Safety Issues of Maternal Drug Therapy During Breastfeeding

Two goals when counseling breastfeeding mothers taking medication are protecting the infant from adverse events and permitting necessary maternal therapy. Madadi et al. report a case–control study of neonatal and maternal opioid toxicity after codeine administration. Therapeutic considerations in co...

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Veröffentlicht in:Clinical pharmacology and therapeutics 2009-01, Vol.85 (1), p.20-22
Hauptverfasser: Berlin, CM, Paul, IM, Vesell, ES
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Paul, IM
Vesell, ES
description Two goals when counseling breastfeeding mothers taking medication are protecting the infant from adverse events and permitting necessary maternal therapy. Madadi et al. report a case–control study of neonatal and maternal opioid toxicity after codeine administration. Therapeutic considerations in counseling breastfeeding mothers include susceptibility to drug toxicity of the very young and/or premature infant, significant interindividual variations in drug response, the dose–response relationship with respect to drug toxicity, and the role of pharmacogenetics in both the mother and the infant. These host factors may combine in a particular patient to act synergistically to produce an adverse reaction. Clinical Pharmacology & Therapeutics (2009); 85, 1, 20–22 doi:10.1038/clpt.2008.209
doi_str_mv 10.1038/clpt.2008.209
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subjects Analgesics, Opioid - adverse effects
Analgesics, Opioid - metabolism
Breast Feeding - adverse effects
Codeine - adverse effects
Codeine - metabolism
Counseling
Female
Humans
Infant
Infant, Newborn
Milk, Human - chemistry
Opioid-Related Disorders - etiology
Opioid-Related Disorders - genetics
Opioid-Related Disorders - metabolism
Pharmacogenetics
title Safety Issues of Maternal Drug Therapy During Breastfeeding
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