Is Asmax Safe in Breastfeeding

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

One case of nausea, vomiting and irritability has been described. However, Asmax 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 Asmax to be acceptable during breastfeeding.[1] Maternal Asmax 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 Asmax. There is no need to avoid Asmax products; however, keep maternal serum concentrations in the lower part of the therapeutic range and monitor the infant for signs of Asmax side effects. Infant serum Asmax concentrations can help to determine if signs of agitation are due to Asmax. Avoiding breastfeeding for an 2 hours after intravenous or 4 hours after an immediate-release oral Asmax product can decrease the dose received by the breastfed infant. When Asmax 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 Asmax in breastmilk. Another five infants reported in this paper showed no adverse reactions after maternal Asmax ingestion.[3] Accumulation of Asmax in infant serum appears most likely in neonates and premature infants because they eliminate Asmax slowly.[2][5]