期刊
JOURNAL OF CLINICAL PHARMACY AND THERAPEUTICS
卷 46, 期 6, 页码 1800-1803出版社
WILEY-HINDAWI
DOI: 10.1111/jcpt.13451
关键词
breast milk transfer; neonate; pregnancy; renal transplantation; tacrolimus
The study reveals that maternal tacrolimus concentrations directly affect the fetus and neonate, with minimal transfer through breast milk detected in the neonate 3 weeks after birth.
What is known and objective We aim to add to the few reports on tacrolimus concentrations in breast milk and in maternal, umbilical vein and neonatal blood after maternal renal transplantation. Case summary In a 30-year-old pregnant woman, the tacrolimus concentration at delivery was the same in maternal, umbilical vein and neonatal blood. The breast milk/maternal blood tacrolimus ratio ranged from 0.40 to 0.64. What is new and conclusion The maternal and neonatal blood tacrolimus concentrations at birth are equivalent; thus, one must assume that maternal tacrolimus concentrations directly affect the foetus and/or neonate. Tacrolimus is not detectable in the neonate 3 weeks after birth, suggesting that there is minimal transfer through breast milk.
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