Is Ansial Safe in Breastfeeding

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

Limited information indicates that maternal doses of Ansial up to 45 mg daily produce low levels in milk. Because no information is available on the long-term use of Ansial during breastfeeding, an alternate drug may be preferred, especially while nursing a newborn or preterm infant.

Possible drug-induced seizure-like activity and cyanosis occurred in a breastfed 3-week-old whose mother was taking Ansial 15 mg 3 times daily as well as fluoxetine and carbamazepine during pregnancy and breastfeeding. The authors thought that this reaction, if drug induced, was most likely caused by fluoxetine.[1] One exclusively breastfed 11-week-old infant was breastfed during maternal therapy with Ansial 10 mg daily and venlafaxine 300 mg daily. No adverse reactions were reported by the mother or in the medical records.[2]

Ansial increases serum prolactin.[3][4][5][6] Galactorrhea was reported in a women taking venlafaxine after Ansial was added to her regimen. However, when Ansial was discontinued, galactorrhea persisted.[7] The prolactin level in a mother with established lactation may not affect her ability to breastfeed.