毒理性
在使用哺乳期总结:SAM-e(S-腺苷蛋氨酸)是一种天然存在的甲基供体,涉及人类和动物的酶促转甲基反应。SAM-e没有特定的与哺乳有关的用途,但已被用于治疗产后抑郁症、胆汁淤积性黄疸、骨关节炎以及许多其他疾病。SAM-e的口服生物利用度较差。SAM-e在成人中通常耐受性良好。最常见的不良反应是胃肠道反应,如恶心。还报告了皮疹。目前没有关于哺乳期间使用SAM-e的临床信息。然而,如果婴儿超过2个月大,哺乳母亲使用SAM-e不太可能在哺乳婴儿中引起任何不良反应。
膳食补充剂不需要美国食品药品管理局的广泛市场前批准。制造商负责确保安全,但在上市前不需要证明膳食补充剂的安全性和有效性。膳食补充剂可能含有多种成分,标签和实际成分或其数量之间通常存在差异。制造商可以与独立组织签订合同,以验证产品的质量或其成分,但这并不证明产品的安全或有效性。由于上述问题,一个产品的临床测试结果可能不适用于其他产品。关于膳食补充剂的更详细信息可以在LactMed网站的其它地方找到。
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。
对哺乳和母乳的影响:截至修订日期,没有找到相关的已发布信息。
◉ Summary of Use during Lactation:SAM-e (S-adenosylmethionine) is a naturally occurring methyl radical donor involved in enzymatic transmethylation reactions in humans and animals. SAM-e has no specific lactation-related uses, but it has been used therapeutically for treating postpartum depression, cholestatic jaundice, osteoarthritis and numerous other conditions. SAM-e has poor oral bioavailability. SAM-e is generally well tolerated in adults. The most frequent adverse effects reported are gastrointestinal, such as nausea. Skin rashes have also been reported. No information is available on the clinical use of SAM-e during breastfeeding. However, use of SAM-e by a nursing mother would not be expected to cause any adverse effects in breastfed infants, especially if the infant is older than 2 months.
Dietary supplements do not require extensive pre-marketing approval from the U.S. Food and Drug Administration. Manufacturers are responsible to ensure the safety, but do not need to prove the safety and effectiveness of dietary supplements before they are marketed. Dietary supplements may contain multiple ingredients, and differences are often found between labeled and actual ingredients or their amounts. A manufacturer may contract with an independent organization to verify the quality of a product or its ingredients, but that does not certify the safety or effectiveness of a product. Because of the above issues, clinical testing results on one product may not be applicable to other products. More detailed information about dietary supplements is available elsewhere on the LactMed Web site.
◉ 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)