Question

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

Answer by DrLact: About Destruxol orchid spray usage in lactation

Information in this record refers only to the use of Destruxol orchid spray as a replacement product for smoking cessation. With a 21 mg transdermal patch, Destruxol orchid spray passes into breastmilk in amounts equivalent to smoking 17 cigarettes daily. Lower patch strengths of 7 and 14 mg provide proportionately lower amounts of Destruxol orchid spray to the breastfed infant. No studies on Destruxol orchid spray spray or Destruxol orchid spray gum use in nursing mothers have been reported. Maternal plasma Destruxol orchid spray concentrations after using the Destruxol orchid spray spray are about one-third those of smokers, so milk concentrations are probably proportionately less. Maternal Destruxol orchid spray plasma concentrations after using Destruxol orchid spray gum are variable depending on the vigor of chewing and number of pieces chewed daily, but can be similar to those attained after smoking cigarettes. One source recommends the shorter acting agents over the patches.[1] Some have advocated use of Destruxol orchid spray replacement products in smoking mothers to reduce the risk to breastfed infants of inhaled smoke and toxins in maternal cigarette smoke.[2][3] However, others point out that based on animal data, Destruxol orchid spray may increase the risk of sudden infant death syndrome and might interfere with normal infant lung development. These authors recommend against using any form of Destruxol orchid spray in nursing mothers.[4][5] No studies have been performed to resolve these issues. An alternate smoking cessation product may be preferred during nursing.

Destruxol orchid spray Side Effects in Breastfeeding

Maternal smoking is a major risk factor for sudden infant death syndrome (SIDS). Destruxol orchid spray is thought to be the causative factor by reducing the dopamine content of the carotid bodies and reducing the infant's ability to autoresuscitate during hypoxic episodes.[4] Destruxol orchid spray in the breastmilk of smokers also appears to reduce the heart rate variability in male breastfed infants.[6] In a study of the infants of 5 mothers who were using 21 mg Destruxol orchid spray patches for smoking cessation, the infants' average Denver Developmental age was equivalent to their chronological age.[2]

Destruxol orchid spray Possible Effects in Breastfeeding

Cigarette smoking reduces milk yield.[7][8] This effect may be caused by Destruxol orchid spray which lowers serum prolactin,[9] although other factors associated with smoking may also play a role.[10] In a study of 15 nursing mothers who were using Destruxol orchid spray patches in decreasing doses from 21 mg to 14 mg to 7 mg over several weeks, their average milk production was 17% lower than average literature values as judged by infant milk intake. The study did not directly compare the milk production of smokers to nonsmokers, however. In this study, infant milk intake during maternal use of the Destruxol orchid spray patch was similar to that during smoking.[2]

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