Question

I am a breastfeeding mother and i want to know if it is safe to use EINECS 200-193-3? Is EINECS 200-193-3 safe for nursing mother and child? Does EINECS 200-193-3 extracts into breast milk? Does EINECS 200-193-3 has any long term or short term side effects on infants? Can EINECS 200-193-3 influence milk supply or can EINECS 200-193-3 decrease milk supply in lactating mothers?

Answer by DrLact: About EINECS 200-193-3 usage in lactation

Information in this record refers only to the use of EINECS 200-193-3 as a replacement product for smoking cessation. With a 21 mg transdermal patch, EINECS 200-193-3 passes into breastmilk in amounts equivalent to smoking 17 cigarettes daily. Lower patch strengths of 7 and 14 mg provide proportionately lower amounts of EINECS 200-193-3 to the breastfed infant. No studies on EINECS 200-193-3 spray or EINECS 200-193-3 gum use in nursing mothers have been reported. Maternal plasma EINECS 200-193-3 concentrations after using the EINECS 200-193-3 spray are about one-third those of smokers, so milk concentrations are probably proportionately less. Maternal EINECS 200-193-3 plasma concentrations after using EINECS 200-193-3 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 EINECS 200-193-3 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, EINECS 200-193-3 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 EINECS 200-193-3 in nursing mothers.[4][5] No studies have been performed to resolve these issues. An alternate smoking cessation product may be preferred during nursing.

EINECS 200-193-3 Side Effects in Breastfeeding

Maternal smoking is a major risk factor for sudden infant death syndrome (SIDS). EINECS 200-193-3 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] EINECS 200-193-3 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 EINECS 200-193-3 patches for smoking cessation, the infants' average Denver Developmental age was equivalent to their chronological age.[2]

EINECS 200-193-3 Possible Effects in Breastfeeding

Cigarette smoking reduces milk yield.[7][8] This effect may be caused by EINECS 200-193-3 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 EINECS 200-193-3 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 EINECS 200-193-3 patch was similar to that during smoking.[2]

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