毒理性
◉ 母乳喂养期间使用总结:由于没有发表的使用索利那新期间母乳喂养的经验,且其平均半衰期长达55小时,可能更倾向于选择其他药物,特别是在哺乳新生儿或早产儿时。长期使用索利那新可能会减少乳汁产量或乳汁排放。长期使用期间,观察婴儿是否有乳汁产量减少的迹象(例如,不饱足,体重增长不良)和抗胆碱能症状(例如,便秘,尿潴留,尿路感染,口干)。
◉ 对哺乳婴儿的影响:截至修订日期,未找到相关已发表的资料。
◉ 对泌乳和母乳的影响:抗胆碱能药物可以在动物中抑制泌乳,可能是通过抑制生长激素和催产素的分泌。抗胆碱能药物也可以减少非哺乳妇女的血清催乳素水平。对于已经建立泌乳的母亲,催乳素水平可能不会影响她的哺乳能力。
◉ Summary of Use during Lactation:Because there is no published experience with solifenacin during breastfeeding and it has a long half-life averaging 55 hours, an alternate drug may be preferred, especially while nursing a newborn or preterm infant. Long-term use of solifenacin might reduce milk production or milk letdown. During long-term use, observe the infant for signs of decreased milk production (e.g., insatiety, poor weight gain) and for anticholinergic symptoms (e.g., constipation, urinary retention, UTI, dry mouth).
◉ Effects in Breastfed Infants:Relevant published information was not found as of the revision date.
◉ Effects on Lactation and Breastmilk:Anticholinergics can inhibit lactation in animals, apparently by inhibiting growth hormone and oxytocin secretion. Anticholinergic drugs can also reduce serum prolactin in nonnursing women. The prolactin level in a mother with established lactation may not affect her ability to breastfeed.
来源:Drugs and Lactation Database (LactMed)