毒理性
◉ 母乳喂养期间使用总结:哌替啶在美国尚未获得食品药品监督管理局的上市批准,但在其他国家可用。有限的数据表明,患者自控镇痛使用静脉注射哌替啶后,初乳中哌替啶的量非常低。
母亲在哺乳期间口服阿片类药物可能会导致婴儿昏睡,严重的中枢神经系统抑制。新生儿似乎对即使是小剂量的阿片类镇痛药也非常敏感。一旦母亲的乳汁开始分泌,最好使用非阿片类镇痛药来控制疼痛,并限制母亲摄入哌替啶的时间为2到3天,剂量要低,并密切监测婴儿。如果婴儿表现出过度昏睡(比平常更嗜睡)、哺乳困难、呼吸困难或无力,应立即联系医生。
◉ 对哺乳婴儿的影响:截至修订日期,未找到相关的已发布信息。
◉ 对泌乳和母乳的影响:截至修订日期,未找到相关的已发布信息。
◉ Summary of Use during Lactation:Piritramide is not approved for marketing in the United States by the U.S. Food and Drug Administration, but is available in other countries. Limited data indicate that the amounts of piritamide in colostrum is very low after use of intravenous piritamide by patient-controlled analgesia.
Maternal use of oral narcotics during breastfeeding can cause infant drowsiness, and severe central nervous system depression. Newborn infants seem to be particularly sensitive to the effects of even small dosages of narcotic analgesics. Once the mother's milk comes in, it is best to provide pain control with a nonnarcotic analgesic and limit maternal intake of piritramide to 2 to 3 days at a low dosage with close infant monitoring. If the baby shows signs of increased sleepiness (more than usual), difficulty breastfeeding, breathing difficulties, or limpness, a physician should be contacted immediately.
◉ Effects in Breastfed Infants:Relevant published information was not found as of the revision date.
◉ Effects on Lactation and Breastmilk:Relevant published information was not found as of the revision date.
来源:Drugs and Lactation Database (LactMed)