Skip to main content
British Journal of Clinical Pharmacology logoLink to British Journal of Clinical Pharmacology
. 1984 Dec;18(6):901–906. doi: 10.1111/j.1365-2125.1984.tb02562.x

Pseudoephedrine and triprolidine in plasma and breast milk of nursing mothers.

J W Findlay, R F Butz, J M Sailstad, J T Warren, R M Welch
PMCID: PMC1463694  PMID: 6529531

Abstract

Plasma and milk concentrations of pseudoephedrine and triprolidine were determined (by radioimmunoassay) in three lactating mothers over 12-48 h after ingestion of a combination medication containing 60 mg of pseudoephedrine hydrochloride and 2.5 mg of triprolidine hydrochloride monohydrate. Pseudoephedrine concentrations in milk were consistently higher than those in plasma. The total amount of drug in milk, as judged by areas under the respective curves (AUC), was two to three times greater than in plasma. Triprolidine concentrations in milk and plasma were more variable between subjects than those of pseudoephedrine. AUC values for milk and plasma were similar for one subject, while the plasma value exceeded that for milk in another woman. The fraction of the dose excreted in milk was estimated to be 0.4-0.7% for pseudoephedrine and 0.06-0.2% for triprolidine.

Full text

PDF
901

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brater D. C., Kaojarern S., Benet L. Z., Lin E. T., Lockwood T., Morris R. C., McSherry E. J., Melmon K. L. Renal excretion of pseudoephedrine. Clin Pharmacol Ther. 1980 Nov;28(5):690–694. doi: 10.1038/clpt.1980.222. [DOI] [PubMed] [Google Scholar]
  2. Bye C., Hill H. M., Hughes D. T., Peck A. W. A comparison of plasma levels of L(+) pseudoephedrine following different formulations, and their relation to cardiovascular and subjective effects in man. Eur J Clin Pharmacol. 1975;8(1):47–53. doi: 10.1007/BF00616414. [DOI] [PubMed] [Google Scholar]
  3. Findlay J. W., DeAngelis R. L., Kearney M. F., Welch R. M., Findlay J. M. Analgesic drugs in breast milk and plasma. Clin Pharmacol Ther. 1981 May;29(5):625–633. doi: 10.1038/clpt.1981.87. [DOI] [PubMed] [Google Scholar]
  4. Findlay J. W. The distribution of some commonly used drugs in human breast milk. Drug Metab Rev. 1983;14(4):653–684. doi: 10.3109/03602538308991403. [DOI] [PubMed] [Google Scholar]
  5. Findlay J. W., Warren J. T., Hill J. A., Welch R. M. Stereospecific radioimmunoassays for d-pseudoephedrine in human plasma and their application to bioequivalency studies. J Pharm Sci. 1981 Jun;70(6):624–631. doi: 10.1002/jps.2600700613. [DOI] [PubMed] [Google Scholar]
  6. KNOWLES J. A. EXCRETION OF DRUGS IN MILK--A REVIEW. J Pediatr. 1965 Jun;66:1068–1082. doi: 10.1016/s0022-3476(65)80094-4. [DOI] [PubMed] [Google Scholar]
  7. Lai C. M., Stoll R. G., Look Z. M., Yacobi A. Urinary excretion of chlorpheniramine and pseudoephedrine in humans. J Pharm Sci. 1979 Oct;68(10):1243–1246. doi: 10.1002/jps.2600681012. [DOI] [PubMed] [Google Scholar]
  8. Liedholm H., Melander A., Bitzén P. O., Helm G., Lönnerholm G., Mattiasson I., Nilsson B., Wåhlin-Boll E. Accumulation of atenolol and metoprolol in human breast milk. Eur J Clin Pharmacol. 1981;20(3):229–231. doi: 10.1007/BF00544603. [DOI] [PubMed] [Google Scholar]
  9. Liedholm H., Wåhlin-Boll E., Hanson A., Ingemarsson I., Melander A. Transplacental passage and breast milk concentrations of hydralazine. Eur J Clin Pharmacol. 1982;21(5):417–419. doi: 10.1007/BF00542329. [DOI] [PubMed] [Google Scholar]
  10. Lönnerholm G., Lindström B. Terbutaline excretion into breast milk. Br J Clin Pharmacol. 1982 May;13(5):729–730. doi: 10.1111/j.1365-2125.1982.tb01444.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Stéen B., Rane A. Clindamycin passage into human milk. Br J Clin Pharmacol. 1982 May;13(5):661–664. doi: 10.1111/j.1365-2125.1982.tb01433.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Welch R. M., Findlay J. W. Excretion of drugs in human breast milk. Drug Metab Rev. 1981;12(2):261–277. doi: 10.3109/03602538108994032. [DOI] [PubMed] [Google Scholar]
  13. Wilson J. T., Brown R. D., Cherek D. R., Dailey J. W., Hilman B., Jobe P. C., Manno B. R., Manno J. E., Redetzki H. M., Stewart J. J. Drug excretion in human breast milk: principles, pharmacokinetics and projected consequences. Clin Pharmacokinet. 1980 Jan-Feb;5(1):1–66. doi: 10.2165/00003088-198005010-00001. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Clinical Pharmacology are provided here courtesy of British Pharmacological Society

RESOURCES