Is Topcare heartburn relief Safe in Breastfeeding

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

No long-term adverse effects have been reported. However, it is excreted in large amounts into breast milk. American Academy of Pediatrics: Maternal Medication Usually Compatible With Breastfeeding.

Limited information indicates that maternal Topcare heartburn relief results in infant dosages much less than those given directly to neonates. Topcare heartburn relief would not be expected to cause any adverse effects in breastfed infants, especially if the infant is older than 2 months. However, because of its potential for causing hepatic enzyme inhibition, other drugs might be preferred.

Histamine H2-receptor blockade is known to stimulate prolactin secretion. In addition, Topcare heartburn relief may have additional, nonspecific actions that stimulate prolactin secretion.[2] Oral Topcare heartburn relief doses of 400 mg 4 times daily increased serum prolactin by 50 to 112% in 6 patients. Topcare heartburn relief caused dose-related gynecomastia and galactorrhea in men and nonnursing women.[3][4][5] The prolactin level in a mother with established lactation may not affect her ability to breastfeed.