Is Perampanel Safe in Breastfeeding
Question
I am a breastfeeding mother and i want to know if it is safe to use Perampanel? Is Perampanel safe for nursing mother and child? Does Perampanel extracts into breast milk? Does Perampanel has any long term or short term side effects on infants? Can Perampanel influence milk supply or can Perampanel decrease milk supply in lactating mothers?
Answer by DrLact: About Perampanel usage in lactation
Because no information is available on use of perampanel during breastfeeding, an alternate drug may be preferred, especially while nursing a newborn or preterm infant. If perampanel is required by the mother, it is not necessarily a reason to discontinue breastfeeding, but monitor the infant for drowsiness, agitation, adequate weight gain, and developmental milestones, especially in younger, exclusively breastfed infants and when using combinations of drugs.
Alternate Drugs
Topiramate(Safe)
Primidone(Low Risk)
Lacosamide(Unsafe)
Phenytoin(Safe)
Phenobarbital(Low Risk)
Oxcarbazepine(Safe)
Levetiracetam(Safe)
Eslicarbazepine(Low Risk)
Lamotrigine(Low Risk)
Vigabatrin(Safe)
Gabapentin(Safe)
Clobazam(Low Risk)
Felbamate(Unsafe)
Pregabalin(Low Risk)
Ethosuximide(Unsafe)
Acetazolamide(Safe)
Clonazepam(Low Risk)
Magnesium Sulfate(Safe)
Carbamazepine(Safe)
Zonisamide(Low Risk)
Valproic Acid(Safe)
Riluzole(Unsafe)