毒理性
◉ 母乳喂养期间使用总结:目前没有关于在哺乳期间使用曲伐沙星的临床信息;然而,母乳中的含量似乎很低。由于担心对婴儿发育中的关节产生不良影响,氟喹诺酮类药物传统上不用于婴儿。但是,最近的研究表明风险很小。母乳中的钙可能阻止吸收少量的氟喹诺酮类药物,但现有数据不足以证明或反驳这一说法。在监测婴儿可能的胃肠道菌群影响(如腹泻或念珠菌病(鹅口疮,尿布疹))的情况下,哺乳期母亲可以使用曲伐沙星。然而,如果有安全性信息的替代药物,则更建议使用。
◉ 对哺乳婴儿的影响:截至修订日期,没有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,没有找到相关的已发布信息。
◉ Summary of Use during Lactation:No information is available on the clinical use of trovafloxacin during breastfeeding; however, amounts in breastmilk appear to be low. Fluoroquinolones have traditionally not been used in infants because of concern about adverse effects on the infants' developing joints. However, recent studies indicate little risk. The calcium in milk might prevent absorption of the small amounts of fluoroquinolones in milk, but insufficient data exist to prove or disprove this assertion. Use of trovafloxacin is acceptable in nursing mothers with monitoring of the infant for possible effects on the gastrointestinal flora, such as diarrhea or candidiasis (thrush, diaper rash). However, it is preferable to use an alternate drug for which safety information is available.
◉ 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)