毒理性
哺乳期使用概述:金钠硫代苹果酸治疗后金进入乳汁的情况尚未经过严格研究。病例报告表明,乳汁中出现了少量金,至少有少量被吸收,因为在婴儿的尿液中可以检测到。没有报告有说服力的毒性案例。综述文章的作者观点不一,有的建议避免使用,有的允许使用。[1][2][3][4][5] 监测哺乳婴儿可能出现的不良反应似乎是谨慎的。
对哺乳婴儿的影响:据报道,有四名婴儿在母亲接受金治疗期间(包括金钠硫代苹果酸和金金硫葡萄糖)进行了哺乳。[6][8][9][10] 一名18个月大的婴儿在母亲治疗停止后3个月出现了暂时性面部水肿。[6] 这种反应可能是由于婴儿摄入了母亲乳汁中的金。
对泌乳和乳汁的影响:截至修订日期,未找到相关的已发布信息。
◉ Summary of Use during Lactation:Excretion of gold into milk after gold sodium thiomalate has not been rigorously studied. Case reports indicate that gold appears in milk in small quantities and at least a little of it is absorbed because it is detectable in the infant's urine. No convincing cases of toxicity have been reported. Opinions of authors of review articles vary from recommending avoidance to allowing use.[1][2][3][4][5] Monitoring for possible adverse effects in the breastfed infant would seem prudent.
◉ Effects in Breastfed Infants:Four infants reportedly have been breastfed during maternal gold therapy (including gold sodium thiomalate and gold aurothioglucose).[6][8][9][10] Transient facial edema occurred in an 18-month-old infant, 3 months after the mother's treatment stopped.[6] The reaction was possibly due to gold in the mother's milk ingested by the infant.
◉ Effects on Lactation and Breastmilk:Relevant published information was not found as of the revision date.
来源:Drugs and Lactation Database (LactMed)