毒理性
◉ 母乳喂养期间使用概要:关于在哺乳期间使用泰潘哒隆的信息很少。由于它具有阿片类药物激动剂活性,因此在哺乳新生儿或早产儿时,最好选择其他药物。新生婴儿似乎对即使是小剂量的麻醉性镇痛剂的影响也非常敏感。监测婴儿是否有过度镇静和呼吸抑制的情况。如果婴儿表现出过度困倦(比平时更甚)、哺乳困难、呼吸困难或软弱无力,应立即联系医生。当停止母亲使用阿片类镇痛剂或停止哺乳时,哺乳婴儿可能会出现戒断症状。
◉ 对哺乳婴儿的影响:泰潘哒隆的德国制造商报告称,他们收到了4例婴儿暴露于母乳中泰潘哒隆的自发报告,未观察到不良反应。婴儿的年龄和哺乳的程度没有报告。在其中一位母亲的报告中知道剂量,为100毫克,每天两次,经直肠给药。
◉ 对泌乳和母乳的影响:截至修订日期,没有找到相关的已发布信息。
◉ Summary of Use during Lactation:Little information is available on the use of tapentadol during breastfeeding. Because it has opioid agonist activity, an alternate drug is preferred, especially while nursing a newborn or preterm infant. Newborn infants seem to be particularly sensitive to the effects of even small dosages of narcotic analgesics. Monitor infants for excess sedation and respiratory depression. If the baby shows signs of increased sleepiness (more than usual), difficulty breastfeeding, breathing difficulties, or limpness, a physician should be contacted immediately. Withdrawal symptoms can occur in breastfed infants when maternal administration of an opioid analgesic is stopped, or when breastfeeding is stopped.
◉ Effects in Breastfed Infants:The German manufacturer of tapentadol reports that they received 4 spontaneous reports of infant exposure to tapentadol in breastmilk, with no adverse reactions noted. Neither the age of the infants nor the extent of breastfeeding was reported. The dosage was known in only one of the mothers, which was 100 mg twice daily given rectally.
◉ Effects on Lactation and Breastmilk:Relevant published information was not found as of the revision date.
来源:Drugs and Lactation Database (LactMed)