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Farmaci antiasmatici: (v. asma e gravidanza): si possono utilizzare quasi tutti i farmaci usualmente utilizzati al di fuori della gravidanza (ctg A-B della FDA). Preferibili i farmaci di più antica registrazione e utilizzati per via inalatoria. Per la somministrazione dei cortisonici per inalazione in gravidanza e allattamento, pur in assenza di casi riferiti di malformazione o tossicità, non esistono dati sulla loro assoluta innocuità. I benefici dell’assunzione di farmaci antiasmatici nella donna gravida sono molto superiori ad eventuali effetti indesiderati.
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tab. 36 – Farmaci antiasmatici |
management |
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|
Derivati dell’ac. |
ketoprofene |
Atrosilene, Ketoprofene, Lasarto, Oki, Flexen |
Ctg C; oligoamnios ipertensione polmonare fetale per gravidanza pretermessa |
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Ibuprofene |
Algofen, Antalgin, |
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Naproxene |
Naprossene, |
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Flurbiprofene |
Flurbiprofene Alfa, Benactiv |
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Ac. tiaprofenico |
Surgamyl |
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Dexketoprofene |
Desketo, Enantyum |
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Cromoni |
Cromoni |
Lomuspray orale Lomudal spray nasale Frenal compositum |
Ctg A2 terapia di 1ª scelta |
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Adrenergici (ß2-stimolanti) attività antibroncospastica |
salbutamolo |
Ventolin |
Ctg B3 Alti dosaggi possono contrazioni uterine, parto prematuro morte fetale SECRETO NEL LATTE |
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fenoterolo |
Duovent, Dosberotec spray |
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salmeterolo |
Arial spray orale |
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Nafazolina |
Collirio alfa, Imidazyl |
Classe A della FDA |
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Xantine |
teofilina |
Diffumal, |
Classe B2 |
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Aminofillina (teofillina + etilendiamina) |
Aminomal fl im, ev, supp |
Classe B2 Controindicato in |
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Corticosteroidi |
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Deltacortene |
ctg A3 pur in assenza di casi riferiti di |
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Soludacortin |
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Urbason, solumedrol |
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Flebocortid |
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Kenacort A- retard fl |
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Bentelan, Celestone |
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Decadron |
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Kenacort, Ledercort |
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Clenil compositum Clenil A flac aerosol |
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Pulmaxan |
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Mucolitici |
sobrerolo |
Sobrepin |
Classe A2 Nessuna Eccipienti: |
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