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Clindamycin passage into human milk

B Stéen, A Rane

    British Journal of Clinical Pharmacology
    |May 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Clindamycin transfers into breast milk, with levels varying significantly between mothers. Due to potential infant risks, nursing is not recommended during clindamycin treatment.

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    Area of Science:

    • Pharmacology
    • Maternal and Infant Health
    • Infectious Diseases

    Background:

    • Puerperal infections require antibiotic treatment, with clindamycin being a common choice.
    • Understanding drug transfer into breast milk is crucial for infant safety.
    • Clindamycin's pharmacokinetic profile in lactating women needs further elucidation.

    Purpose of the Study:

    • To quantify clindamycin bioactivity in maternal plasma and breast milk.
    • To assess the interindividual variability of clindamycin levels.
    • To determine the relationship between plasma and milk concentrations of clindamycin.

    Main Methods:

    • Bioactivity assays were performed on plasma and breast milk samples from women with puerperal infections.
    • Samples were collected throughout the dosage interval.

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  • Correlations between plasma and milk concentrations were analyzed.
  • Main Results:

    • Significant interindividual variations in peak clindamycin plasma levels were observed.
    • Clindamycin bioactivity in breast milk varied widely, ranging from 1/10 to several times the concurrent plasma levels.
    • Milk clindamycin concentration at the end of the dosage interval correlated with the area under the plasma concentration-time curve.

    Conclusions:

    • Clindamycin is transferred into human breast milk.
    • While secreted amounts may be low, potential side effects and unknown effects on neonates warrant caution.
    • Nursing is advised against during clindamycin therapy due to safety concerns for the infant.