毒理性
◉ 母乳喂养期间使用总结:每日服用40毫克的母亲奥美拉唑在乳汁中含量较低,预计不会对哺乳婴儿造成任何不良影响。
◉ 对哺乳婴儿的影响:截至修订日期,没有找到相关的已发布信息。
◉ 对泌乳和母乳的影响:在美国进行的一项回顾性索赔数据库研究发现,质子泵抑制剂使用者患男性乳房发育症的风险增加。
一篇综述文章报告称,对欧洲药物警戒中心数据库的搜索发现了48例男性乳房发育症,3例乳汁分泌过多,14例乳房疼痛和4例乳房增大与奥美拉唑有关。对世界卫生组织全球药物警戒数据库的搜索发现了97例男性乳房发育症,13例乳汁分泌过多,35例乳房疼痛和16例乳房增大与奥美拉唑有关。
◉ Summary of Use during Lactation:Maternal pantoprazole doses of 40 mg daily produce low levels in milk and would not be expected to cause any adverse effects in breastfed infants.
◉ Effects in Breastfed Infants:Relevant published information was not found as of the revision date.
◉ Effects on Lactation and Breastmilk:A retrospective claims database study in the United States found that users of proton pump inhibitors had an increased risk of gynecomastia.
A review article reported that a search of database from the European Pharmacovigilance Centre found 48 cases of gynecomastia, 3 cases of galactorrhea, 14 cases of breast pain and 4 cases of breast enlargement associated with pantoprazole. A search of the WHO global pharmacovigilance database found 97 cases of gynecomastia, 13 cases of galactorrhea, 35 cases of breast pain and 16 cases of breast enlargement associated with pantoprazole.
来源:Drugs and Lactation Database (LactMed)