Evidence map›Paper›PMID 40507483›Full record

ReviewJournal of clinical medicine2025

Safety and Risks of Antihypertensive Medications During Breastfeeding: A Review of Current Guidelines.

Emilia Piotrkowicz, Piotr Skrzypczyk, Aleksander Prejbisz, Piotr Dobrowolski, Maciej Gawlak, Przemysław Kosiński

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Review
  3. Article
  4. Very low enalapril and enalaprilat exposureFrontiers in pharmacology · 2025
    Article
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

6 authors.

Emilia PiotrkowiczStudent Scientific Group, Department of Pediatrics and Nephrology, Medical University of Warsaw, 02-091 Warsaw, Poland.
Piotr SkrzypczykDepartment of Pediatrics and Nephrology, Medical University of Warsaw, 02-091 Warsaw, Poland.ORCID 0000-0002-1959-8255
Aleksander PrejbiszDepartment of Epidemiology, Cardiovascular Prevention and Health Promotion, National Institute of Cardiology, 04-628 Warsaw, Poland.
Piotr DobrowolskiDepartment of Epidemiology, Cardiovascular Prevention and Health Promotion, National Institute of Cardiology, 04-628 Warsaw, Poland.
Maciej GawlakDepartment of Obstetrics, Perinatology, Gynecology and Reproductive Medicine, Medical University of Warsaw, 02-091 Warsaw, Poland.
Przemysław KosińskiDepartment of Obstetrics, Perinatology, Gynecology and Reproductive Medicine, Medical University of Warsaw, 02-091 Warsaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypertension disorders of pregnancy affect almost 10% of pregnancies. Most hypertensive disorders associated with pregnancy, including chronic hypertension and gestational hypertension, often persist into the postpartum period. Thus, many breastfeeding mothers require ongoing antihypertensive treatment with antihypertensive medications while nursing. This highlights the importance of understanding the efficacy, safety, and potential adverse effects of antihypertensive therapy in breastfeeding mothers. Unfortunately, research in this area is limited, and references in clinical guidelines remain sparse. Our review aims to provide a comprehensive summary of the current knowledge on antihypertensive medications during breastfeeding, drawing from available research and evidence-based guidelines. This article discusses all groups of antihypertensive drugs, presenting societies' recommendations and available clinical data. Based on the available literature, calcium channel blockers (extended-release nifedipine as the first choice) and beta-blockers (labetalol, metoprolol) appear to be the drugs of choice. Our review highlights the need for further research to evaluate the long-term safety of antihypertensive medications during breastfeeding, improve clinical guidelines, and ensure optimal treatment for nursing mothers.

Indexed as

antihypertensive medicationsarterial hypertensionbreastfeeding

Identifiers

PMID40507483
PMCPMC12156924

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.