Question

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

Answer by DrLact: About Benralizumab usage in lactation

No information is available on the clinical use of benralizumab during breastfeeding. Because benralizumab is a large protein molecule with a molecular weight of about 150,000, the amount in milk is likely to be very low and absorption is unlikely because it is probably destroyed in the infant's gastrointestinal tract. Until more data become available, benralizumab should be used with caution during breastfeeding, especially while nursing a newborn or preterm infant. Benralizumab is a human immunoglobulin G1 (IgG1) kappa antibody. Holder pasteurization (62.5 degrees C for 30 minutes) decreases the concentration of endogenous immunoglobulin G by up to 79%.[1][2] A study of 67 colostrum samples that underwent Holder pasteurization found that IgG amounts decreased by 34 to 40%. Specific IgG subclasses decreased by different amounts, with IgG1 activity decreasing by about 37%.[3] None of the studies measured IgG activity.
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