Is Theophylline, anhydrous Safe in Breastfeeding

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

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