毒理性
◉ 母乳喂养期间使用概述:由于纳多洛尔(nadolol)相对较多地排入母乳并通过肾脏排泄,因此在哺乳新生儿或早产儿时,更推荐使用其他β-肾上腺素能阻断药物。
◉ 对哺乳婴儿的影响:截至修订日期,未找到关于纳多洛尔的相关已发布信息。一项研究调查了哺乳期间使用β-阻滞剂的母亲,发现服用任何β-阻滞剂的母亲中不良反应的数量有所增加,但无统计学意义。尽管对受影响的婴儿的年龄进行了匹配控制,但受影响婴儿的年龄并未说明。其中没有母亲服用纳多洛尔。
◉ 对泌乳和母乳的影响:截至修订日期,未找到关于正常哺乳期间β-阻滞或纳多洛尔影响的相关已发布信息。一项对6名高催乳素血症和乳汁过多患者的研究发现,在使用普罗帕酮(propranolol)进行β-肾上腺素能阻断后,血清催乳素水平没有变化。
◉ Summary of Use during Lactation:Because of its relatively extensive excretion into breastmilk and its renal excretion, other beta-adrenergic blocking drugs are preferred to nadolol, especially while nursing a newborn or preterm infant.
◉ Effects in Breastfed Infants:Relevant published information on nadolol was not found as of the revision date. A study of mothers taking beta-blockers during nursing found a numerically, but not statistically significant increased number of adverse reactions in those taking any beta-blocker. Although the ages of infants were matched to control infants, the ages of the affected infants were not stated. None of the mothers were taking nadolol.
◉ Effects on Lactation and Breastmilk:Relevant published information on the effects of beta-blockade or nadolol during normal lactation was not found as of the revision date. A study in 6 patients with hyperprolactinemia and galactorrhea found no changes in serum prolactin levels following beta-adrenergic blockade with propranolol.
来源:Drugs and Lactation Database (LactMed)