毒理性
◉ 母乳喂养期间使用总结:有限的信息表明,头孢曲松在乳汁中产生的水平较低,预计不会对哺乳婴儿造成不良影响。偶尔有报道指出,头孢菌素类药物可能会破坏婴儿的胃肠道菌群,导致腹泻或鹅口疮,但这些影响尚未得到充分评估。头孢曲松对哺乳母亲是可接受的。
◉ 对哺乳婴儿的影响:一位仅以母乳喂养其52天大婴儿的母亲患上了软组织感染。她接受了静脉注射太古霉素,每次400毫克,每12小时一次,共3次,然后每天400毫克,总共5天,静脉注射头孢曲松每天1克,外用莫匹罗星乳膏每天两次。仔细的随访表明,她的婴儿没有出现不良反应。
◉ 对泌乳和母乳的影响:截至修订日期,未找到相关的已发布信息。
◉ Summary of Use during Lactation:Limited information indicates that ceftriaxone produce low levels in milk, which are not expected to cause adverse effects in breastfed infants. Occasionally disruption of the infant's gastrointestinal flora, resulting in diarrhea or thrush have been reported with cephalosporins, but these effects have not been adequately evaluated. Ceftriaxone is acceptable in nursing mothers.
◉ Effects in Breastfed Infants:A mother who was exclusively nursing her 52-day-old infant developed a soft-tissue infection. She was treated with intravenous teicoplanin 400 mg every 12 hours for 3 doses, then 400 mg daily for 5 days total, intravenous ceftriaxone 1 gram daily, topical mupirocin cream twice daily. A careful follow-up indicated that her infant had no adverse effects.
◉ Effects on Lactation and Breastmilk:Relevant published information was not found as of the revision date.
来源:Drugs and Lactation Database (LactMed)