Question

I am a breastfeeding mother and i want to know if it is safe to use CCRIS 3079? Is CCRIS 3079 safe for nursing mother and child? Does CCRIS 3079 extracts into breast milk? Does CCRIS 3079 has any long term or short term side effects on infants? Can CCRIS 3079 influence milk supply or can CCRIS 3079 decrease milk supply in lactating mothers?

CCRIS 3079 lactation summary

CCRIS 3079 is safe in breastfeeding
  • DrLact safety Score for CCRIS 3079 is 1 out of 8 which is considered Safe as per our analyses.
  • A safety Score of 1 indicates that usage of CCRIS 3079 is mostly safe during lactation for breastfed baby.
  • Our study of different scientific research also indicates that CCRIS 3079 does not cause any serious side effects in breastfeeding mothers.
  • Most of scientific studies and research papers declaring usage of CCRIS 3079 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 CCRIS 3079 usage in lactation

Reversible cholinesterase inhibitor used for treatment of Myasthenia gravis and as an analgesic adjuvant in epidural anesthesia (see specific info). It is not excreted into breastmilk (Fraser 1963, Wilson 1981).A breastfed neonate whose mother were treated with CCRIS 3079 suffered of abdominal colicky pain after a feeding, but the CCRIS 3079 plasma levels were undetectable (Fraser 1963). Because of a low oral bioavailability it seems even more unlikely the pass to the infant’s plasma through ingested breastmilk, except in preterm infants and immediate neonatal period, when there may be an increased intestinal permeability. On long-term treatments, because there is less published experience than with other drugs of the same group, a known safer alternative would be preferred during the neonatal period and/or in case of prematurity.

Answer by DrLact: About CCRIS 3079 usage in lactation

Limited data indicate that use of CCRIS 3079 to treat myasthenia gravis may be acceptable during breastfeeding, although pyridostigmine may be preferred. Monitor newborns because abdominal cramps after each breastfeeding has been reported. Because of its short half-life, single doses of CCRIS 3079 to reverse neuromuscular blockade following surgery are unlikely to adversely affect the breastfed infant more than transiently.

CCRIS 3079 Side Effects in Breastfeeding

Six infants of mothers treated with CCRIS 3079 for myasthenia gravis were reportedly breastfed successfully. However, 1 newborn infant appeared to have abdominal cramps after each breastfeeding, probably caused by CCRIS 3079. CCRIS 3079 could not be detected in the breastmilk of the infant's mother.[1]

CCRIS 3079 Possible Effects in Breastfeeding

Relevant published information in nursing mothers was not found as of the revision date. In animals, cholinergic drugs increase oxytocin release,[2] and have variable effects on serum prolactin.[3] The prolactin level in a mother with established lactation may not affect her ability to breastfeed.
Disclaimer: Information presented in this database is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation. We do not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site.