Advocacy for breastfeeding has led to increased breastfeeding rates worldwide; however, more than 50 percent of breastfeeding women take some sort of drug, and data on excretion of drugs into If your doctor or health visitor says your baby is healthy, you can take gabapentin while breastfeeding. It's important to keep taking gabapentin to keep you well. Gabapentin passes into breast milk in small amounts. Gabapentin and Breastfeeding. The use of gabapentin during breastfeeding requires careful consideration, as it can be excreted in breast milk and potentially affect the nursing infant. While neurontin is generally considered safe for use during breastfeeding, there is limited research on its long-term effects on breastfed infants. Limited information indicates that maternal doses of gabapentin up to 2.1 grams daily produce relatively low levels in infant serum. Monitor the infant for drowsiness, adequate weight gain, and developmental milestones, especially in younger, exclusively breastfed infants and when using combinations of anticonvulsant or psychotropic drugs. A single oral dose of either 300 mg or 600 mg given to The LactMed® database contains information on drugs and other chemicals to which breastfeeding mothers may be exposed. It includes information on the levels of such substances in breast milk and infant blood, and the possible adverse effects in the nursing infant. As the result of our review we classified AEDs in 3 categories: safe, moderately safe and contraindicated during breastfeeding. The moderately safe category has a less documented safety profile due to a short clinical experience and lack of studies. However, the moderately safe AEDs can be used with caution. • Kristensen JH, Ilett KF, Hackett LP, Kohan R, Gabapentin and breastfeeding: a case report, J Hum Lact, 2006;22:426–8. • Öhman I, Vitols S, Tomson T, Pharmacokinetics of gabapentin during delivery, in the neonatal period, and lactation: does a fetal accumulation occur during pregnancy? Epilepsia, 2005;46:1621–4. This article summarizes the current literature regarding gabapentin use during pregnancy and related prenatal and neonatal exposure outcomes with special consideration for interactions between gabapentin and opioid use. Usually, healthy, full-term newborns safely tolerate the amounts of gabapentin (Neurontin) they are exposed to through the breastmilk. If your physician believes that taking gabapentin while breastfeeding is more beneficial, be sure to monitor for possible side effects on your infant. A single oral dose of either 300 mg or 600 mg given to the mother before cesarean section appeared to have no effect on breastfeeding initiation.[1] An expert consensus guideline indicates that gabapentin is an acceptable choice for refractory restless leg syndrome during lactation.[2] Most antiepileptic drugs that have breastfeeding information reported appear to be acceptable to use during breastfeeding as single agents. Long-term follow-up data indicate that maternal carbamazepine, lamotrigine, phenytoin, and valproate cause no long-term developmental problems in breastfed infants. Medicine use while breastfeeding is common. You may need medicines to treat current or new health conditions during this time. There are concerns around medicine use during breastfeeding. Fortunately, many medicines have no effect on a breastfed baby and are safe to take while breastfeeding. -Some authorities suggest discontinuing nursing or discontinuing use of this drug while breastfeeding due to the potential for serious adverse reactions in the breastfed infant. With maternal doses up to 2.1 g/day, estimated doses for fully breastfed infants are 0.2 to 1.3 mg/kg/day (equivalent to 1.3 to 3.8% of the maternal weight-adjusted dose). Gabapentin is considered compatible with breastfeeding, but should be used with caution and infant monitoring. Published evidence for the use of gabapentin during breastfeeding is very limited. Data is from 10 mothers using gabapentin doses up to 2.1g daily. Does taking gabapentin increase the chance of birth defects? Every pregnancy starts out with a 3-5% chance of having a birth defect. This is called the background risk. Breastfeeding while taking gabapentin: Gabapentin enters breastmilk in low levels. Blood tests on breastfed infants found low levels or levels too low to be detected. While data are limited regarding AEDs and breastfeeding, it appears that none of the AEDs are excreted at high levels into the breast milk, nor have they been associated with high rates of adverse events in the nursing infant. Breastfeeding while taking gabapentin: Gabapentin enters breastmilk in low levels. Blood tests on breastfed infants found low levels or levels too low to be detected. There are reports of infants exposed to gabapentin through breastmilk; no side effects were noted. Gabapentin is a safe option for pain management while breastfeeding because it is non-addictive and does not pose a risk of dependence. Unlike some other pain medications, Gabapentin does not carry the same potential for abuse or addiction, ensuring your overall well-being and the well-being of your baby. DrLact safety Score for Gabapentin is 1 out of 8 which is considered Safe as per our analyses. A safety Score of 1 indicates that usage of Gabapentin is mostly safe during lactation for breastfed baby. Our study of different scientific research also indicates that Gabapentin does not cause any serious side effects in breastfeeding mothers.
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