Drugs in Pregnancy and Lactation: Tenth Edition

NAFCILLIN

Antibiotic (Penicillin)

PREGNANCY RECOMMENDATION: Compatible

BREASTFEEDING RECOMMENDATION: Compatible

PREGNANCY SUMMARY

Although the reported pregnancy experience with nafcillin is limited, all penicillins are considered low risk in pregnancy.

FETAL RISK SUMMARY

Nafcillin is a penicillin antibiotic (see also Penicillin G). No reports linking its use with congenital defects have been located. The Collaborative Perinatal Project monitored 50,282 mother–child pairs, 3546 of whom had 1st trimester exposure to penicillin derivatives (1, pp. 297–313). For use anytime during pregnancy, 7171 exposures were recorded (1, p. 435). In neither group was evidence found to suggest a relationship to large categories of major or minor malformations or to individual defects.

BREASTFEEDING SUMMARY

No reports describing the use of nafcillin during human lactation have been located. (See also Penicillin G.)

Reference

1.Heinonen OP, Slone D, Shapiro S. Birth Defects and Drugs in Pregnancy. Littleton, MA: Publishing Sciences Group, 1977.



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