bedouch, Pierrick [1 ,2 ]
机构
[1] CHU Grenoble, Pole Pharm, F-38043 Grenoble 9, France
[2] Univ Grenoble Alpes, CNRS, ThEMAS TIMC UMR 5525, Grenoble, France
[3] CHU Grenoble, Clin Univ Pneumol, F-38043 Grenoble 9, France
[4] Ctr Reg Pharmacovigilance, Grenoble, France
来源
THERAPIE | 2015年 / 70卷 / 06期
关键词
pregnancy; lung transplantation; drugs; immunosuppressants; teratogenicity; STATIN USE; EXPOSURE; AZATHIOPRINE; SURVIVAL; OUTCOMES;
D O I
10.2515/therapie/2015033
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Advances in lung transplantation allow the women of childbearing age to consider becoming mothers. When planning to become pregnant, a therapeutic drug management of immunosuppressive drugs and associated therapies is required. It must take into account teratogenic and fetotoxic drugs, as well as pharmacokinetic changes encountered during pregnancy. Increasingly data are currently available on the management of immunosuppressive drugs and associated therapies during pregnancy. We report the case management of drug therapy before and during pregnancy in two patients after a lung or heart-lung transplantation. To prevent the emergence of complications for mother and child, a literature review has been necessary to manage drug therapies of each patient.
引用
收藏
页码:493 / 499
页数:7
相关论文
共 32 条
[1]  
Agence de la biomedecine, Rapport Annuel Medical et Scientifique de l'Agence de la biomedecine 2020
[2]  
[Anonymous], REPR TER DAT INT AZ
[3]   Immunosuppression in pregnancy - Choices for infant and maternal health [J].
Armenti, VT ;
Moritz, MJ ;
Cardonick, EH ;
Davison, JM .
DRUGS, 2002, 62 (16) :2361-2375
[4]   Clinical pharmacokinetics of mycophenolate mofetil [J].
Bullingham, RES ;
Nicholls, AJ ;
Kanmm, BR .
CLINICAL PHARMACOKINETICS, 1998, 34 (06) :429-455
[5]   Early Pregnancy Azathioprine Use and Pregnancy Outcomes [J].
Cleary, Brian J. ;
Kallen, Bengt .
BIRTH DEFECTS RESEARCH PART A-CLINICAL AND MOLECULAR TERATOLOGY, 2009, 85 (07) :647-654
[6]   Pregnancy outcome in patients with inflammatory bowel disease treated with thiopurines: cohort from the CESAME Study [J].
Coelho, Jessica ;
Beaugerie, Laurent ;
Colombel, Jean Frederic ;
Hebuterne, Xavier ;
Lerebours, Eric ;
Lemann, Marc ;
Baumer, Philippe ;
Cosnes, Jacques ;
Bourreille, Arnaud ;
Gendre, Jean Pierre ;
Seksik, Philippe ;
Blain, Antoine ;
Metman, Etienne H. ;
Nisard, Andree ;
Cadiot, Guillaume ;
Veyrac, Michel ;
Coffin, Benoit ;
Dray, Xavier ;
Carrat, Fabrice ;
Marteau, Philippe .
GUT, 2011, 60 (02) :198-203
[7]   Major congenital malformations after first-trimester exposure to ACE inhibitors [J].
Cooper, William O. ;
Hernandez-Diaz, Sonia ;
Arbogast, Patrick G. ;
Dudley, Judith A. ;
Dyer, Shannon ;
Gideon, Patricia S. ;
Hall, Kathi ;
Ray, Wayne A. .
NEW ENGLAND JOURNAL OF MEDICINE, 2006, 354 (23) :2443-2451
[8]   Dramatic Improvement in Survival After Lung Transplantation Over Time: A Single Center Experience [J].
Costache, V. ;
Chavanon, O. ;
St Raymond, C. ;
Sessa, C. ;
Durand, M. ;
Duret, J. ;
Bach, V. ;
Porcu, P. ;
Hacini, R. ;
Aubert, A. ;
Chaffanjon, P. ;
Cochet, E. ;
Brichon, P. -Y. ;
Coltey, B. ;
Cracowski, C. ;
Bertrand, D. ;
Schwebel, C. ;
Barnoud, D. ;
Brambilla, E. ;
Lantuejoul, S. ;
Ferretti, G. ;
Pin, I. ;
Blin, D. ;
Pison, C. .
TRANSPLANTATION PROCEEDINGS, 2009, 41 (02) :687-691
[9]   Guidelines for the management of pregnancy in women with cystic fibrosis [J].
Edenborough, F. P. ;
Borgo, G. ;
Knoop, C. ;
Lannefors, L. ;
Mackenzie, W. E. ;
Madge, S. ;
Morton, A. M. ;
Oxley, H. C. ;
Touw, D. J. ;
Benham, M. ;
Johannesson, M. .
JOURNAL OF CYSTIC FIBROSIS, 2008, 7 :S2-S32
[10]   Mechanistic and epidemiologic considerations in the evaluation of adverse birth outcomes following gestational exposure to statins [J].
Edison, RJ ;
Muenke, M .
AMERICAN JOURNAL OF MEDICAL GENETICS PART A, 2004, 131A (03) :287-298