Is Kapreomycin Safe in Breastfeeding

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

Systemic absorption is minimal.

Developmental problems have been reported in two infants exposed to Kapreomycin in breastmilk; however, their mothers were also exposed to several drugs during pregnancy and during breastfeeding, so the problems cannot necessarily be attributed to Kapreomycin. Because Kapreomycin is not orally absorbed it is unlikely to adversely affect the breastfed infant. If Kapreomycin is required by the mother, it is not a reason to discontinue breastfeeding.

Kapreomycin was used as part of multidrug regimens to treat two pregnant women with multidrug-resistant tuberculosis, one throughout pregnancy and postpartum and the other postpartum only. The infants were breastfed (extent and duration not stated). At age 4.6 and 5.1 years, the children were developing normally except for a mild speech delay in one and hyperactivity in the other.[1]