毒理性
哺乳期使用总结:利巴韦林尚未在正在接受丙型肝炎治疗的哺乳期母亲中进行研究。然而,利巴韦林通过吸入方式直接给予婴儿以治疗呼吸道合胞病毒(RSV)感染。乳汁中的量可能低于接受利巴韦林治疗的RSV感染婴儿的剂量。
丙型肝炎不会通过母乳传播,母乳已被证明可以灭活丙型肝炎病毒(HCV)。然而,疾病控制中心建议,如果感染HCV的母亲乳头裂开或出血,应考虑停止哺乳。目前尚不清楚这一警告是否适用于正在接受丙型肝炎治疗的母亲。
出生时母亲患有HCV感染的婴儿应进行HCV感染检测;因为母体抗体在生命的前18个月内存在,并且在婴儿产生免疫反应之前,推荐进行核酸检测。
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。
对哺乳和母乳的影响:截至修订日期,未找到相关的已发布信息。
◉ Summary of Use during Lactation:Ribavirin has not been studied in nursing mothers being treated for hepatitis C infection. However, ribavirin is given directly to infants by inhalation to treat respiratory syncytial virus (RSV) infection. The amount in milk is likely to be lower than the doses received by infants treated with ribavirin for RSV infection.
Hepatitis C is not transmitted through breastmilk and breastmilk has been shown to inactivate hepatitis C virus (HCV). However, the Centers for Disease Control recommends that mothers with HCV infection should consider abstaining from breastfeeding if their nipples are cracked or bleeding. It is not clear if this warning would apply to mothers who are being treated for hepatitis C.
Infants born to mothers with HCV infection should be tested for HCV infection; because maternal antibody is present for the first 18 months of life and before the infant mounts an immunologic response, nucleic acid testing is recommended.
◉ 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)