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A focused reflection on rational medicines use in neonates is valuable and relevant, because indicators to assess rational medicines use are difficult to apply to neonates. Polypharmacy and exposure to antibiotics are common, while dosing regimens or clinical guidelines are only rarely supported by robust evidence in neonates. This is at least in part due to the extensive variability in pharmacokinetics and subsequent effects of medicines in neonates. Medicines utilization research informs us on trends, on between unit variability and on the impact of guideline implementation. We illustrate these aspects using data on drugs for gastroesophageal reflux, analgesics or anti-epileptic drugs. Areas for additional research are drug-related exposure during breastfeeding (exposure prediction) and how to assess safety (tools to assess seriousness, causality, and severity tailored to neonates) since both efficacy and safety determine rational drug use. To further improve rational medicines use, we need more data and tools to assess efficacy and safety in neonates. Moreover, we should facilitate access to such data, and explore strategies for effective implementation. This is because prescription practices are not only rational decisions, but also have psychosocial aspects that may guide clinicians to irrational practices, in part influenced by the psychosocial characteristics of this population. Full article About The White House Presidential Actions System Requirements Bank Rates Privacy & Legal Notices Copyright ©2018 Gerber Life Insurance Company, White Plains, NY 10605 All rights reserved. Market Cap 173.9B Why Chubb - Industry Information Find a Plan Find a Dentist Health insurance / Insurance / Right to health /Social health insurance /Subsidies Petplan Peyronie’s Disease International News Contact us HIV Testing and Counseling Car Insurance Costs and Money-Saving Tips Search drug formularies My friend Betsy Anderson, who taught eighth-grade English at Athens Middle School for fifteen years, told me something that made me see how deep that well is. When she first started out as a teacher, she said, her most satisfying experiences came from working with eager, talented kids who were hungry for her help in preparing them for a path to college and success. But she soon realized that her class, like America as a whole, would see fewer than half of its students earn a bachelor’s degree. Her job was therefore to try to help all of her students reach their potential—to contribute in their own way and to pursue happiness on their own terms. Engineering & Technology Career Exploring Big Bigger and Biggest Car Insurance Discounts Teen Driver Discount ©2018 Harvard Pilgrim Health Care, Inc. All rights reserved. Claims Pay a bill © 2018 AFLAC INCORPORATED Net worth calculator Mon - Fri: 9:00 AM - 9:00 PM ET Property Support Golf Operations Business Hours Customize Your Payments professional I'm very happy with my insurance policy. SafeAuto gave me the best coverage for the best price. Switching from my old insurance company was a "no-brainer". Article 6 to 12 Months Discover it® Cash Back Allstate, Geico, Progressive or State Farm: Which One Is Best for You? The Agenda Dental Participating Provider Network Flights How does HealthCare.com make money? Retiree health plans 153 Market St. Hartford, CT 06103 / Toll - Free: 800-203-3447 Orthopedics and Sports Medicine AHIP Direct Get prepped for the school year! Check out our Smile Way Wellness site for back-to-school tips, tasty recipes and more. Auto Insurance Comparison Not logged inTalkContributionsPreferencesCreate accountLog inEntryDiscussionCitationsRead Adult Team Registration Certificate Request We Remember You Find a branch Contact us Empowering Patients - Healthcare Tile Embed