Drugs During Pregnancy and Lactation: Treatment Options and Risk Assessment / Edition 2

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This newest pocket guide is the definitive source of information on the risks from the relevant drugs that might be taken by women of reproductive age. Risk is assessed not only for prescribed medicinal products for diseases, but also for herbs, industrial, environmental and recreational agents, both before pregnancy as well as during pregnancy and lactation. An easy-to-reference format ensures confidence in prescribing and even includes actions to be taken after inadvertent exposure to developmentally toxic drugs has occurred. The authoritative information contained in this guide supports and facilitates decision making in drug therapy across many therapeutic disciplines, making this book unique in the field. Covering nearly all internationally prescribed drugs used in treatment, each entry reflects the author’s extensive experience with human pregnancy and presents details of developmental toxicity or clinical data supporting drug safety. This affordable, compact compendium of knowledge will be a welcome assistant in the care and therapy of women before, during and after pregnancy.

* Expanded chapters on antiepileptics, psychopharmacological agents, disease modifying drugs, and cancer therapy.
* Essential new information on herbs and vitamins used during pregnancy, as well as chapters on functional foods, nutrition supplements and health foods, covering nearly all substances currently on the market
* Expert content on drug risks during pregnancy and lactation by a group of international authors that are active members of the teratology societies, including OTIS and ENTIS
*Structured according to indication group, rather than alphabetically, providing a more user-friendly guide that makes it easier to compare drugs for a given ailment with respect to their level of safety in pregnancy
* Includes a conveniently removable 'quick reference' card of drugs and their dosage

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Editorial Reviews

Doody's Review Service
Reviewer: Gilad A. Gross, MD (Washington University School of Medicine)
Description: This book on the use of drugs (medical therapeutics) during pregnancy and lactation uses a two-pronged approach, with the first being "best" choices and the second being risks secondary to exposure.
Purpose: The purpose is to facilitate a comparative risk approach, i.e. identifying the drugs of choice for a particular disease or symptom. This is an extremely important goal - assisting clinicians in making the best possible choice for their patients. The author meets the objectives admirably, employing an impressive group of contributors.
Audience: This book is intended for practicing clinicians who prescribe medicinal products and evaluate environmental and/or occupational exposures in women who are pregnant, may become pregnant, or are lactating. The authors are from around the world, including Germany, the Netherlands, Israel, the U.K., France, Spain, and the U.S.
Features: The best feature of this book is its thorough coverage of how medications pass into breast milk and the way it takes into consideration the differences posed by infant age and maturity. Lists of drug therapies accompanied with recommendations regarding therapy choice and safe alternatives, are especially helpful. The appendixes are a highlight of this book, providing practitioners with a wealth of listed resources. Some of these are invaluable resources.
Assessment: This is highly recommended to all clinicians working in the areas of obstetrics, pediatrics, and lactation. It offers more specific recommendations regarding treatment options than a similar book, Hale's Medications and Mothers Milk, 12th edition (Hale Publishing, 2006). Another book in this area, Schaefer et al.'s Drugs During Pregnancy and Lactation: Treatment Options and Risk Assessment, 2nd edition (Elsevier, 2007) does not list drugs under specific categories, such as general and local anesthetics, muscle relaxants, or dermatological medications, the way this book does, which makes decision making easier for the clinician. This book is a great addition to the clinician's library. This second edition contains major revisions with many sections completely rewritten, and the price is lower, making the book available to a greater readership.
From the Publisher
"...highly recommended to all clinicians. It offers more specific recommendations regarding treatment options than a similar book, Hale's Medications and Mothers Milk, 12th edition.

"A welcome edition to an already thorough reference...invaluable...worthy of a spot on a bookshelf of any health care practitioner who advises pregnant or lactating women."
- Myla Moretti, Motherisk Program, Toronto, Ontario, in CANADIAN JOURNAL OF HOSPITAL PHARMACY

"This book has staying power, and I expect we will see subsequent editions on a regular basis...the book will find an appreciative audience."
- Anthony R. Scialli, M.D., Reproductive Toxicology Center, Bethesda, MD

"A user-friendly pocket guide that's been extensively revised throughout...includes a removable quick reference card on the safety of most frequently used drugs."

"It is wonderful to have another source to assess the risks for use of medications not only in pregnancy but while breastfeeding."
--Sharon Voyer Lavigne, M.S, Connecticut Pregnancy Exposure Information Service

"Drugs During Pregnancy and Lacation, Treatment Options and Risk Assessment, Second Edition, is a well organized, concise, and comprehensive reference guide assembled by internationally recognized experts in the field – a valuable tool for clinicians."
--Christina D. Chambers, Ph.D., M.P.H., Departments of Pediatrics and Family and Preventive Medicine, University of California in San Diego

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Product Details

  • ISBN-13: 9780444520722
  • Publisher: Elsevier Science
  • Publication date: 7/17/2007
  • Edition description: New Edition
  • Edition number: 2
  • Pages: 904
  • Sales rank: 1,326,561
  • Product dimensions: 4.70 (w) x 7.70 (h) x 2.00 (d)

Table of Contents

List of Contributors
General commentary to drug therapy and drug risks in pregnancy
Specific drug therapies during pregnancy
Analgesics and Anti-Inflammatory Drugs
Antiallergic Drugs and Desensitization
Antiasthmatic and Cough Medication
Gastrointestinal, Antilipidemic Agents and Spasmolytics
Anti-infective agents
Vaccines and Immunoglobulins
Heart and Circulatory System Drugs and Diuretics
Anticoagulant and fibrinolytic drugs
Psychotropic drugs
Antineoplastic Drugs
Uterine contraction agents, tocolytics, vaginal therapeutics and local contraceptives
General and local anesthetics and muscle relaxants
Dermatological medications and local therapeutics
Vitamins, minerals and trace elements
Herbs During Pregnancy
Diagnostic agents
Recreational drugs
Poisonings and Toxins
Occupational, industrial and environmental agents
General Commentary on Drug Therapy and Drug Risk During Lactation
Specific drug therapies during lactation
Analgesics, antiphlogistics and anesthetics
Antiallergics, antiasthmatics and antitussives
Gastrointestinal drugs
Vaccines and Immunoglobulins
Cardiovascular drugs and diuretics
Anticoagulants and fibrinolytics
Psychotropic drugs
Immunomodulating and Antineoplastic Agents
Hormones and hormone antagonists
Dermatological Drugs and Local Therapeutics
Alternative Remedies , Vitamins and Minerals
Recreational Drugs
Plant Toxins
Industrial chemicals and environmental contaminants
Appendix A - Teratology Information Centers
Appendix B - Addresses for breastfeeding support
Subject Index
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