Is Serepax Safe in Breastfeeding

Question

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

Serepax lactation summary

DrLact safety Score for Serepax is 1 out of 8 which is considered Safe as per our analyses.
A safety Score of 1 indicates that usage of Serepax is mostly safe during lactation for breastfed baby.
Our study of different scientific research also indicates that Serepax does not cause any serious side effects in breastfeeding mothers.
Most of scientific studies and research papers declaring usage of Serepax 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 Serepax usage in lactation

Short-acting benzodiacepine. Diazepam active metabolite. Excreted into breast milk in non-significant level. No harm effects on breastfed infants have been shown. Eventual and low dose use of benzodiacepines are compatible with breastfeeding. Use the short-acting benzodiazepine and minimal effective dose as possible mostly in the neonatal period. Check-up for infant sedation and feeding problems. Bed-sharing is not recommended for mothers who are taking this medication.

Answer by DrLact: About Serepax usage in lactation

Serepax has low levels in breastmilk, a short half-life relative to many other benzodiazepines, and is administration directly to infants. Serepax would not be expected to cause any adverse effects in breastfed infants with usual maternal dosages. No special precautions are required.

Serepax Side Effects in Breastfeeding

A woman with major depression was treated with Serepax and her breastfed infant was reportedly sedated. The dosage of Serepax, age of the infant and extent of nursing were not reported.[4] In a telephone follow-up study, 124 mothers who took a benzodiazepine while nursing reported whether their infants had any signs of sedation. Two mothers took Serepax while breastfeeding and neither reported sedation in her infant.[5]