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     <dc:title xml:lang="fr">Propositions de recommandations de prescription dans les indications psychiatriques de l'acide valproïque et de ses dérivés chez la femme en âge de procréer à l'aide de la méthode DELPHI</dc:title>
     <dcterms:alternative xml:lang="en">Proposed prescribing recommendations in the psychiatric indications of valproic acid and its derivatives in women of childbearing age using the DELPHI method</dcterms:alternative>
     <dc:subject xml:lang="fr">Troubles bipolaires</dc:subject><dc:subject xml:lang="fr">acide valproïque</dc:subject><dc:subject xml:lang="fr">dérivés</dc:subject><dc:subject xml:lang="fr">thymorégulateur</dc:subject><dc:subject xml:lang="fr">tératogénicité</dc:subject><dc:subject xml:lang="fr">femme en âge de procréer</dc:subject><dc:subject xml:lang="fr">femme enceinte</dc:subject><dc:subject xml:lang="fr">recommandations</dc:subject><dc:subject xml:lang="fr">prise en charge</dc:subject><dc:subject xml:lang="fr">consensus</dc:subject><dc:subject xml:lang="fr">experts</dc:subject><dc:subject xml:lang="fr">méthode DELPHI</dc:subject>
     <dc:subject xml:lang="en">Bipolar disorder</dc:subject><dc:subject xml:lang="en">valproic acid</dc:subject><dc:subject xml:lang="en">derivates</dc:subject><dc:subject xml:lang="en">mood stabiliser</dc:subject><dc:subject xml:lang="en">teratogenicity</dc:subject><dc:subject xml:lang="en">woman of childbearing age</dc:subject><dc:subject xml:lang="en">pregnant woman</dc:subject><dc:subject xml:lang="en">guidelines</dc:subject><dc:subject xml:lang="en">care</dc:subject><dc:subject xml:lang="en">consensus</dc:subject><dc:subject xml:lang="en">experts</dc:subject><dc:subject xml:lang="en">DELPHI method</dc:subject>
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						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="027241718">Troubles bipolaires</tef:elementdEntree>
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					</tef:vedetteRameauNomCommun><tef:vedetteRameauNomCommun>
						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="176758828">Recommandations sur le bon usage des médicaments</tef:elementdEntree>
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						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="031405622">Valproïque, Acide</tef:elementdEntree>
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     <dcterms:abstract xml:lang="fr">Les dérivés de l’acide valproïque sont des molécules tératogènes qui ont été très utilisées chez les femmes en âge de procréer dans la prise en charge des troubles bipolaires. En France, depuis le mois de juillet 2017, leur utilisation est contre-indiquée chez les filles, adolescentes, les femmes en âges de procréer et les femmes enceintes. Cependant, il existe peu de données concernant les alternatives à ces traitements pour cette catégorie de population. La méthode DELPHI, qui est une méthode de consensus, a été utilisée pour élaborer des propositions de recommandations grâce à un panel d’experts choisis par leurs compétences dans ce domaine.</dcterms:abstract>
     <dcterms:abstract xml:lang="en">Derivates of valproic acid are molecules with teratogenic effects wich were being used with women of childbearing age in the treatment of bipolar disorders. Since July 2017 in France, their use is contraindicated for girls, teenage girls, women of childbearing age and pregnant women. However, little data is available on alternatives to these treatments for this population group. The DEPLHI method, wich is a consensus method, has been used to develop proposals for recommendations through a panel of experts chosen by their skills in this area.</dcterms:abstract>
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