毒理性
哺乳期使用总结:在哺乳期间偶尔使用赛克力嗪可能是可接受的。大剂量或更长时间的使用可能会对婴儿产生影响或减少乳汁供应,尤其是与伪麻黄碱等拟交感神经药联合使用或在哺乳期尚未建立时。
对哺乳婴儿的影响:截至修订日期,未找到关于赛克力嗪的相关已发布信息。在一项电话随访研究中,母亲报告有10%的婴儿接触到各种抗组胺药后出现烦躁和肠绞痛症状,1.6%的婴儿出现嗜睡。所有反应均无需医疗关注,且没有婴儿接触过赛克力嗪。
对哺乳和乳汁的影响:相对高剂量的抗组胺药通过注射可以减少非哺乳期妇女和产后早期妇女的基础血清催乳素。然而,哺乳诱导的催乳素分泌不受产后母亲抗组胺药预处理的影响。尚未研究较低口服剂量的抗组胺药是否对血清催乳素有相同的影响,或者催乳素的影响是否对哺乳成功有任何后果。在已建立哺乳的母亲中,催乳素水平可能不会影响她的哺乳能力。
◉ Summary of Use during Lactation:Occasional doses of cyclizine are probably acceptable during breastfeeding. Large doses or more prolonged use may cause effects in the infant or decrease the milk supply, particularly in combination with a sympathomimetic such as pseudoephedrine or before lactation is well established.
◉ Effects in Breastfed Infants:Relevant published information on cyclizine was not found as of the revision date. In one telephone follow-up study, mothers reported irritability and colicky symptoms 10% of infants exposed to various antihistamines and drowsiness was reported in 1.6% of infants. None of the reactions required medical attention and none of the infants were exposed to cyclizine.
◉ Effects on Lactation and Breastmilk:Antihistamines in relatively high doses given by injection can decrease basal serum prolactin in nonlactating women and in early postpartum women. However, suckling-induced prolactin secretion is not affected by antihistamine pretreatment of postpartum mothers. Whether lower oral doses of antihistamines have the same effect on serum prolactin or whether the effects on prolactin have any consequences on breastfeeding success have not been studied. The prolactin level in a mother with established lactation may not affect her ability to breastfeed.
来源:Drugs and Lactation Database (LactMed)