Is Inapsin Safe in Breastfeeding

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

No data on transfer into breastmilk are available. Check-up for a sedative effect.

Because little information is available on the long-term use of Inapsin during breastfeeding, an alternate drug may be preferred, especially while nursing a newborn or preterm infant. Single-dose or short-term use during breastfeeding, such as during surgery, is unlikely to adversely affect the breastfed infant, especially if the infant is older than 2 months.[1] When multiple doses are given to the mother, monitor the infant for drowsiness, especially in younger, exclusively breastfed infants and when using combinations of psychotropic drugs.

A randomized study compared the breastfed infants born by cesarean section whose mothers received either morphine or morphine plus Inapsin by patient-controlled analgesia postoperatively. On days 1 and 2 of life, the infants whose mothers received Inapsin had a lower neonatal neurologic and adaptive capacity score (NACS) than those who received morphine only.[2] One breastfed (extent not stated) infant whose mother was taking Inapsin had a somewhat decreased intellectual development on testing, but her mother had also taken olanzapine, clonazepam, sertraline, thioridazine and valproic acid while breastfeeding.[3]

Hyperprolactinemia has been reported in patients taking long-term Inapsin[4][5] and after short-term use during surgical procedures.[6][7] The maternal prolactin level in a mother with established lactation may not affect her ability to breastfeed.