دورية أكاديمية

Valproic Acid Concentrations in Mothers, Colostrum and Breastfed Infants during the Early Postpartum Period: Comparison with Concentrations Determined during Delivery and in the Mature Milk Period

التفاصيل البيبلوغرافية
العنوان: Valproic Acid Concentrations in Mothers, Colostrum and Breastfed Infants during the Early Postpartum Period: Comparison with Concentrations Determined during Delivery and in the Mature Milk Period
المؤلفون: Ivana Kacirova, Milan Grundmann, Hana Brozmanova
المصدر: Pharmaceutics, Vol 13, Iss 12, p 2074 (2021)
بيانات النشر: MDPI AG, 2021.
سنة النشر: 2021
المجموعة: LCC:Pharmacy and materia medica
مصطلحات موضوعية: valproic acid, colostrum, breastfeeding, Pharmacy and materia medica, RS1-441
الوصف: To obtain information on the transport of valproic acid from mothers to colostrum and breastfed infants, in this cohort study, valproic acid concentrations in maternal serum (90 subjects), colostrum and the serum of breastfed infants were analyzed in years 1993–2018, between the 2nd and 5th postnatal days. Valproic acid concentrations ranged from 4.3 to 66.5 mg/L (mean 31.2 ± 13.6 mg/L) in maternal serum, from 0.5 to 5.9 mg/L (mean 1.1 ± 1.2 mg/L) in milk, and from 0.5 to 42.9 mg/L (mean 15.4 ± 9.4 mg/L) in infant serum. The milk/maternal serum concentration ratio ranged from 0.01 to 0.22 (mean 0.04 ± 0.04), and the infant/maternal serum concentration ratio ranged from 0.01 to 1.61 (mean 0.51 ± 0.28). A significant correlation was found between serum concentrations of breastfed infants and milk concentrations, maternal serum concentrations, maternal daily dose, and dose related to maternal body weight. Valproic acid concentrations in milk and infant serum did not reach the lower limit of the reference range used for the general epileptic population, and three-quarters of the concentrations in milk were lower than the lower limit of quantification. Routine monitoring of serum concentrations of breastfed infants is not necessary. If signs of potential adverse reactions are noted, serum concentrations of the infants should be measured.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1999-4923
06083420
Relation: https://www.mdpi.com/1999-4923/13/12/2074; https://doaj.org/toc/1999-4923
DOI: 10.3390/pharmaceutics13122074
URL الوصول: https://doaj.org/article/8eb3f4e06083420ab4742ab484aaf311
رقم الأكسشن: edsdoj.8eb3f4e06083420ab4742ab484aaf311
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:19994923
06083420
DOI:10.3390/pharmaceutics13122074