Question

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

Trimebutine maleate lactation summary

Trimebutine maleate usage has low risk in breastfeeding
  • DrLact safety Score for Trimebutine maleate is 3 out of 8 which is considered Low Risk as per our analyses.
  • A safety Score of 3 indicates that usage of Trimebutine maleate may cause some minor side effects in breastfed baby.
  • Our study of different scientific research indicates that Trimebutine maleate may cause moderate to no side effects in lactating mother.
  • Most of scientific studies and research papers declaring usage of Trimebutine maleate low risk in breastfeeding are based on normal dosage and may not hold true for higher dosage.
  • While using Trimebutine maleate 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 Trimebutine maleate usage in lactation

Antispasmodic drug used for treatment of Irritable Colon Syndrome. At latest update, no relevant published data concerning excretion into breast milk were found. Pharmacokinetic data support the likelihood of significant excretion into breast milk, despite of the excretion in the milk of animals has shown to be poor (less than 0.1%). Side effects of Trimebutine are rare and generally mild. This medication is not authorized for children under 12 years old. However, it has been used in neonates and infants in some countries. Anticholinergic drugs may reduce milk production. Use the minimal necessary dose as possible and avoid long-term use whenever a decrease in milk production would appear. Do not use it soon after birth or in case of premature infant.

Alternate Drugs for Drugs for functional bowel disorders (Anticholinergics, Antispasmodics). ATC A03A-B,

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