毒理性
◉ 母乳喂养期间使用概要:有限的信息表明,头孢呋辛在乳汁中产生低水平,预计不会对哺乳婴儿造成严重的不良影响。单独使用头孢呋辛似乎不会改变乳汁的菌群,但它可能会改变婴儿的大便菌群。偶尔有报道称使用头孢菌素会导致腹泻或鹅口疮,但这些影响尚未得到充分评估。头孢呋辛在哺乳期母亲中是可以接受的。
◉ 对哺乳婴儿的影响:一项前瞻性、对照研究询问了致电信息服务的母亲关于她们哺乳婴儿经历的不良反应。母亲们正在服用头孢氨苄或头孢呋辛。两组在不良反应发生率上没有发现统计学差异,每组有1例腹泻。这相当于暴露于头孢呋辛的婴儿中有2.6%。
◉ 对泌乳和乳汁的影响: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 cefuroxime produces low levels in milk that are not expected to cause severe adverse effects in breastfed infants. Cefuroxime does not appear to alter the flora of breastmilk when used alone, but it can alter the infant’s fecal flora. Occasionally, diarrhea or thrush have been reported with cephalosporins, but these effects have not been adequately evaluated. Cefuroxime is acceptable in nursing mothers.
◉ Effects in Breastfed Infants:A prospective, controlled study asked mothers who called an information service about adverse reactions experience by their breastfed infants. Mothers were taking either cephalexin or cefuroxime. No statistical difference was found in the rate of adverse reactions in the 2 groups, with 1 case of diarrhea in each. This amounted to 2.6% of the cefuroxime-exposed infants.
◉ Effects on Lactation and Breastmilk:Relevant published information was not found as of the revision date.
来源:Drugs and Lactation Database (LactMed)