Is R 38486 Safe in Breastfeeding
Question
I am a breastfeeding mother and i want to know if it is safe to use R 38486? Is R 38486 safe for nursing mother and child? Does R 38486 extracts into breast milk? Does R 38486 has any long term or short term side effects on infants? Can R 38486 influence milk supply or can R 38486 decrease milk supply in lactating mothers?
R 38486 lactation summary
- DrLact safety Score for R 38486 is 3 out of 8 which is considered Low Risk as per our analyses.
- A safety Score of 3 indicates that usage of R 38486 may cause some minor side effects in breastfed baby.
- Our study of different scientific research indicates that R 38486 may cause moderate to no side effects in lactating mother.
- Most of scientific studies and research papers declaring usage of R 38486 low risk in breastfeeding are based on normal dosage and may not hold true for higher dosage.
- While using R 38486 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 R 38486 usage in lactation
Antiprogestin which derives from Norethisterone that is used for abortion, both as an abortifacient and induction of labor. Its high plasma protein-binding capacity explains that excretion into breast milk is clinically non-significant. It achieves very low levels in breast milk at a maternal dose of 600 mg or undetectable at maternal dose of 200 mg. R 38486 does not interfere with the secretion of Prolactin. Some authors found that it may facilitate the early initiation of breastfeeding. As in addition it is usually used for short periods, stopping breastfeeding is not required. When used with semi-experimental purposes due to its anti-androgenic and antiglucocorticoid properties a continuous administration and / or large doses is required. There is no experience in connection with breastfeeding. Those pathologies in which it is often used on a continuous basis by themselves are not compatible with breastfeeding.
Answer by DrLact: About R 38486 usage in lactation
Limited information indicates that breastfeeding need not be interrupted after a single dose of R 38486. A dose of 200 mg might be preferable to a 600 mg dose in nursing mothers
R 38486 Possible Effects in Breastfeeding
Based on animal data, some authors suggest that R 38486 used at term might shorten the onset of lactation, increase milk flow and increase the initial growth rate of breastfed infants.[2][3][4] However, no human data are available.
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