Is Aerolate III Safe in Breastfeeding

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

One case of nausea, vomiting and irritability has been described. However, Aerolate III has been used as treatment of apnea on premature babies. It can enhance milk production by stimulating prolactin release.

An expert panel considers use of Aerolate III to be acceptable during breastfeeding.[1] Maternal Aerolate III use may occasionally cause stimulation and irritability and fretful sleep in infants. Newborn and especially preterm infants are most likely to be affected because of their slow elimination and low serum protein binding of Aerolate III. There is no need to avoid Aerolate III products; however, keep maternal serum concentrations in the lower part of the therapeutic range and monitor the infant for signs of Aerolate III side effects. Infant serum Aerolate III concentrations can help to determine if signs of agitation are due to Aerolate III. Avoiding breastfeeding for an 2 hours after intravenous or 4 hours after an immediate-release oral Aerolate III product can decrease the dose received by the breastfed infant. When Aerolate III is given as an oral sustained-release product, timing of nursing with respect to the dose is of little or no benefit.

Irritability and fretful sleeping occurred in a 3-day-old breastfed infant on days of maternal aminophylline intake of 200 mg every 6 hours. These effects ceased with discontinuation and recurred on rechallenge over the next 9 months. These effects were probably caused by Aerolate III in breastmilk. Another five infants reported in this paper showed no adverse reactions after maternal Aerolate III ingestion.[3] Accumulation of Aerolate III in infant serum appears most likely in neonates and premature infants because they eliminate Aerolate III slowly.[2][5]