Question

I am a breastfeeding mother and i want to know if it is safe to use Brentuximab Vedotin? Is Brentuximab Vedotin safe for nursing mother and child? Does Brentuximab Vedotin extracts into breast milk? Does Brentuximab Vedotin has any long term or short term side effects on infants? Can Brentuximab Vedotin influence milk supply or can Brentuximab Vedotin decrease milk supply in lactating mothers?

Brentuximab Vedotin lactation summary

Brentuximab Vedotin usage has low risk in breastfeeding
  • DrLact safety Score for Brentuximab Vedotin is 3 out of 8 which is considered Low Risk as per our analyses.
  • A safety Score of 3 indicates that usage of Brentuximab Vedotin may cause some minor side effects in breastfed baby.
  • Our study of different scientific research indicates that Brentuximab Vedotin may cause moderate to no side effects in lactating mother.
  • Most of scientific studies and research papers declaring usage of Brentuximab Vedotin low risk in breastfeeding are based on normal dosage and may not hold true for higher dosage.
  • While using Brentuximab Vedotin We suggest monitoring child for possible reactions. It is also important to understand that side effects vary largely based on age of breastfed child and time of medication in addition to dosage.
  • Score calculated using the DrLact safety Version 1.2 model, this score ranges from 0 to 8 and measures overall safety of drug in lactation. Scores are primarily calculated using publicly available case studies, research papers, other scientific journals and publically available data.

Answer by Dr. Ru: About Brentuximab Vedotin usage in lactation

Anticuerpo monoclonal conjugado con propiedades antineoplásicas. Indicado en linfoma de Hodgkin y linfoma anaplásico de células grandes refractarios o en recaída.Administración intravenosa, una dosis cada 3 semanas. A fecha de última actualización no encontramos datos publicados sobre su excreción en leche materna. Su elevadísimo peso molecular hace muy improbable su paso a leche en cantidad significativa. Por su naturaleza protéica es inactivado en tracto gastrointestinal, no absorbiéndose, por lo que su biodisponibilidad oral es prácticamente nula, salvo en prematuros y periodo neonatal inmediato en los que puede haber mayor permeabilidad intestinal.

Answer by DrLact: About Brentuximab Vedotin usage in lactation

No information is available on the clinical use of brentuximab during breastfeeding. Because brentuximab is a large protein molecule with a molecular weight of about 153,000, the amount in milk is likely to be very low and absorption is unlikely because it is probably destroyed in the infant's gastrointestinal tract. Until more data become available, brentuximab vedotin should be used with caution during breastfeeding, especially while nursing a newborn or preterm infant. The manufacturer recommends that breastfeeding be discontinued during brentuximab therapy.
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