TY - JOUR
T1 - Current evidence on the safety profile of NSAIDs for the treatment of PDA.
AU - Romagnoli, Costantino
AU - Bersani, Iliana
AU - Rubortone, Serena Antonia
AU - Lacerenza, Serafina
AU - De Carolis, Maria Pia
PY - 2011
Y1 - 2011
N2 - Patent ductus arteriosus (PDA) complicates the clinical course of preterm infants. Nonsteroidal anti-inflammatory drugs, especially Indomethacin and Ibuprofen, have been widely used for both prevention and treatment of PDA. Short-term efficacy of Indomethacin or Ibuprofen is equivalent, while Ibuprofen results show a higher safety profile. Ibuprofen is associated with fewer clinical gastrointestinal and renal side effects with respect to Indomethacin even if subclinical potential effects are reported. When administered as prophylaxis, Ibuprofen has no effects on prevention of intraventricular haemorrhage unlike Indomethacin. Considering the potential adverse effects of both these drugs, a careful monitoring during and after the treatment period is highly recommended.
AB - Patent ductus arteriosus (PDA) complicates the clinical course of preterm infants. Nonsteroidal anti-inflammatory drugs, especially Indomethacin and Ibuprofen, have been widely used for both prevention and treatment of PDA. Short-term efficacy of Indomethacin or Ibuprofen is equivalent, while Ibuprofen results show a higher safety profile. Ibuprofen is associated with fewer clinical gastrointestinal and renal side effects with respect to Indomethacin even if subclinical potential effects are reported. When administered as prophylaxis, Ibuprofen has no effects on prevention of intraventricular haemorrhage unlike Indomethacin. Considering the potential adverse effects of both these drugs, a careful monitoring during and after the treatment period is highly recommended.
KW - treatment of PDA
KW - treatment of PDA
UR - http://hdl.handle.net/10807/23604
M3 - Article
SN - 1476-7058
SP - 10
EP - 13
JO - THE JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
JF - THE JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
ER -