毒理性
乳喂养期间使用总结:西布曲明已不再在美国市场上销售。由于没有关于在西布曲明哺乳期间的经验的发表资料,可能更倾向于选择另一种治疗方法,特别是在哺乳新生儿或早产儿时。关于西布曲明对血清催乳素影响的信息有些相互矛盾。
对哺乳婴儿的影响:截至修订日期,没有找到相关的已发表信息。
对泌乳和母乳的影响:在一项针对多囊卵巢综合征的超重和肥胖患者进行低热量饮食加西布曲明的研究中,6个月的研究期间血清催乳素水平未见变化。
一名妇女在开始使用西布曲明进行减肥治疗不久后出现了闭经-乳汁分泌综合征。她的血清催乳素升高,但在停用西布曲明后15天内恢复正常。在180天的随访期间,它保持在正常范围内。
已建立泌乳的母亲的催乳素水平可能不会影响她的哺乳能力。
◉ Summary of Use during Lactation:Sibutramine is no longer marketed in the United States. Because there is no published experience with sibutramine during breastfeeding, an alternate therapy may be preferred, especially while nursing a newborn or preterm infant. Information on the effect of sibutramine on serum prolactin is somewhat conflicting.
◉ Effects in Breastfed Infants:Relevant published information was not found as of the revision date.
◉ Effects on Lactation and Breastmilk:In a study of hypocaloric diet plus sibutramine in overweight and obese patients with polycystic ovary syndrome, no change was seen in serum prolactin levels over the 6-month study period.
A woman developed amenorrhea-galactorrhea syndrome shortly after starting therapy with sibutramine for weight loss. Her serum prolactin was elevated, but returned to normal within 15 days of discontinuing sibutramine. It remained in the normal range during the 180-day follow-up period.
The prolactin level in a mother with established lactation may not affect her ability to breastfeed.
来源:Drugs and Lactation Database (LactMed)