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    J Glaucoma. 2008 Jun-Jul;17(4):329-31.

    Timolol concentrations in breast milk of a woman treated for glaucoma: calculation of neonatal exposure.

    Source

    Department of Physiology and Pharmacology, University of Western Ontario, Ontario, Canada. pmadadi@uwo.ca

    Abstract

    A 32-year-old lactating woman with open-angle glaucoma used timolol maleate 0.5% eye drops twice daily to her right eye for 6 months. Four milk samples were collected over a span of 6 days. Timolol maleate milk levels were examined by liquid chromatography tandem mass spectrometry and found to be at a mean of 0.12 ng/mL (range, 0 to 0.37 ng/mL). At this level, the theoretical maximum relative infant dose expressed as a percentage of the weight-adjusted maternal dose was 0.012%. As most glaucoma patients administer drops to both eyes, the dosage was duplicated to reflect the more pertinent calculated theoretical relative infant dose of 0.024%. This dose of timolol is unlikely to cause systemic side effects to the healthy breastfed infant.

    PMID:
    18552619
    [PubMed - indexed for MEDLINE]

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