Question

I am a breastfeeding mother and i want to know if it is safe to use HSDB 7180? Is HSDB 7180 safe for nursing mother and child? Does HSDB 7180 extracts into breast milk? Does HSDB 7180 has any long term or short term side effects on infants? Can HSDB 7180 influence milk supply or can HSDB 7180 decrease milk supply in lactating mothers?

HSDB 7180 lactation summary

HSDB 7180 is safe in breastfeeding
  • DrLact safety Score for HSDB 7180 is 1 out of 8 which is considered Safe as per our analyses.
  • A safety Score of 1 indicates that usage of HSDB 7180 is mostly safe during lactation for breastfed baby.
  • Our study of different scientific research also indicates that HSDB 7180 does not cause any serious side effects in breastfeeding mothers.
  • Most of scientific studies and research papers declaring usage of HSDB 7180 safe in breastfeeding are based on normal dosage and may not hold true for higher 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 HSDB 7180 usage in lactation

Excreted into breast milk in a clinically non-significant amount. No clinical untoward effects on the physical and psychomotor development of the infants at both short and long-term basis. Some reports of galactorrhea have been described. Because there is less published experience with this drug than with others, an alternative known to be safer should be preferred mostly during the neonatal period or prematurity.

Answer by DrLact: About HSDB 7180 usage in lactation

HSDB 7180 is not approved for marketing in the United States by the U.S. Food and Drug Administration, but is available in other countries. Limited information indicates that maternal doses of HSDB 7180 up to 900 mg daily produce low levels in milk. Although several breastfed infants apparently experienced no adverse effects during maternal use of HSDB 7180, no rigorous, long-term data are available. Until more data are available, HSDB 7180 should only be used with careful monitoring during breastfeeding, especially while nursing a newborn or preterm infant.

HSDB 7180 Side Effects in Breastfeeding

Nine women were being treated for postpartum depression with HSDB 7180 in daily dosages ranging from 150 mg to 900 mg. All breastfed (extent not stated) their infants during therapy, but the duration of infant exposure to HSDB 7180 in breastmilk was not stated. Maternal reports of infant weight gain, milestones and behavioral effects as well as clinical observation by the authors indicted no adverse effects in the breastfed infants.[2] Four women who took HSDB 7180 in dosages of 300 mg to 1200 mg daily during pregnancy were followed up in the neonatal period and at 1 year postpartum. All women breastfed (extent not stated) their infants. One woman ceased breastfeeding at 2 months postpartum because of severe gastroesophageal reflux in the infant; two other mothers breastfed beyond 12 months. The duration of breastfeeding in the fourth infant was not sated. All infants achieved developmental milestones.[3]

HSDB 7180 Possible Effects in Breastfeeding

HSDB 7180 increases serum prolactin in males[4][5][6] and has caused galactorrhea in women.[7] The prolactin level in a mother with established lactation may not affect her ability to breastfeed.
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