Question

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

Dexamfetamine Sulfate lactation summary

Dexamfetamine Sulfate usage has low risk in breastfeeding
  • DrLact safety Score for Dexamfetamine Sulfate is 3 out of 8 which is considered Low Risk as per our analyses.
  • A safety Score of 3 indicates that usage of Dexamfetamine Sulfate may cause some minor side effects in breastfed baby.
  • Our study of different scientific research indicates that Dexamfetamine Sulfate may cause moderate to no side effects in lactating mother.
  • Most of scientific studies and research papers declaring usage of Dexamfetamine Sulfate low risk in breastfeeding are based on normal dosage and may not hold true for higher dosage.
  • While using Dexamfetamine Sulfate We suggest monitoring child for possible reactions. It is also important to understand that side effects vary largely based on age of breastfed child and time of medication in addition to 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 Dexamfetamine Sulfate usage in lactation

A sympathomimetic drug and central nervous system stimulant, it has a similar action and uses to amphetamine, its dextro isomer.It is used (GSK, 2007) in the treatment of narcolepsy (Wise, 2007) and Attention Deficit Hyperactivity Disorder (ADHD), and is also used as an illegal drug (Oei, 2012). It is excreted in breast milk, concentrating about 3 times more than in plasma. This concentration assumes a relative dose about 6% (Ilett, 2007). In infants whose mothers were taking dexamfetamine as treatment for ADHD, levels ranging from undetectable to 14% of maternal plasma levels have been measured and no problems were observed in the clinical follow-up of these infants (Ilett, 2007). There is little information on the impact of amphetamine abuse on the development and health of infants (Oei, 2012, Wise, 2007; Moretti, 2000), but it is known that they are more exposed to social problems, domestic violence, and lower breastfeeding rates (Oei, 2010). There is controversy over the possibly mild negative effect of amphetamine on prolactin (Petraglia, 1987; DeLeo, 1983), but milk production in mothers who took it therapeutically was not affected (Öhman, 2015). During breastfeeding, the therapeutic use (narcolepsy, ADHD) of dexamphetamine can be assessed, using the lowest possible effective dose and monitoring the occurrence of irritability, insomnia, lack of appetite and weight loss. Its use as an illegal drug is totally discouraged (Oei, 2012). See below the information of these related products:

Alternate Drugs for Psychostimulants and Nootropics. ATC N06B

Amphetamine(Unsafe)
Caffeine(Low Risk)
Atomoxetine(Unsafe)
Modafinil(Unsafe)
Armodafinil(Unsafe)
Citicoline(Safe)
Clobenzorex(Unsafe)
Deanol(Unsafe)
Pemoline(Unsafe)
Piracetam(Low Risk)
Pirisudanol Dimaleate(Unsafe)
Pyritinol(Low Risk)
Metamfetamine Hydrochloride(Unsafe)
Lisdexamfetamine Mesilate(Low Risk)
Amfetamine(Unsafe)
Methylphenidate-Hcl(Safe)
Lisdexamfetamine dimesylate(Low Risk)
Guaranine(Low Risk)
Betanamin(Unsafe)
Methyltheobromine(Low Risk)
Theine(Low Risk)
Tomoxetine(Unsafe)
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.