Is Ro 21-3981 Safe in Breastfeeding
Question
I am a breastfeeding mother and i want to know if it is safe to use Ro 21-3981? Is Ro 21-3981 safe for nursing mother and child? Does Ro 21-3981 extracts into breast milk? Does Ro 21-3981 has any long term or short term side effects on infants? Can Ro 21-3981 influence milk supply or can Ro 21-3981 decrease milk supply in lactating mothers?
Ro 21-3981 lactation summary
- DrLact safety Score for Ro 21-3981 is 1 out of 8 which is considered Safe as per our analyses.
- A safety Score of 1 indicates that usage of Ro 21-3981 is mostly safe during lactation for breastfed baby.
- Our study of different scientific research also indicates that Ro 21-3981 does not cause any serious side effects in breastfeeding mothers.
- Most of scientific studies and research papers declaring usage of Ro 21-3981 safe in breastfeeding are based on normal dosage and may not hold true for higher dosage.
- Score calculated using the DrLact safety Version 1.2 model, this score ranges from 0 to 8 and measures overall safety of drug in lactation. Scores are primarily calculated using publicly available case studies, research papers, other scientific journals and publically available data.
Answer by Dr. Ru: About Ro 21-3981 usage in lactation
Used for sedation in preoperative anesthetic procedures. After 4 hours there is not any trace of the drug in mother’s blood.
Answer by DrLact: About Ro 21-3981 usage in lactation
The small amounts of Ro 21-3981 excreted into breastmilk would not be expected to cause adverse effects in most breastfed infants. Two expert panels advocates waiting for at least 4 hours after a single intravenous dose of Ro 21-3981 (e.g., for endoscopy) before resuming nursing.[1][2] However, no waiting period or discarding of milk might be necessary before resuming breastfeeding after a single dose of Ro 21-3981 in the mothers of infants over 2 months of age. After general anesthesia, breastfeeding can be resumed as soon as the mother has recovered sufficiently from general anesthesia to nurse.[3][4][5] When a combination of anesthetic agents is used for a procedure, follow the recommendations for the most problematic medication used during the procedure. With prolonged use (days) of intravenous therapy, an active metabolite can accumulate in the mother and might affect the infant, but data in breastfeeding are lacking.
Ro 21-3981 Side Effects in Breastfeeding
In a telephone follow-up study, 124 mothers who took a benzodiazepine while nursing reported whether their infants had any signs of sedation. Nineteen mothers took Ro 21-3981 (presumably orally) while breastfeeding and none reported sedation in her infant.[9]
Alternate Drugs
Midazolam(Safe)
Alfentanil(Safe)
Fentanyl(Safe)
Sufentanil(Low Risk)
Remifentanil(Low Risk)
Ketamine(Low Risk)
Propofol(Safe)
Methohexital(Safe)
Clorazepate(Low Risk)
Oxazepam(Safe)
Alprazolam(Low Risk)
Meprobamate(Low Risk)
Midazolam(Safe)
Nitrazepam(Low Risk)
Lorazepam(Safe)
Flunitrazepam(Unsafe)
Temazepam(Low Risk)
Lormetazepam(Safe)
Diazepam(Low Risk)
Quazepam(Unsafe)
Chlordiazepoxide(Low Risk)
Oxazepam(Safe)
Estazolam(Low Risk)
Clonazepam(Low Risk)
Alprazolam(Low Risk)
Flurazepam(Unsafe)
Midazolam(Safe)
Nitrazepam(Low Risk)
Lorazepam(Safe)
Flunitrazepam(Unsafe)
Temazepam(Low Risk)
Lormetazepam(Safe)
Diazepam(Low Risk)
Quazepam(Unsafe)
Chlordiazepoxide(Low Risk)
Clorazepate(Low Risk)
Clobazam(Low Risk)
Estazolam(Low Risk)
Chlordiazepoxide(Low Risk)
Clorazepate(Low Risk)
Sodium Oxybate(Low Risk)
Flurazepam(Unsafe)
Oxazepam(Safe)
Chloral Hydrate(Low Risk)
Meprobamate(Low Risk)
Zolpidem(Safe)
Alprazolam(Low Risk)
Zaleplon(Safe)
Butalbital(Low Risk)
Midazolam(Safe)
Nitrazepam(Low Risk)
Triazolam(Low Risk)
Butabarbital(Low Risk)
Pentobarbital(Low Risk)
Lorazepam(Safe)
Flunitrazepam(Unsafe)
Temazepam(Low Risk)
Secobarbital(Low Risk)
Eszopiclone(Low Risk)
Lormetazepam(Safe)
Ketamine(Low Risk)
Propofol(Safe)
Diazepam(Low Risk)
Quazepam(Unsafe)
Phenobarbital(Low Risk)