毒理性
◉ 母乳喂养期间的使用总结:瑞舒伐他汀在乳汁中的水平较低,但目前没有关于其在哺乳期间使用的相关已发表信息。共识意见认为,由于对婴儿脂质代谢干扰的担忧,服用他汀类药物的女性不应哺乳。然而,也有人认为,对于家族性高胆固醇血症的纯合子儿童,从1岁开始就使用他汀类药物,他汀类药物的口服生物利用度较低,对哺乳婴儿的风险较低,尤其是瑞舒伐他汀和普伐他汀。在更多数据可用之前,可能更倾向于使用其他药物,特别是在哺乳新生儿或早产儿时。
◉ 对哺乳婴儿的影响:截至修订日期,未找到相关已发表信息。
◉ 对泌乳和母乳的影响:已报告一例可能的瑞舒伐他汀诱导的男性乳房发育症。未测量血清催乳素。
◉ Summary of Use during Lactation:Levels of rosuvastatin in milk are low, but no relevant published information exists with its use during breastfeeding. The consensus opinion is that women taking a statin should not breastfeed because of a concern with disruption of infant lipid metabolism. However, others have argued that children homozygous for familial hypercholesterolemia are treated with statins beginning at 1 year of age, that statins have low oral bioavailability, and risks to the breastfed infant are low, especially with rosuvastatin and pravastatin. Until more data become available, an alternate drug may be preferred, especially while nursing a newborn or preterm infant.
◉ Effects in Breastfed Infants:Relevant published information was not found as of the revision date.
◉ Effects on Lactation and Breastmilk:A possible case of rosuvastatin-induced gynecomastia has been reported. Serum prolactin was not measured.
来源:Drugs and Lactation Database (LactMed)