Evidence map›Paper›PMID 29411152›Full record

ReviewPharmaceutical research2018

Drugs in Lactation.

Philip O Anderson

2 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Pharmaceutical research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06042803 recruitingnot on this mapstarted 2023, after this paper: background citation

Clinical Lactation Study on the Exposure to Medicines Via Human Milk: an Umbrella Study Protocol

TypeobservationalSponsorUniversitaire Ziekenhuizen KU LeuvenRan2023 to 2027Enrolled30ConditionsBreast Feeding, Human MilkArmsHuman milk collection, Optionally: maternal blood sample, Optionally: child blood sample
NCT06088849 nacompletednot on this mapstarted 2021, after this paper: background citation

Maternal Treatment With ACE-inhibitors and Breastfeeding: a Mono-centric Study on the Exposure Through Breast Milk

TypeinterventionalSponsorUniversitaire Ziekenhuizen KU LeuvenRan2021 to 2023Enrolled20ConditionsBreast Feeding, Hypertension, Heart Failure, ProteinuriaArmsVenipuncture
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Machine learning approaches for assessing medication transfer to human breast milk.Journal of pharmacokinetics and pharmacodynamics · 2025
    Article
  9. Transporters and drug secretion into human breast milk.Expert opinion on drug metabolism & toxicology · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Very low enalapril and enalaprilat exposureFrontiers in pharmacology · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. A literature review of drug transport mechanisms during lactation.CPT: pharmacometrics & systems pharmacology · 2024
    Review
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Philip O AndersonDivision of Clinical Pharmacy, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, 9500 Gilman Drive, MC 0657, La Jolla, California, 92093-0657, USA. phanderson@ucsd.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

One impediment to breastfeeding is the lack of information on the use of many drugs during lactation, especially newer ones. The principles of drug passage into breastmilk are well established, but have often not been optimally applied prospectively. Commonly used preclinical rodent models for determining drug excretion into milk are very unreliable because of marked differences in milk composition and transporters compared to those of humans. Measurement of drug concentrations in humans remains the gold standard, but computer modeling is promising. New FDA labeling requirements present an opportunity to apply modeling to preclinical drug development in place of conventional animal testing for drug excretion into breastmilk, which should improve the use of medications in nursing mothers.

Indexed as

Breast FeedingPharmacokineticsAnimalsComputer SimulationDietary ExposureDrug LabelingFemaleHumansInfantInfant, NewbornLactationMilk, HumanModels, AnimalModels, BiologicalUnited StatesUnited States Food and Drug Administrationbreast feedingdrug excretionhuman milkmodelingpharmacokinetics

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.