调查lysinopril转移到人体牛奶:一个定量分析
Julie Chugh1, Jean Dai1, Palika Datta2
1Texas Tech University Health Sciences Center School of Medicine, Amarillo, TX; and.
Journal of cardiovascular pharmacology
|October 15, 2024
概括
利西诺普里尔转移到母乳中是最小的,婴儿剂量明显低于安全值. 这表明,当母亲服用药物时,利西诺普利可能对母乳养的婴儿是安全的.
科学领域:
- 药理学 药理学是指药理学的学科.
- 新生儿医学 新生儿医学
- 哺乳期研究 哺乳期研究
背景情况:
- 利西诺普里尔是一种常见的抗高血压和心力衰竭药物.
- 由于对胎儿有毒性的传统担忧,限制了其在生育年龄的女性中的使用.
- 更新的指导方针鼓励积极的产后高血压管理,可能包括lisinopril.
研究的目的:
- 为了量化母亲的利西诺普里尔转移到人类母乳中.
- 评估lisinopril的相对婴儿剂量 (RID).
- 为了评估lisinopril在母乳养婴儿中的安全性和耐受性.
主要方法:
- 五名正在服用利西诺普里尔的母乳参与了这项研究.
- 采集了母乳样本,并使用液态染色体质谱学分析了lisinopril度.
- 计算了药理动力学参数和RID.
主要成果:
- 牛奶中的lysinopril平均度为0.49 ng/mL每10毫克每日母婴剂量.
- 计算的婴儿相对剂量为0.06%.
- 这一RID比普遍接受的10%安全门低100倍以上.
结论:
- 利西诺普里尔对人类母乳的转移是最小的.
- 婴儿暴露率低表明,健康的母乳养婴儿临床意义的风险很低.
- 利西诺普里尔可能是哺乳母亲产后高血压管理的可行选择.
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