毒理性
◉ 母乳喂养期间使用总结:母亲静脉注射依氟鸟氨酸,每天400毫克/千克,连续7天,并未在哺乳的婴儿中引起任何严重的不良反应。由于依氟鸟氨酸局部应用后吸收不良,因此不太可能进入婴儿的血液循环或在哺乳婴儿中引起任何不良反应。
◉ 对哺乳婴儿的影响:在刚果民主共和国,一项对33名母乳喂养的婴儿(喂养程度未说明)的队列研究,这些婴儿的母亲正在接受尼夫霉素治疗。30位母亲服用了完整的30剂量的口服尼夫霉素,每天15毫克/千克,并且所有人都接受了为期7天的静脉注射依氟鸟氨酸,每天400毫克/千克,用于治疗人类非洲锥虫病(睡眠病)。哺乳的母亲还服用了平均4种其他同时使用的药物,包括阿莫西林、环丙沙星、甲硝唑、甲氧苄啶-磺胺甲恶唑、阿司匹林和双氯芬酸(每种药物1名患者);氢化可的松、盐酸异丙嗪和奎宁(每种药物2名患者);左旋咪唑(6名患者);磺胺多辛-乙胺嘧啶(8名患者);安乃近(13名患者);对乙酰氨基酚(16名患者);甲苯咪唑(17名患者)。在哺乳的婴儿中没有报告严重的不良事件。
◉ 对泌乳和母乳的影响:截至修订日期,没有找到相关的已发布信息。
◉ Summary of Use during Lactation:Maternal intravenous eflornithine 400 mg/kg daily for 7 days did not cause any adverse serious effects in breastfed infants. After topical application, eflornithine is poorly absorbed so it is not likely to reach the bloodstream of the infant or cause any adverse effects in breastfed infants.
◉ Effects in Breastfed Infants:A cohort of 33 infants who were breastfed (extent not stated) by hospitalized mothers taking nifurtimox was followed in the Democratic Republic of the Congo. Thirty mothers took a full course of 30 doses of oral nifurtimox 15 mg/kg daily and all received 14 doses of intravenous eflornithine 400 mg/kg daily for 7 days for human African trypanosomiasis. (sleeping sickness). Nursing mothers also took a median of 4 other concomitant medications, including amoxicillin, ciprofloxacin, metronidazole, trimethoprim-sulfamethoxazole, aspirin, and diclofenac (1 patient each); hydrocortisone, promethazine and quinine (2 patients each); levamisole (6 patients); sulfadoxine-pyrimethamine (8 patients); dipyrone (13 patients); acetaminophen (16 patients); and mebendazole (17 patients). No serious adverse events were reported in any of the breastfed infants.
◉ Effects on Lactation and Breastmilk:Relevant published information was not found as of the revision date.
来源:Drugs and Lactation Database (LactMed)