1 Semantics Q1 2007 S EMANTICS (Q1,’07) Week 7 Jacob Andersen PhD student [email protected].
Jon T Andersen, MD, PhD, associate professorJon T Andersen, MD, PhD, associate professor Department...
Transcript of Jon T Andersen, MD, PhD, associate professorJon T Andersen, MD, PhD, associate professor Department...
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Jon T Andersen, MD, PhD, associate professor
Department of Clinical Pharmacology Copenhagen University Hospital Bispebjerg and Frederiksberg Copenhagen, Denmark Department of Biomedical Sciences University of Copenhagen Copenhagen, Denmark
Laboratory of Clinical Pharmacology
Dias 1
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Telefonrådgivningslinje/Hotline
Personlig rådgivning om
- brug af medicin, rusmidler og naturlægemidler i forbindelse med graviditet og amning
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Lægemidler ved graviditet og amning giver ofte anledning til bekymring
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Reproduktionstoxikologi
Wiedemann september 1961 Die Medizinische Welt
McBride december 1961 Lancet
Lenz januar 1962 Lancet
Thalidomid og hypoplasi af lemmer og phocomelia
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Thalidomid
Produceret i vesttyskland og lanceret i 1957 som håndkøbspræperat
Hypnotikum
Antiemetikum
Ca. 10.000 børn blev i de følgende født med misdannelser efter føtal eksponering.
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Thalidomid
Organdysgenese og lemmemisdannelser 60 % dødelighed
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Afledte effekter
Bendectin
(doxylamin og peridoxin)
Antiemetikum
Stoffet blev tvunget af det amerikanske marked i 1982 pga. frygt for misdannelse og deraf talrige retssager i 1970’erne.
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Afledte effekter
Mærkning af lægemidler om ikke at anvende dem under svangerskabet. Ubegrundet frygt for lægemidler medfører ophør af relevant behandling. Ubegrundet frygt for lægemidler medfører frygt for fosteret.
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Afledte effekter
70 % af de gravide i en norsk undersøgelse har selv undladt at tage deres medicin på grund af graviditeten og talrige studier har vist at mange stopper behandlingen af kroniske sygdomme som fx stofskiftesygdom astma infektioner depression
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Afledte effekter
SSRI før under og efter svangerskabet
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Nuværende tilbud Danmark • Indlægsseddel, venner/bekendte, apoteket,
online information
• Egen læge
• Jordemoder
• Obstetrisk afdeling
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Lignende tilbud i Europa Holland 1978
England1985
Frankrig Tyskland 1979
Schweitz 1990
Grækenland Spanien 1991
Finland 1994
Tjekkiet 1996
Østrig Italien 2000
Kroatien 2003
Norge 2009
Rusland 2010
Tyrkiet 2011
Danmark 2017
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Telefonrådgivningslinje/Hotline
- Rationel anvendelse af medicin
- Øger relevant medicinsk behandling
- Hindrer provokerede aborter
- Hindrer misdannelser
- Øger kvinde- og spædbarnssundheden
- Mindsker stress og bekymring
- Sparer $15 per anvendt $1
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Canada, Motherisk 1985 Elektronisk henvendelse Telefonisk henvendelse Personlig henvendelse Drevet af The Hospital for Sick Children Farmakologer Pædiatere Farmaceuter Genetikere Patologer Teratologer Hjemmeside: Motherisk.org
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Tyskland, Embryotox 1979 Åbent mandag-fredag 9-16 Leder: Prof. Christof Schaefer, pædiater I alt ansat 13 læger 2 sygeplejersker 2 farmaceuter 2 statistikere 8 i dokumentation/sekretariat Hjemmeside: reprotox.de
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Norge, TRYGG Mammamedisin 2007 Åbent hverdage 9-11.30 Emulighed for elektronisk henvendelse Drevet af RELIS I alt ansat 8 læger 19 farmaceuter Hjemmeside: TryggMammamedisin.no
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Organisering
Telefontjeneste åben 2 hverdage/uge
Kun for borgere i Region Hovedstaden
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Organisering
Senere mulighed for elektronisk henvendelse
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Organisering
Dokumentation
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Klinisk Farmakologisk Afdelings øvrige tilbud:
MedicinInfo
Tlf. 38 63 57 00 eller [email protected].
MedicinInfo rådgiver sundhedsfaglige i Region Hovedstaden om lægemidler. Læger, farmaceuter og farmakonomer besvarer dine spørgsmål.
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Klinisk Farmakologisk Afdelings øvrige tilbud:
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Klinisk Farmakologisk Afdelings øvrige tilbud:
Bivirkningsmanageren
Tlf. 51 72 20 80
Bivirkningsmanagerfunktionen er oprettet med henblik på at hjælpe læger i klinikken med indberetning af bivirkninger.
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