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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Gentile, Salvatore |
| Description | Country affiliation: Italy Author Affiliation: Gentile S ( Department of Mental Health ASL Salerno, Mental Health Center n. 63, Piazza Galdi, 841013, Cava de' Tirreni (Salerno), Italy. salvatore_gentile@alice.it.) |
| Abstract | The clinical utilization of psychotropic medications in pregnant women represents a significant challenge. Indeed, the risks of untreated severe mental disorders, particularly when complicated by substance-related and addictive disorders, must be carefully balanced against the potential teratogenic risks of pharmacological treatment. In this case, an alcohol addict, diagnosed with borderline personality disorder was treated successfully with several classes of psychotropic agents during the first trimester. In September 2014, while taking trazodone, lorazepam, quetiapine, mirtazapine, and flurazepam, this patient became aware that she was pregnant. After a perinatal psychiatrist consultation requested four months later, trazodone and flurazepam were progressively suspended and daily doses of lorazepam and quetiapine were lowered gradually. Mirtazapine dose remained unchanged. Apart from a mild gastro-esophageal reflux disease, birth outcome was normal. |
| File Format | HTM / HTML |
| ISSN | 11732563 |
| Issue Number | 11 |
| Volume Number | 35 |
| e-ISSN | 11791918 |
| Journal | Clinical Drug Investigation |
| Language | English |
| Publisher | Springer |
| Publisher Date | 2015-11-01 |
| Publisher Place | New Zealand (Aotearoa) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Pharmacology Alcoholism Complications Borderline Personality Disorder Drug Therapy Mianserin Analogs & Derivatives Adult Diagnosis, Dual (psychiatry) Female Humans Therapeutic Use Pregnancy Pregnancy Outcome Case Reports Journal Article |
| Content Type | Text |
| Resource Type | Case study Article |
| Subject | Pharmacology (medical) |
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