Is Cefatrizine compatible with breastfeeding? Do we have alternatives for Cefatrizine?

Cefatrizine

October 15, 2016 (Very Low Risk)

First-generation cephalosporins for oral administration. Actions and uses similar to those of cefalexin.

At latest update no published data on excretion into breast milk were found.

Their short half-life span make unlikely the milk passage of significant amounts into breast milk.

Most cephalosporins are excreted into milk in insignificant amounts from a therapeutic point of view without reported complications in infants.

Cephalosporins are widely used in the Pediatric practice with a good tolerance, even in the neonatal period, so it is very unlikely that in small amounts through milk would be a cause of problems in the infant.

Be aware of the possibility of false negative results of cultures in febrile infants whose mothers are taking antibiotics as well as the possibility of gastroenteritis (Ito 1993) by altering the intestinal flora.

Alternatives

Very Low Risk

Compatible. Not risky for breastfeeding or infant.

Low Risk

Moderately safe. Mild risk possible. Follow up recommended. Read the Comment.

High Risk

Poorly safe. Evaluate carefully. Use a safer alternative. Read the Comment.

Very High Risk

Not recommended. Cessation of breastfeeding or alternative.

Synonyms

  • Cefatrizine Propylene Glycol

Writings

  • سيفاتريزين (Arabic)
  • Цефатризин (Cyrillic)
  • 头孢曲秦 (Chinese)
  • セファトリジン (Japanese)
  • C18H18N6O5S2 (Molecular formula)

Drug trade names

References

  1. Yu LX, Amidon GL. Saturable small intestinal drug absorption in humans: modeling and interpretation of cefatrizine data. Eur J Pharm Biopharm. 1998Abstract
  2. Ito S, Blajchman A, Stephenson M, Eliopoulos C, Koren G. Prospective follow-up of adverse reactions in breast-fed infants exposed to maternal medication. Am J Obstet Gynecol. 1993Abstract
  3. Mastrandrea V, Ripa S, La Rosa F, Ghezzi A. Pharmacokinetics of cefatrizine after oral administration in human volunteers. Int J Clin Pharmacol Res. 1985Abstract
  4. Pfeffer M, Gaver RC, Ximenez J. Human intravenous pharmacokinetics and absolute oral bioavailability of cefatrizine. Antimicrob Agents Chemother. 1983Abstract