Is Brivaracetam Safe in Breastfeeding
Question
I am a breastfeeding mother and i want to know if it is safe to use Brivaracetam? Is Brivaracetam safe for nursing mother and child? Does Brivaracetam extracts into breast milk? Does Brivaracetam has any long term or short term side effects on infants? Can Brivaracetam influence milk supply or can Brivaracetam decrease milk supply in lactating mothers?
Answer by DrLact: About Brivaracetam usage in lactation
Because no information is available on use of brivaracetam during breastfeeding, an alternate drug may be preferred, especially while nursing a newborn or preterm infant. If brivaracetam 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. Measurement of infant serum levels may help rule out toxicity if there is a concern.
Alternate Drugs
Ethosuximide(Unsafe)
Pregabalin(Low Risk)
Clonazepam(Low Risk)
Acetazolamide(Safe)
Carbamazepine(Safe)
Magnesium Sulfate(Safe)
Zonisamide(Low Risk)
Valproic Acid(Safe)
Riluzole(Unsafe)
Topiramate(Safe)
Primidone(Low Risk)
Phenytoin(Safe)
Lacosamide(Unsafe)
Phenobarbital(Low Risk)
Oxcarbazepine(Safe)
Levetiracetam(Safe)
Lamotrigine(Low Risk)
Eslicarbazepine(Low Risk)
Gabapentin(Safe)
Vigabatrin(Safe)
Felbamate(Unsafe)
Clobazam(Low Risk)