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Drugs and Lactation Database (LactMed®) [Internet]. Bethesda (MD): National Institute of Child Health and Human Development; 2006-.

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Drugs and Lactation Database (LactMed®) [Internet].

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Thiothixene

Last Revision: July 15, 2024.

Estimated reading time: 1 minute

CASRN: 5591-45-7

image 134988540 in the ncbi pubchem database

Drug Levels and Effects

Summary of Use during Lactation

Because there is no published experience with thiothixene during breastfeeding, other antipsychotic agents are preferred.

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.

Effects on Lactation and Breastmilk

Thiothixene has caused galactorrhea.[1] Hyperprolactinemia appears to be the cause of the galactorrhea.[2-4] The hyperprolactinemia is caused by the drug's dopamine-blocking action in the tuberoinfundibular pathway.[5] The prolactin level in a mother with established lactation may not affect her ability to breastfeed.

Alternate Drugs to Consider

Haloperidol, Olanzapine, Quetiapine, Risperidone

References

1.
Kahn JL. More on galactorrhea associated with molindone. Am J Psychiatry 1979;136:1617-8 [PubMed: 574364]
2.
Turkington RW. Prolactin secretion in patients treated with various drugs: Phenothiazines, tricyclic antidepressants, reserpine, and methyldopa. Arch Intern Med 1972;130:349-54 [PubMed: 4560178]
3.
Turkington RW. Serum prolactin levels in patients with gynecomastia. J Clin Endocrinol Metab 1972;34:62-6 [PubMed: 5061776]
4.
Meltzer HY, Fang VS. The effect of neuroleptics on serum prolactin in schizophrenic patients. Arch Gen Psychiatry 1976;33:279-86 [PubMed: 1259521]
5.
Maguire GA. Prolactin elevation with antipsychotic medications: Mechanisms of action and clinical consequences. J Clin Psychiatry 2002;63 (Suppl 4):56-62 [PubMed: 11913677]

Substance Identification

Substance Name

Thiothixene

CAS Registry Number

5591-45-7

Drug Class

Breast Feeding

Lactation

Milk, Human

Antipsychotic Agents

Thioxanthines

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.

Copyright Notice

Attribution Statement: LactMed is a registered trademark of the U.S. Department of Health and Human Services.

Bookshelf ID: NBK501112PMID: 30000171

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