Is Gold Sodium Thiomalate Safe in Breastfeeding

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

Excretion of gold into milk after gold sodium thiomalate has not been rigorously studied. Case reports indicate that gold appears in milk in small quantities and at least a little of it is absorbed because it is detectable in the infant's urine. No convincing cases of toxicity have been reported. Opinions of authors of review articles vary from recommending avoidance to allowing use.[1][2][3][4][5] Monitoring for possible adverse effects in the breastfed infant would seem prudent.

Four infants reportedly have been breastfed during maternal gold therapy (including gold sodium thiomalate and gold aurothioglucose).[6][8][9][10] Transient facial edema occurred in an 18-month-old infant, 3 months after the mother's treatment stopped.[6] The reaction was possibly due to gold in the mother's milk ingested by the infant.