Evidence map›Paper›PMID 15139511›Full record

ReviewPharmaceutical research2004

Neonatal exposure to drugs in breast milk.

Patrick J McNamara, Maggie Abbassi

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Pharmaceutical research, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01796132 (Antidepressant Treatments During Pregnancy and Lactation), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01796132 phase4unknown statusnot on this mapstarted 2012, after this paper: background citation

Antidepressant Treatments During Pregnancy and Lactation: Prediction of Drug Exposure Through Breastfeeding and Evaluation of Drug Effect on the Neonatal Adaptation and the Development of the Young Child

TypeinterventionalSponsorCentre Hospitalier Universitaire VaudoisRan2012 to 2018Enrolled500ConditionsDepressive Disorder, LactationArmsSSRI/SNRI
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Breastfeeding and migraine drugs.European journal of clinical pharmacology · 2014
    Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Patrick J McNamaraCollege of Pharmacy, University of Kentucky, Lexington, Kentucky 40536, USA. pmcnamar@email.uky.edu
Maggie Abbassi

Funding

TRANSPORT GENE EXPRESSION AND DRUG ACCUMULATION IN MILKR01HD037463 · NICHD · UNIVERSITY OF KENTUCKY · PI MCNAMARA, PATRICK J · 2001 to 2004
$1.1M
NICHD NIH HHS HD37463
6 · The paper itself

Abstract

There are many benefits of breast-feeding both for the infant and for the mother. Nursing mothers who are also taking medications or exposed to environmental hazards may be confronted with a difficult choice to discontinue nursing or maternal medication or risk potential harm to the infant. Frequently, these decisions are made without sufficient information or understanding of the factors influencing exposure. The current review explores two indices of exposure, together with their pharmacokinetic determinants. Both of the indices include the milk to serum (M/S) concentration ratio for a given drug and the volume of milk consumed. The first exposure term, EI(Dose), expresses neonatal dose as a percentage of maternal dose and is inversely related to the maternal systemic clearance. By contrast, the second exposure term, EI(Conc), expresses infant concentration as a percentage of maternal concentration and is inversely related to the infant systemic clearance. Issues related to intersubject variation in M/S (e.g., colostrum vs. mature milk, fore vs. hind milk) and infant clearance (e.g., ontogeny of elimination pathways, pharmacogenetics) and their role in modulating exposure are also discussed.

Indexed as

Age FactorsDose-Response Relationship, DrugDrug-Related Side Effects and Adverse ReactionsFemaleHumansInfant, NewbornMilk, HumanPharmaceutical PreparationsRisk AssessmentPharmaceutical Preparations

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.