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Segurança do uso da cabergolina na embriogênese e na gestação

Authors: de Morais, Heloisa Carvalho; Custódio, Aline Pinheiro; Castro, Eduardo Camelo de; Amaral, Waldemar Naves do; Cruz, Eliane Souza; Silva, Sander Antônio Pereira da;

Segurança do uso da cabergolina na embriogênese e na gestação

Abstract

ResumoA cabergolina é um agonista dopaminérgico e apresenta efeito de supressão sobre a prolactina. É usada para o tratamento de hiperprolactinemias em pacientes inférteis e na prevenção da síndrome da hiperestimulação ovariana nos ciclos de fertilização in vitro.ObjetivoFazer revisão sistemática dos estudos que avaliaram a segurança do uso da cabergolina na embriogênese e na gestação.MétodoRevisão sistemática dos trabalhos publicados nos últimos 23 anos que relacionaram o uso de cabergolina no período gestacional com um possível efeito teratogênico. Esses estudos estavam disponíveis nas bases de dados científicas Medline, Lilacs e Scielo. Os descritores de busca usados foram cabergoline, pregnancy e teratogen.ResultadosForam selecionados 12 artigos publicados de 1994 a 2013. Verificou‐se a existência de cerca de 800 casos de gestantes expostas à cabergolina. A maioria dos artigos revisados demonstrou que a cabergolina é uma opção segura para o concepto e para a evolução da gestação. O uso não aumentou o risco de malformação fetal, aborto e parto prematuro.ConclusãoOs dados referentes ao uso da cabergolina durante a gravidez tornam‐se cada vez mais consistentes e grande parte dos artigos demonstra a confiabilidade e segurança desse medicamento.AbstractCabergoline is a dopaminergic agonist and exhibits a suppression effect on prolactin. It is used to treat hyperprolactinemia in infertile patients and to prevent the ovarian hyperstimulation syndrome in vitro fertilization cycles.ObjetiveA systematic review on the literature looking for studies that evaluate the safety use of Cabergoline in the embryogenesis and in pregnancy.MethodSystematic review of articles published in last 23 years that try to establish the relationship between the use of Cabergoline in the gestational period with a possible teratogenic effect. The papers were available in the following scientific databases: Medline, Lilacs e Scielo. The key words used were cabergoline, pregnancy and teratogen.ResultsTwelve articles published from 1994 to 2013 were selected. It has been found that 800 pregnant women were exposed to cabergoline. Most of the papers analysed showed that the cabergoline is a safety alternative for theconceptus and for the pregnancy outcome. Its use did not increase the risk of fetal malformation, miscarriage and premature birth.ConclusionData regarding the use of cabergoline during pregnancy have become increasingly consistent, and most articles have demonstrated the reliability and safety of this drug.

Keywords

Cabergoline, Gestação, Pregnancy, Cabergolina, Obstetrics and Gynaecology, Teratogen, Teratógeno

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
hybrid