首页|205种中成药药品说明书中妊娠禁忌标注情况调查分析

205种中成药药品说明书中妊娠禁忌标注情况调查分析

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目的 对中成药药品说明书中妊娠禁忌标注的具体情况进行分析探讨,为孕妇安全、合理地使用中成药提供参考。方法 收集整理我院2021年1-6月销售的中成药相关药品的说明书,统计《中华人民共和国药典》2020年版一部(以下简称《中国药典》)中中药材及中药饮片的妊娠禁忌,依据《中国药典》及《中华人民共和国临床用药须知》2015年版中药成方制剂卷(以下简称《临床用药须知》)中"注意"项下的相关标注情况,运用对比分析法比较中成药药品说明书在妊娠禁忌方面标注的差异。结果 205种中成药中,《中国药典》、《临床用药须知》收录的品种分别为92、139种,两者均收录在内的品种有79种。中成药组成成分及其药品说明书、《中国药典》和《临床用药须知》中关于妊娠禁忌相关标注情况全部一致的仅有8种(10。13%)。结论 大多数中成药说明书妊娠禁忌标注欠规范,且与《中国药典》《临床用药须知》一致性较差,亟待药品监督管理部门、药品上市许可持有人、药品生产经营企业和医疗机构共同推动药品说明书关于妊娠用药信息的完善,从而保障妊娠患者的合理用药。
Investigation and analysis of pregnancy contraindication in package inserts of 205 Chinese patent medicines
Objective To analyze and discuss the specific situation of pregnancy contraindication labeling of Chinese patent medi-cines(CPM),and to provide reference for the rational and effective application of CPM by pregnant women.Methods Package inserts of CPM used in our hospital during January to June 2021 were collected.By referring to the pregnancy contraindicated mate-rials and decoction pieces in Chinese Pharmacopoeia(Volume 1,2020 edition),and according to the annotation of"note"item in Chinese Pharmacopoeia and Chinese Pharmacopoeia Guidelines for Clinical Drug Use(TCM Prescription Preparation Volume,2015 edition),problems existing in pregnancy contraindication instruction labeling of package inserts were compared and analyzed.Results Among 205 kinds of CPM,92 were included in Chinese Pharmacopeia,139 in the Guidelines for Clinical Drug Use,79 in both.Only 8 kinds of CPM's ingredients were completely consistent with the pregnancy contraindication in package inserts,Chinese Pharmacopeia and Guidelines for Clinical Drug Use(10.13%).Conclusion The pregnancy contraindications in most CPM are not standardized,showing poor consistency with Chinese Pharmacopeia or Guidelines for Clinical Drug Use.Drug regulatory authorities,marketing authorization holder(MAH),pharmaceutical production and marketing enterprises,and medical institu-tions are required to jointly promote the drug use information for women in pregnancy,and to ensure the rational use of drugs for pregnant patients.

Chinese patient medicinepackage insertsChinese PharmacopoeiaChinese Pharmacopeia Guidelines for Clinical Drug Usepregnancy contraindication

王利杰、鲁巍

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焦作市第二人民医院药学部,焦作 454000

中成药 药品说明书 中国药典 中华人民共和国临床用药须知 妊娠禁忌

焦作市科技计划(2021)

302

2024

西北药学杂志
西安交通大学,陕西省药学会

西北药学杂志

CSTPCD
影响因子:0.912
ISSN:1004-2407
年,卷(期):2024.39(2)
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