Leitura clínica
Comentário
A lanolina é uma cera secretada pelas glândulas sebáceas de animais lanudos. É obtida por desengorduramento e lavagem da lã de ovelha. Contém colesterol, lanosterol, álcoois e ésteres de ácidos graxos. Está estruturalmente relacionada com a cera de abelha e o sebo humano. É utilizada para tratar a irritação do mamilo em mães que amamentam. É contraindicada em mães com alergia à lã. A lanolina padrão contém 12 a 15% de álcool e 40 ppm de pesticidas. A lanolina modificada contém 6% de álcool e 3 ppm de pesticidas. A lanolina altamente purificada ou ultrapura contém um mínimo de pesticidas, álcool e detergente para reduzir seu potencial alergênico. É a mais segura para utilizar no mamilo, sem que seja necessário limpar antes de amamentar. (Scolnik 2017) A aplicação de lanolina para tratar irritação e fissuras do mamilo nem sempre demonstrou eficácia superior à aplicação de outros produtos, como leite materno, compressas mornas, azeite de oliva, hortelã, aloe vera, beldroega, dexpantenol, hidrogel, creme com mupirocina, betametasona e miconazol, secagem ao ar ou com protetores de mamilo, ou educação sanitária. (Perić 2022, Oliveira 2021, Pezeshki 2020, Niazi 2019, Mariani 2018, Vieira 2017, Jackson 2017, Shanazi 2015, Dennis 2014 y 2012, Gungor 2013, Vieira 2013, Abou-Dakn 2011, Melli 2007, Mohammadzadeh 2005, Morland 2005, Dodd 2003, Brent 1998, Pugh 1996)
Encontrabilidade
Outros nomes e marcas
Sinônimos e grafias 8
- Grasa de lana. Cera de lana. Agnina, Alapurina.
- Lanolina Ultrapura
- Lanolina anhidra. Lanolina anhidra altamente purificada
- Lanolina estándar, modificada y purificada. Lanolina hidrogenada
- Adeps lanae
- λίπος ερίου-λανολίνη
- Graisse de laine
- E913, E 913
Marcas comerciais na fonte 14
- Acuafil Ungena
- Alpha Keri
- Bodi Oil
- Evolve Plus
- Exocream
- Geri-Silk
- Huile de Bain Therapeutique
- Lactalina
- Lan-O-Smooth
- Lansinoh
- Melrose
- Oleoderm
- Pasta Lassar (Chile)
- Purelan 100
Rastreabilidade
Bibliografia
- Perić O, Pavičić Bošnjak A, Mabić M, Tomić V. Comparison of Lanolin and Human Milk Treatment of Painful and Damaged Nipples: A Randomized Control Trial. J Hum Lact. 2022 Nov 18:8903344221135793. Consultado el 20 de Diciembre de 2022 Resumen
- Shetty AP, Halemani K, Issac A, Thimmappa L, Shashidhara YN, Mathias E, Dhiraaj S, Radha K, Mishra P, Sharma A. Effectiveness of the Application of Lanolin, Aloe Vera, and Peppermint on Nipple Pain and Nipple Trauma in Lactating Mothers: A Systematic Review and Meta-Analysis. Matern Child Health J. 2024 Dec;28(12):2013-2025. Resumen
- Oliveira FS, Vieira F, Guimarães JV, Aredes ND, Campbell SH. Lanolin and prenatal health education for prevention of nipple pain and trauma: Randomized clinical trial. Enferm Clin (Engl Ed). 2021 Mar-Apr;31(2):82-90. Resumen
- Pezeshki B, Pouredalati M, Zolala S, Moeindarbary S, Kazemi K , Rakhsha M, Ramazanian Bafghi Z, Nasibeh R, Razmjouei P. Comparison of the effect of aloe vera extract, breast milk, calendit-E, curcumin, lanolin, olive oil, and purslane on healing of breast fissure in lactating mothers: A systematic review. Int J Pediatr-Mashhad. 2020;8:10853–63. Resumen Texto completo (enlace a fuente original)
- Niazi A, Yousefzadeh S, Rakhshandeh H, Esmaily H, Askari VR. Promising effects of purslane cream on the breast fissure in lactating women: A clinical trial. Complement Ther Med. 2019 Apr;43:300-305. Resumen
- Mariani Neto C, de Albuquerque RS, de Souza SC, Giesta RO, Fernandes APS, Mondin B. Comparative Study of the Use of HPA Lanolin and Breast Milk for Treating Pain Associated with Nipple Trauma. Rev Bras Ginecol Obstet. 2018 Nov;40(11):664-672. Resumen
- Vieira F, Mota DDCF, Castral TC, Guimarães JV, Salge AKM, Bachion MM. Effects of Anhydrous Lanolin versus Breast Milk Combined with a Breast Shell for the Treatment of Nipple Trauma and Pain During Breastfeeding: A Randomized Clinical Trial. J Midwifery Womens Health. 2017 Sep;62(5):572-579. Resumen
- Scolnik D, Glatstein M. Lanolin for Nipple Pain in Breastfeeding Mothers. Am J Ther. 2017 Jul/Aug;24(4):e500-e501. Resumen
- Jackson KT, Dennis CL. Lanolin for the treatment of nipple pain in breastfeeding women: a randomized controlled trial. Matern Child Nutr. 2017 Jul;13(3). Resumen
- Saeidi R, Tafazoli M, Gholami M, Mazloom R. New treatment for nipple soreness in breastfeeding mothers: A clinical trial study. Iran J Neonatol 2015;6:48-51. Resumen Texto completo (enlace a fuente original)
- Shanazi M, Farshbaf Khalili A, Kamalifard M, Asghari Jafarabadi M, Masoudin K, Esmaeli F. Comparison of the Effects of Lanolin, Peppermint, and Dexpanthenol Creams on Treatment of Traumatic Nipples in Breastfeeding Mothers. J Caring Sci. 2015 Dec 1;4(4):297-307. Resumen Texto completo (enlace a fuente original) Texto completo (en nuestros servidores)
- Dennis CL, Jackson K, Watson J. Interventions for treating painful nipples among breastfeeding women. Cochrane Database Syst Rev. 2014 Dec 15;(12):CD007366. Resumen
- Gungor AN, Oguz S, Vurur G, Gencer M, Uysal A, Hacivelioglu S, Uludag A, Cosar E. Comparison of olive oil and lanolin in the prevention of sore nipples in nursing mothers. Breastfeed Med. 2013 Jun;8(3):334-5. Resumen
- Vieira F, Bachion MM, Mota DD, Munari DB. A systematic review of the interventions for nipple trauma in breastfeeding mothers. J Nurs Scholarsh. 2013 Jun;45(2):116-25. Resumen
- Dennis CL, Schottle N, Hodnett E, McQueen K. An all-purpose nipple ointment versus lanolin in treating painful damaged nipples in breastfeeding women: a randomized controlled trial. Breastfeed Med. 2012 Dec;7(6):473-9. Resumen
- Abou-Dakn M, Fluhr JW, Gensch M, Wöckel A. Positive effect of HPA lanolin versus expressed breastmilk on painful and damaged nipples during lactation. Skin Pharmacol Physiol. 2011;24(1):27-35. Resumen
- Melli MS, Rashidi MR, Nokhoodchi A, Tagavi S, Farzadi L, Sadaghat K, Tahmasebi Z, Sheshvan MK. A randomized trial of peppermint gel, lanolin ointment, and placebo gel to prevent nipple crack in primiparous breastfeeding women. Med Sci Monit. 2007 Sep;13(9):CR406-411. Resumen
- Mohammadzadeh A, Farhat A, Esmaeily H. The effect of breast milk and lanolin on sore nipples. Saudi Med J. 2005 Aug;26(8):1231-4. Resumen
- Morland-Schultz K, Hill PD. Prevention of and therapies for nipple pain: a systematic review. J Obstet Gynecol Neonatal Nurs. 2005 Jul-Aug;34(4):428-37. Review. Resumen
- Dodd V, Chalmers C. Comparing the use of hydrogel dressings to lanolin ointment with lactating mothers. J Obstet Gynecol Neonatal Nurs. 2003 Jul-Aug;32(4):486-94. Resumen
- Brent N, Rudy SJ, Redd B, Rudy TE, Roth LA. Sore nipples in breast-feeding women: a clinical trial of wound dressings vs conventional care. Arch Pediatr Adolesc Med. 1998 Nov;152(11):1077-82. Resumen
- Pugh LC, Buchko BL, Bishop BA, Cochran JF, Smith LR, Lerew DJ. A comparison of topical agents to relieve nipple pain and enhance breastfeeding. Birth. 1996 Jun;23(2):88-93. Resumen