毒理性
◉ 母乳喂养期间使用总结:有限的数据表明,母乳中的普瑞巴林含量较低,一名婴儿在母乳喂养3个月中没有明显的不良反应。如果母亲需要普瑞巴林,这并不是停止母乳喂养的理由,但在有更多数据之前,尤其是喂养新生儿或早产儿时,可能更倾向于使用替代药物。
◉ 对哺乳婴儿的影响:一名患有乳头雷诺现象的哺乳母亲正在服用硝苯地平,这缓解了乳头变白的情况,但没有缓解每天多次发生的乳房刺痛。加用普瑞巴林75毫克,每日两次,几乎完全缓解了疼痛。她的婴儿在3个月内接受了纯母乳喂养,没有出现不良反应。
◉ 对泌乳和母乳的影响:一项研究将孕妇随机分为三组,分别口服普瑞巴林150毫克(n = 45),300毫克(n = 45)或安慰剂(n = 45),在择期剖宫产麻醉诱导前1小时,以减少术后镇痛需求。在普瑞巴林300毫克组的3名婴儿中,尽管没有一个出现镇静,但在分娩后8小时内难以进行母乳喂养。
◉ Summary of Use during Lactation:Limited data indicate that amounts of pregabalin in breastmilk are low and one infant breastfed for 3 months with no discernable adverse effects. If pregabalin is required by the mother of an older infant, it is not a reason to discontinue breastfeeding, but until more data become available, an alternate drug may be preferred, especially while nursing a newborn or preterm infant.
◉ Effects in Breastfed Infants:A nursing mother with Raynaud’s phenomenon of the nipple was taking nifedipine, which resolved the nipple blanching, but not the lancing pain in the breast that occurred several times daily. Pregabalin 75 mg twice daily was added which almost completely resolved the pain. Her infant was exclusively breastfed for 3 months and experienced no adverse effects.
◉ Effects on Lactation and Breastmilk:A study randomized pregnant women to either a single dose of pregabalin 150 mg (n = 45), 300 mg (n = 45), or placebo (n = 45) orally 1 hour before induction of anesthesia for an elective cesarean section to reduce postoperative analgesia requirements. Three infants of mothers in the pregabalin 300 mg group had difficulty latching on for breastfeeding for 8 hours after delivery although none were sedated.
来源:Drugs and Lactation Database (LactMed)