Farmacologia clinica
Farmaci e allattamento: un approccio teorico-pratico
DRUGS AND BREASTFEEDING
RICCARDO DAVANZO
Divisione di Neonatologia e Terapia Intensiva Neonatale Gruppo di Lavoro sull’Allattamento al Seno, IRCCS “Burlo Garofolo”, Trieste
Aprile 2000 - pagg. 247 -251
Abstract
In the past, drugs therapy has been considered more or less routinely contraindicated during
breastfeeding, creating an improper and fictitious conflict of interest between the
health of the mother and that of the nursed baby. On the contrary, according to recent
scientific literature the great majority of common drugs are allowed during breastfeeding.
We suggest a rationale approach in order to make the clinical decision regarding the safety
of each different drug in the nursing mother.
Parole chiave
Classificazione MeSH
Bibliografia
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2. Lawrence R. Breastfeeding: a guide for the medical profession. 5th Ed. St Louis: Mosby, 1999.
3. Nutrition Cluster. Breastfeeding Management and Promotion in a Baby Friendly Hospital. United Nations Children Fund. NY
1993. (Versione italiana: Regione Autonoma Friuli-Venezia Giulia. UNICEF Comitato Italiano. IRCCS Burlo Garofolo. Promozione e Pratica dell’Allattamento al Seno. Corso per Operatori Sanitari. 1996. Pagina 40 del tomo N°1).
4. American Academy of Pediatrics. Committee on Drugs, The transfer of drugs and other chemicals into human milk. Pediatrics 1994;93(1):137-150.
5. Briggs ,et al. Drugs in Pregnancy and Lactation. Baltimore: Williams and Wilkins, 1994.
6. Eeg-Olofson O, et al. Convulsions in a breast-fed infant after maternal indomethacin. Lancet 1978;2:215.
7. Harmon T et al. Perforated pseudomembranous colitis in the breast-fed infant. J Ped Surg 1992;27:744-6.
8. Saxen H: et al. Pharmacokinetics of fluconazole in VLBWIs during the first 2 weeks of age. Clin Pharmax and Ther 1993;54:269.