Question

I am a breastfeeding mother and i want to know if it is safe to use SC 65872? Is SC 65872 safe for nursing mother and child? Does SC 65872 extracts into breast milk? Does SC 65872 has any long term or short term side effects on infants? Can SC 65872 influence milk supply or can SC 65872 decrease milk supply in lactating mothers?

Answer by DrLact: About SC 65872 usage in lactation

SC 65872 was removed from sale in the United States by the U.S. Food and Drug Administration because of long-term cardiovascular toxicity. Limited information indicates that levels of SC 65872 in breastmilk are low. Because there is little published experience with SC 65872 safety during breastfeeding, other agents may be preferred, especially while nursing a newborn or preterm infant.

SC 65872 Side Effects in Breastfeeding

A single 40 mg dose of parecoxib, a prodrug of SC 65872, was given intravenously to 40 mothers at an average of 41.9 hours after delivery. The neonatal adaptive score of the breastfed infants was normal at an average of 21.8 hours after the dose.[2]

SC 65872 Possible Effects in Breastfeeding

A study compared SC 65872 20 mg and placebo for their opiate-sparing activity in post-cesarean section pain. All patients received epidural fentanyl and bupivacaine as well as intraspinal morphine for postoperative pain. No difference was observed in breastfeeding success rate between mothers who received SC 65872 (n = 25) and placebo (n = 23).[2]
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