Is Alepam Safe in Breastfeeding

Question

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

Alepam lactation summary

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

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

Alepam Side Effects in Breastfeeding

A woman with major depression was treated with Alepam and her breastfed infant was reportedly sedated. The dosage of Alepam, 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 Alepam while breastfeeding and neither reported sedation in her infant.[5]