Ibuprofen and paracetamol for patent ductus arteriosus

We aimed to assess the state of the art of pharmacological treatment of patency of ductus arteriosus (PDA) with ibuprofen and paracetamol in preterm infants. We pointed out that ibuprofen is the first choice drug for PDA treatment and indomethacin should be abandoned for its frequent adverse effects...

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Main Author: Carlo Dani
Format: Article
Language:English
Published: Hygeia Press di Corridori Marinella 2014-09-01
Series:Journal of Pediatric and Neonatal Individualized Medicine
Subjects:
Online Access:https://www.jpnim.com/index.php/jpnim/article/view/171
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author Carlo Dani
author_facet Carlo Dani
author_sort Carlo Dani
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description We aimed to assess the state of the art of pharmacological treatment of patency of ductus arteriosus (PDA) with ibuprofen and paracetamol in preterm infants. We pointed out that ibuprofen is the first choice drug for PDA treatment and indomethacin should be abandoned for its frequent adverse effects. However, also the pharmacological prevention of PDA should be abandoned because many preterm infants have spontaneous closure of PDA and ibuprofen may have dangerous adverse effects. Oral paracetamol has been found in two randomized controlled studies to have the same effectiveness of ibuprofen in closing PDA but without toxicity. If these data will be confirmed the management of PDA in preterm infants should be re-evaluated.   Proceedings of the 10th International Workshop on Neonatology · Cagliari (Italy) · October 22nd-25th, 2014 · The last ten years, the next ten years in Neonatology Guest Editors: Vassilios Fanos, Michele Mussap, Gavino Faa, Apostolos Papageorgiou
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spelling doaj.art-eaeff64ca9a646d1981f6c562018467a2022-12-22T00:49:52ZengHygeia Press di Corridori MarinellaJournal of Pediatric and Neonatal Individualized Medicine2281-06922014-09-0132e030226e03022610.7363/030226137Ibuprofen and paracetamol for patent ductus arteriosusCarlo Dani0Department of Neurosciences, Psychology, Drug Research and Child Health, University of Florence, ItalyWe aimed to assess the state of the art of pharmacological treatment of patency of ductus arteriosus (PDA) with ibuprofen and paracetamol in preterm infants. We pointed out that ibuprofen is the first choice drug for PDA treatment and indomethacin should be abandoned for its frequent adverse effects. However, also the pharmacological prevention of PDA should be abandoned because many preterm infants have spontaneous closure of PDA and ibuprofen may have dangerous adverse effects. Oral paracetamol has been found in two randomized controlled studies to have the same effectiveness of ibuprofen in closing PDA but without toxicity. If these data will be confirmed the management of PDA in preterm infants should be re-evaluated.   Proceedings of the 10th International Workshop on Neonatology · Cagliari (Italy) · October 22nd-25th, 2014 · The last ten years, the next ten years in Neonatology Guest Editors: Vassilios Fanos, Michele Mussap, Gavino Faa, Apostolos Papageorgiouhttps://www.jpnim.com/index.php/jpnim/article/view/171ductus arteriosusibuprofenparacetamolpreterm infant
spellingShingle Carlo Dani
Ibuprofen and paracetamol for patent ductus arteriosus
Journal of Pediatric and Neonatal Individualized Medicine
ductus arteriosus
ibuprofen
paracetamol
preterm infant
title Ibuprofen and paracetamol for patent ductus arteriosus
title_full Ibuprofen and paracetamol for patent ductus arteriosus
title_fullStr Ibuprofen and paracetamol for patent ductus arteriosus
title_full_unstemmed Ibuprofen and paracetamol for patent ductus arteriosus
title_short Ibuprofen and paracetamol for patent ductus arteriosus
title_sort ibuprofen and paracetamol for patent ductus arteriosus
topic ductus arteriosus
ibuprofen
paracetamol
preterm infant
url https://www.jpnim.com/index.php/jpnim/article/view/171
work_keys_str_mv AT carlodani ibuprofenandparacetamolforpatentductusarteriosus