Is r-metHug-CSF Safe in Breastfeeding
Question
I am a breastfeeding mother and i want to know if it is safe to use r-metHug-CSF? Is r-metHug-CSF safe for nursing mother and child? Does r-metHug-CSF extracts into breast milk? Does r-metHug-CSF has any long term or short term side effects on infants? Can r-metHug-CSF influence milk supply or can r-metHug-CSF decrease milk supply in lactating mothers?
r-metHug-CSF lactation summary
- DrLact safety Score for r-metHug-CSF is 1 out of 8 which is considered Safe as per our analyses.
- A safety Score of 1 indicates that usage of r-metHug-CSF is mostly safe during lactation for breastfed baby.
- Our study of different scientific research also indicates that r-metHug-CSF does not cause any serious side effects in breastfeeding mothers.
- Most of scientific studies and research papers declaring usage of r-metHug-CSF 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 r-metHug-CSF usage in lactation
Non-glycosylated stimulating factor of granulocyte colonies (G-CSF) which is obtained by recombinant technology.The naturally occurring product is found in breast milk. A very high molecular weight explains the insignificant or no excretion into milk that has been observed both with Lenograstim and r-metHug-CSF. Its low oral bioavailability hampers absorption into infant plasma from the breast milk ingested, as for their proteic nature it is degraded in the gastrointestinal tract, not being absorbed. r-metHug-CSF is not absorbed by the infant's gut even during the neonatal period or prematurity. The granulocyte colony-stimulating factor has been used in premature newborns, both on prevention and treatment of neonatal sepsis and/or necrotizing enterocolitis without adverse effects being observed among treated infants. The bovine G-CSF is found in the usual diet of meat eaters.
Answer by DrLact: About r-metHug-CSF usage in lactation
r-metHug-CSF in the pharmaceutical name for granulocyte colony-stimulating factor (G-CSF). Pegr-metHug-CSF is the long-acting form of r-metHug-CSF. The excretion of exogenous G-CSF into breastmilk or its effects on breastfed infants have not been well studied. Limited data indicate that r-metHug-CSF and a similar G-CSF product, lenograstim, are poorly excreted into breastmilk and are undetectable by 3 days after an injection. Some authors recommend withholding breastfeeding for this period of time.[1] However, r-metHug-CSF has been safely given orally to neonates and is not orally absorbed by neonates, so any r-metHug-CSF that is excreted into milk is unlikely to adversely affect the breastfed infant.
r-metHug-CSF Side Effects in Breastfeeding
Published information on the effects of r-metHug-CSF in breastmilk was not found as of the revision date. However, oral r-metHug-CSF 20 mcg daily for 5 days has been given to preterm infants with stage I necrotizing enterocolitis (NEC). r-metHug-CSF appeared to halt progression to more severe stages of NEC in this small study.[6]