Is infliximab safe to use while breastfeeding?

被引:71
作者
Stengel, Joel Z. [1 ]
Arnold, Hays L. [1 ]
机构
[1] Brooke Army Med Ctr, Gastroenterol Serv, Ft Sam Houston, TX 78234 USA
关键词
inflammatory bowel disease; ulcerative colitis; Crohn's disease; pregnancy; breast-feeding; monoclonal antibodies;
D O I
10.3748/wjg.14.3085
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Inflammatory bowel disease (IBD) often affects women around the age of conception and pregnancy. Most drugs used to treat IBD are safe in pregnancy, but physicians must consider the clinical implications of certain treatment regimens in young, fertile females. We report an informative case of a pregnant patient with IBD who underwent treatment with infliximab during her pregnancy and while nursing her infant. Serum and breast milk infliximab levels were monitored throughout this time period. This case report suggests that targeted monoclonal antibodies and other biologic agents can be used with caution in pregnant and breastfeeding patients. (C) 2008 WJG. All rights reserved.
引用
收藏
页码:3085 / 3087
页数:3
相关论文
共 15 条
[1]  
*ABB LAB, 2005, HUM AD PRESCR INF
[2]   Pregnancy and nursing in inflammatory bowel disease [J].
Friedman, S ;
Regueiro, MD .
GASTROENTEROLOGY CLINICS OF NORTH AMERICA, 2002, 31 (01) :265-+
[3]   Inflammatory bowel disease and pregnancy: A review [J].
Jospe, ES ;
Peppercorn, MA .
DIGESTIVE DISEASES, 1999, 17 (04) :201-207
[4]   Outcome of pregnancy in women receiving infliximab for the treatment of Crohn's disease and rheumatoid arthritis [J].
Katz, JA ;
Antoni, C ;
Keenan, GE ;
Smith, DE ;
Jacobs, SJ ;
Lichtenstein, GR .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2004, 99 (12) :2385-2392
[5]   Intentional infliximab use during pregnancy for induction or maintenance of remission in Crohn's disease [J].
Mahadevan, U ;
Kane, S ;
Sandborn, WJ ;
Cohen, RD ;
Hanson, K ;
Terdiman, JP ;
Binion, DG .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2005, 21 (06) :733-738
[6]  
*MED EC CO INC, 2004, PHYS DESK REF, P1145
[7]  
MUNOZ DS, 2005, GASTROENTEROL HEPATO, V28, P435
[8]  
Ostensen M, 2004, J RHEUMATOL, V31, P1017
[9]   Safety of infliximab and other biologic agents in the inflammatory bowel diseases [J].
Reddy, Jagadeshwar G. ;
Loftus, Edward V., Jr. .
GASTROENTEROLOGY CLINICS OF NORTH AMERICA, 2006, 35 (04) :837-+
[10]   Successful ovulation induction, conception, and normal delivery after chronic therapy with etanercept: A recombinant fusion anti-cytokine treatment for rheumatoid arthritis [J].
Sills, ES ;
Perloe, M ;
Tucker, MJ ;
Kaplan, CR ;
Palermo, GD .
AMERICAN JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 2001, 46 (05) :366-368