毒理性
◉ 母乳喂养期间使用总结:由于母乳中依那普利的含量较低,婴儿摄入的量很小,预计不会对哺乳婴儿造成任何不良影响。
◉ 对哺乳婴儿的影响:报告称,4名母亲每天口服依那普利5至10毫克的情况下,哺乳婴儿未出现任何不良影响。
◉ 对泌乳和母乳的影响:在15名绝经后高血压女性(此前泌乳状况未说明)中,与安慰剂相比,每日一次服用依那普利20毫克15天后,血清催乳素水平下降了22%。对于已经建立泌乳的母亲来说,母体催乳素水平可能不会影响她的哺乳能力。
一名患有先兆子痫的妇女在足月时开始每天口服依那普利10毫克。她的乳汁在产后第3天到来,在5周的观察期间她没有遇到哺乳困难。
◉ Summary of Use during Lactation:Because of the low levels of enalapril in breastmilk, amounts ingested by the infant are small and would not be expected to cause any adverse effects in breastfed infants.
◉ Effects in Breastfed Infants:None reported in 4 breastfed infants whose mothers were taking oral enalapril 5 to 10 mg daily.
◉ Effects on Lactation and Breastmilk:In 15 postmenopausal hypertensive women (prior lactation status not stated), serum prolactin levels were decreased by 22% compared to placebo after enalapril 20 mg once daily for 15 days. The maternal prolactin level in a mother with established lactation may not affect her ability to breastfeed.
A woman with pre-eclampsia was treated was started at term with oral enalapril 10 mg daily. Her milk came in on day 3 postpartum and she had no difficulties with nursing during 5 weeks of observation.
来源:Drugs and Lactation Database (LactMed)