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Стоит ли избегать clotrimazole при беременности? | VeriMom

Clotrimazole is listed with a harmonised CLP classification of H361 (suspected of damaging fertility or the unborn child) on ECHA, which supports a ‘suspected’ reproductive hazard (h=2). A recent peer‑reviewed rat study showed that systemic exposure to clotrimazole altered maternal and fetal steroid hormone profiles via CYP/steroidogenesis inhibition (demonstrated mechanism → m=2). For typical topical/vaginal cosmetic/OTC use systemic absorption is minimal but measurable, so exposure from topical cosmetic use is rated low (e=1). Sources: ECHA harmonised classification and PubMed study, plus product labeling on animal effects.

ECHA regulatory hazard statements

  • H361

What to use instead

Pregnancy-safe ingredients that serve a similar function:

FAQ

Безопасен ли clotrimazole при беременности?
Clotrimazole is listed with a harmonised CLP classification of H361 (suspected of damaging fertility or the unborn child) on ECHA, which supports a ‘suspected’ reproductive hazard (h=2). A recent peer‑reviewed rat study showed that systemic exposure to clotrimazole altered maternal and fetal steroid hormone profiles via CYP/steroidogenesis inhibition (demonstrated mechanism → m=2). For typical topical/vaginal cosmetic/OTC use systemic absorption is minimal but measurable, so exposure from topical cosmetic use is rated low (e=1). Sources: ECHA harmonised classification and PubMed study, plus product labeling on animal effects.
Безопасен ли clotrimazole при грудном вскармливании?
Harmonised H361 classification and animal data (CYP inhibition and steroid changes) provide evidence for a suspected reproductive/developmental hazard (h=2) and a demonstrated mechanistic effect (m=2). Topical use shows minimal but measurable systemic absorption and is therefore given low exposure (e=1); breastfeeding guidance notes limited systemic exposure with topical use but advises use only if benefits outweigh risks in some labels.
Безопасен ли clotrimazole для кожи малыша?
Hazard (h=2) remains based on harmonised H361 and animal evidence; mechanism (m=2) is the same (CYP/steroidogenesis effects demonstrated in animals). Exposure is increased by one band for infants because infant skin has higher absorption — adult topical e=1 → baby e=2 (measurable/moderate exposure potential for 0–3 yr). There is limited infant‑specific reproductive/toxicity data; topical clotrimazole has been used in infants in clinical studies but systemic safety data are limited.
Как VeriMom оценивает clotrimazole?
VeriMom оценивает clotrimazole в 20/100 (высокий риск) на основе EU CosIng, классификаций ECHA и исследований PubMed.
Какие безопасные альтернативы clotrimazole при беременности?
См. наш список безопасных альтернатив clotrimazole с аналогичной функцией и классификацией без известных рисков.

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Медицинская оговорка

Данная информация предоставлена исключительно в образовательных целях и не является медицинской рекомендацией. Оценки безопасности основаны на общедоступных данных и могут не отражать все риски. Всегда консультируйтесь с вашим врачом перед использованием любых средств во время беременности или грудного вскармливания.

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