毒理性
◉ 母乳喂养期间使用总结:尽管母乳中的伪麻黄碱含量很少,对哺乳婴儿造成伤害的可能性不大,但偶尔可能会引起婴儿易怒。单剂量的伪麻黄碱会急性减少乳汁产生,并且反复使用似乎会干扰哺乳。对于哺乳尚未完全建立的新生儿母亲,或者正在努力产生足够乳汁的母亲,不应接受伪麻黄碱。有报道称,对于乳汁过多的母亲,可以使用伪麻黄碱来减少乳汁供应的治疗方案。
◉ 对哺乳婴儿的影响:在一项针对哺乳母亲的研究中,有20%的婴儿在接触伪麻黄碱后报告出现易怒。
法国药物警戒中心整理了1985年1月至2011年6月间报告的所有哺乳婴儿的不良反应。在174份报告中,伪麻黄碱被报告为4名婴儿引起不良反应的原因,主要是激动不安。
◉ 对哺乳和母乳的影响:在8位哺乳母亲单次口服伪麻黄碱60毫克后,接下来的24小时内乳汁产生平均减少了24%。没有检测到乳腺血流量发生变化可以解释乳汁减少;服用伪麻黄碱后,血清催乳素下降了13.5%,但这一变化无统计学意义。未测量催产素水平。
◉ Summary of Use during Lactation:Although the small amounts of pseudoephedrine in breastmilk are unlikely to harm the nursing infant, it may cause irritability occasionally. A single dose of pseudoephedrine decreases milk production acutely and repeated use seems to interfere with lactation. Mothers with newborns whose lactation is not yet well established or in mothers who are having difficulties producing sufficient milk should not receive pseudoephedrine. A treatment scheme has been reported for mothers with hypergalactia that uses pseudoephedrine to decrease milk supply.
◉ Effects in Breastfed Infants:Mothers reported irritability was reported in 20% of infants exposed to pseudoephedrine in one study of breastfeeding mothers.
All adverse reactions in breastfed infants reported in France between January 1985 and June 2011 were compiled by a French pharmacovigilance center. Of 174 reports, pseudoephedrine was reported to cause adverse reactions in 4 infants, primarily agitation.
◉ Effects on Lactation and Breastmilk:After a single dose of pseudoephedrine 60 mg orally in 8 nursing mothers, there was a mean 24% decrease in milk production over the following 24 hours. No change in blood flow to the breast was detected that could explain the decreased milk production; there was a 13.5% decrease in serum prolactin after pseudoephedrine, but this change did not achieve statistical significance. Oxytocin levels were not measured.
来源:Drugs and Lactation Database (LactMed)