毒理性
◉ 母乳喂养期间使用总结:根据其理化性质,喷布洛尔对哺乳婴儿的风险似乎较低。由于没有关于在母乳喂养期间使用喷布洛尔的已发表经验,可能更倾向于使用其他药物,特别是在哺乳新生儿或早产儿时。
◉ 对哺乳婴儿的影响:截至修订日期,未找到关于喷布洛尔的相关已发表信息。一项对哺乳期间使用β受体阻滞剂的母亲的研究发现,使用任何β受体阻滞剂的母亲中,不良反应的数量在数字上有所增加,但无统计学意义。尽管对照婴儿的年龄与受影响的婴儿相匹配,但受影响婴儿的年龄并未说明。没有母亲使用喷布洛尔。
◉ 对泌乳和母乳的影响:截至修订日期,未找到关于在正常泌乳期间β受体阻滞或喷布洛尔影响的相关已发表信息。一项对6名患有高催乳素血症和乳汁过多的患者的研究发现,在使用普萘洛尔进行β肾上腺素能阻滞之后,血清催乳素水平没有变化。
◉ Summary of Use during Lactation:Based on its physicochemical properties, penbutolol appears to present a low-risk to the breastfed infant. Because there is no published experience with penbutolol during breastfeeding, other agents may be preferred, especially while nursing a newborn or preterm infant.
◉ Effects in Breastfed Infants:Relevant published information on penbutolol was not found as of the revision date. A study of mothers taking beta-blockers during nursing found a numerically, but not statistically significant increased number of adverse reactions in those taking any beta-blocker. Although the ages of infants were matched to control infants, the ages of the affected infants were not stated. None of the mothers were taking penbutolol.
◉ Effects on Lactation and Breastmilk:Relevant published information on the effects of beta-blockade or penbutolol during normal lactation was not found as of the revision date. A study in 6 patients with hyperprolactinemia and galactorrhea found no changes in serum prolactin levels following beta-adrenergic blockade with propranolol.
来源:Drugs and Lactation Database (LactMed)