Rationale and design for an investigation to optimize selective serotonin reuptake inhibitor treatment for pregnant women with depression

Clin Pharmacol Ther. 2016 Jul;100(1):31-3. doi: 10.1002/cpt.375. Epub 2016 May 9.

Abstract

The physiological changes of pregnancy can affect the pharmacokinetics of a drug, thereby affecting its dose requirements. Because pharmacokinetic (PK) studies in pregnant women have rarely been conducted, evidence-based dosing adjustments are seldom available. In particular, despite the fact that the use of antidepressants has become increasingly common, pregnancy-associated PK changes of the selective serotonin reuptake inhibitors (SSRIs) are largely unknown.

MeSH terms

  • Antidepressive Agents / administration & dosage*
  • Antidepressive Agents / pharmacokinetics
  • Antidepressive Agents / pharmacology
  • Depression / drug therapy*
  • Dose-Response Relationship, Drug
  • Female
  • Humans
  • Pregnancy
  • Pregnancy Complications / drug therapy*
  • Research Design
  • Selective Serotonin Reuptake Inhibitors / administration & dosage*
  • Selective Serotonin Reuptake Inhibitors / pharmacokinetics

Substances

  • Antidepressive Agents
  • Serotonin Uptake Inhibitors