Plantes et produits homéopathiques
Diverses plantes (aubépine, passiflore, tilleul, valériane...) sont traditionnellement utilisées pour leur effet sédatif. Si une consommation raisonnable est probablement sans aucun risque, on ignore tout du passage lacté éventuel des principes actifs de ces plantes, et donc dans quelle mesure on peut les recommander aux mères allaitantes. Certaines ont un goût désagréable, susceptible d’être transmis au lait (valériane par exemple). Il en va de même pour les différentes spécialités de phytothérapie (Arkogélules Aubépine® ou Passiflore®, Euphytose®, Passiflorine®, Spasmine®, Tranquital®…). Il n’existe aucune donnée sur l’excrétion lactée des produits homéopathiques (Homéogène®, L 72®, Noctium®, Quiétude®, Sédatif PC®…), ou sur celui des oligo-éléments (Granions®, Oligosols ®…), mais un quelconque passage lacté est hautement improbable.
G**gle traduction en dit :Leaves, florid summits and fruits of shrub are used. It contains tannins, terpene, flavonoids, steroids, amines. Unproved effects: cardiotonic, anti-angina, anti-arrhythmic, hypnotic. Indications after Commission E of German Ministry of Health: Heart failure, coronary failure, bradycardia. Maximal daily dose: 5 g (1 g Dried extract; 0,5 g. Fluid extract).
Les feuilles et les fruits d'arbustes fleuris sommets sont utilisés. Elle contient des tanins, des terpènes, des flavonoïdes, des stéroïdes, des amines. Effets non prouvés: cardio tonique, anti-angineux, anti-arythmiques, hypnotique. Indications après commission de E Deutsch Ministère de la santé: L'insuffisance cardiaque, insuffisance coronarienne, bradycardie. La dose quotidienne maximale: 5 g (1 g d'extrait sec, 0,5 g d'extrait liquide).
Traduction G**gle :Aerial summits of this vine are used. It contains flavonoids, pyranics, heterosides, alkaloids. Unproved effects: hypnotic, MAO-inhibitor. Indication after Commission E of German Ministry of Health: insomnia, anxiety, nervousness. Maximal daily dose: 2 g (0,5 g of dried extract).
Sommets aériens de cette plante grimpante sont utilisés. Il contient des flavonoïdes, pyranics, hétérosides, des alcaloïdes. Effets non prouvés: hypnotique, inhibiteur de la MAO. Indication après la Commission E du ministère allemand de la santé: insomnie, anxiété, nervosité. Dose quotidienne maximale: 2 g (0,5 g d'extrait sec).
traduit selon G**gle :Roots, rhizomes and stolons of the plant are used. It contains iridoids, valepotriates, steroids, essential oils, GABA and tannins. Unproved effects: sedative, hypnotic, anti-spasmodic. Indication after Commission E of German Ministry of Health: insomnia, nervousness, anxiety. Maximal daily dose: 9 g (2 g of dried extract)
Les racines, rhizomes et les stolons de la plante sont utilisées. Il contient des iridoïdes, valépotriates, des stéroïdes, des huiles essentielles, le GABA et des tanins. Effets non prouvés: sédatifs, hypnotiques, anti-spasmodique. Indication après la Commission E du ministère allemand de la santé: insomnie, nervosité, anxiété. La dose maximale journalière: 9 g (2 g d'extrait sec)
Summary of Use during Lactation:
Valerian (Valeriana officinalis) root contains mono- and sesquiterpenes, and iridoid triesters (valepotriates). Preparations are sometimes standardized on valerenic acid content. Valerian has no specific uses in nursing mothers, but is most commonly used to treat anxiety and sleep disturbances, and occasionally for self-treatment of postpartum blues or depression.[1][2] No data exist on the safety and efficacy of valerian in nursing mothers or infants. In general, valerian is well tolerated, with side effects such as dizziness, hangover or headache reported occasionally. Valerian is "generally recognized as safe" (GRAS) for use in food by the US Food and Drug Administration. Valerian is often not recommended during lactation because of the theoretical concerns over its valepotriates and baldrinals which have been shown to be cytotoxic and mutagenic in vitro. Because there is no published experience with valerian during breastfeeding, an alternate therapy may be preferred, especially while nursing a newborn or preterm infant.
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Drug Levels:
Maternal Levels. Relevant published information was not found as of the revision date.
Infant Levels. Relevant published information was not found as of the revision date.
Effects in Breastfed Infants:
Relevant published information was not found as of the revision date.
Possible Effects on Lactation:
Relevant published information was not found as of the revision date.
Alternate Drugs to Consider:
(Anxiety) Lorazepam, Oxazepam, (Depression) Nortriptyline, Paroxetine, Sertraline, (Insomnia) Zaleplon, Zolpidem
References:
1. Allaire AD, Moos MK, Wells SR. Complementary and alternative medicine in pregnancy: a survey of North Carolina certified nurse-midwives. Obstet Gynecol. 2000;95:19-23. PMID: 10636495
2. Tesch BJ. Herbs commonly used by women: an evidence-based review. Am J Obstet Gynecol. 2003;188 (5 Suppl):S44-55. PMID: 12748451
Substance Identification:
Substance Name: Valerian
Scientific Name: Valeriana officinalis
CAS Registry Number: 8008-88-6; 8057-49-6
Drug Class:
Complementary Therapies
Phytotherapy
Plants, Medicinal
Administrative Information:
LactMed Record Number: 902
Last Revision Date: 20110802
Disclaimer: Information presented in this database is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation. The U.S. government does not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site.
La valériane est "généralement reconnu comme sûre" (GRAS) pour une utilisation dans les aliments par la Food and Drug Administration américaine. La valériane est souvent déconseillée pendant l'allaitement en raison des préoccupations théoriques sur ses valépotriates et baldrinals qui ont été montrés pour être cytotoxiques et mutagènes in vitro. Parce qu'il n'y a pas d'expérience avec la valériane publié pendant l'allaitement, une thérapie de remplacement peut être préférée, surtout pendant l'allaitement un nouveau-né ou le prématuré.