Question

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

Answer by DrLact: About Drospirenona usage in lactation

Drospirenona is a progestin that is an analogue of spironolactone. It has antimineralocorticoid and antiandrogenic activities and is available in the U.S. only in combination with ethinyl estradiol as an oral contraceptive agent. Based on the available evidence, expert opinion holds that nonhormonal methods are preferred during breastfeeding and progestin-only contraceptive are preferred over combined oral contraceptives in breastfeeding women, especially during the first 4 weeks postpartum. For further information, consult the record entitled, "Contraceptives, Oral, Combined."
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