毒理性
◉ 母乳喂养期间使用概要:目前没有关于阿特拉洛氟沙星在哺乳期间临床使用的信息。氟喹诺酮类药物传统上不用于婴儿,因为担心对婴儿发育中的关节产生不良影响。然而,最近的研究表明风险很小。[1][2] 牛奶中的钙可能防止吸收牛奶中少量的氟喹诺酮类药物,[3] 但现有数据不足以证明或反驳这一说法。在监测婴儿可能对胃肠道菌群(如腹泻或念珠菌病(鹅口疮,尿布疹))的影响下,哺乳母亲可以使用阿特拉洛氟沙星。然而,最好使用一种已有安全信息的替代药物。
◉ 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:截至修订日期,没有找到相关的已发布信息。
◉ Summary of Use during Lactation:No information is available on the clinical use of alatrofloxacin during breastfeeding. Fluoroquinolones have traditionally not been used in infants because of concern about adverse effects on the infants' developing joints. However, recent studies indicate little risk.[1][2] The calcium in milk might prevent absorption of the small amounts of fluoroquinolones in milk,[3] but insufficient data exist to prove or disprove this assertion. Use of alatrofloxacin is acceptable in nursing mothers with monitoring of the infant for possible effects on the gastrointestinal flora, such as diarrhea or candidiasis (thrush, diaper rash). However, it is preferable to use an alternate drug for which safety information is available.
◉ Effects in Breastfed Infants:Relevant published information was not found as of the revision date.
◉ Effects on Lactation and Breastmilk:Relevant published information was not found as of the revision date.
来源:Drugs and Lactation Database (LactMed)