毒理性
哺乳期使用概述:由于关于哺乳期间使用司可巴比妥的经验发表甚少,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。如果使用司可巴比妥,需监测婴儿是否出现镇静、喂养困难和体重增长不良。
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:在分娩期间为了产科镇静,于分娩前10分钟至3小时静脉注射司可巴比妥200毫克,会减少新生儿的吸吮行为。吸吮次数、吸吮压力以及从测试设备中人工喂养的总消耗量均有显著减少。
在一项小型研究中,与未接受药物治疗的女性相比,在分娩期间接受盐酸异丙嗪、美沙酮和司可巴比妥的女性,第二阶段泌乳的时间延长了14小时。仅接受美沙酮或司可巴比妥而未接受盐酸异丙嗪的女性,第二阶段泌乳的时间延长了7小时,但与未接受药物治疗的女性相比,这一差异在统计学上并不显著。
◉ Summary of Use during Lactation:Because there is little published experience with secobarbital during breastfeeding, other agents may be preferred, especially while nursing a newborn or preterm infant. If secobarbital is used, monitor the infant for sedation, poor feeding and poor weight gain.
◉ Effects in Breastfed Infants:Relevant published information was not found as of the revision date.
◉ Effects on Lactation and Breastmilk:Secobarbital 200 mg given intravenously during labor 10 minutes to 3 hours before delivery for obstetric sedation reduced the sucking behavior of the newborn infants. The number of sucks, sucking pressure and total consumption of artificial feeding from the testing device were reduced Secobarbital 200 mg given intravenously during labor 10 minutes to 3 hours before delivery for obstetric sedation reduced the sucking behavior of the newborn infants. The number of sucks, sucking pressure and total consumption of artificial feeding from the testing device were reduced substantially.
In one small study, women given promethazine with meperidine and secobarbital during labor, had the time to lactogenesis II prolonged by 14 hours. Women given meperidine or secobarbital without promethazine had lactogenesis II prolonged 7 hours compared to unmedicated women, but the difference was not statistically significant.
来源:Drugs and Lactation Database (LactMed)