Is Nespo Safe in Breastfeeding

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

The excretion of Nespo alfa in breastmilk or its effects on breastfed infants have not been studied. However, erythropoietin is a normal component of human milk and Nespo is immunologically and biologically indistinguishable from native erythropoietin. Intravenous Nespo has been given safely to newborn infants in doses much larger than those expected to appear in breastmilk. No special precautions are required during breastfeeding.

Enhancement of gastrointestinal tract maturation has been proposed as a function of erythropoietin in breastmilk.[1][8]

In small studies, epoetin alfa administration decreased serum prolactin in patients with amylotrophic lateral sclerosis,[9] but had no effect in normal subjects or in patients with renal failure undergoing chronic ambulatory peritoneal dialysis.[10][11] The prolactin level in a mother with established lactation may not affect her ability to breastfeed.