毒理性
◉ 母乳喂养期间使用概述:有限的信息表明,母亲口服200毫克的剂量在乳汁中产生较低水平,预计不会对哺乳婴儿造成任何不良影响,尤其是如果婴儿年龄超过2个月。在服用剂量后6小时内不进行哺乳,可以显著减少婴儿接受的剂量。
总的来说,哺乳期妇女的乳汁中会分泌非常少量的抗疟疾药物。由于通过母乳转移的抗疟疾药物量不足以提供对疟疾的充分保护,需要化学预防的婴儿必须接受推荐剂量的抗疟疾药物。
◉ 对哺乳婴儿的影响:接受二氢青蒿素和哌喹作为疟疾治疗的哺乳婴儿,比不服药的非哺乳婴儿出现呕吐的频率更高。这一发现是否适用于通过母乳接受二氢青蒿素的婴儿尚未进行研究。
◉ 对泌乳和母乳的影响:截至修订日期,未找到相关的已发布信息。
◉ Summary of Use during Lactation:Limited information indicates that a maternal dose of 200 mg orally produced low levels in milk and would not be expected to cause any adverse effects in breastfed infants, especially if the infant is older than 2 months. Withholding breastfeeding for 6 hours after a dose should markedly reduce the dose the infant receives.
In general, very small amounts of antimalarial drugs are excreted in the breast milk of lactating women. Because the quantity of antimalarial drugs transferred in breast milk is insufficient to provide adequate protection against malaria, infants who require chemoprophylaxis must receive the recommended dosages of antimalarial drugs.
◉ Effects in Breastfed Infants:Breastfed infants who were given dihydroartemisinin and piperaquine as a treatment for malaria had a higher frequency of vomiting than non-breastfed infants given the drugs. Whether this finding applies to infants who receive dihydroartemisinin via breastmilk has not been studied.
◉ Effects on Lactation and Breastmilk:Relevant published information was not found as of the revision date.
来源:Drugs and Lactation Database (LactMed)