Question

I am a breastfeeding mother and i want to know if it is safe to use 123I-Ioflupane? Is 123I-Ioflupane safe for nursing mother and child? Does 123I-Ioflupane extracts into breast milk? Does 123I-Ioflupane has any long term or short term side effects on infants? Can 123I-Ioflupane influence milk supply or can 123I-Ioflupane decrease milk supply in lactating mothers?

Answer by DrLact: About 123I-Ioflupane usage in lactation

Information in this record refers to the use of 123I-Ioflupane as a diagnostic agent. The Society of Nuclear Medicine recommends that breastfeeding be interrupted for at least 1 day and possibly up to 6 days following tracer doses of 123I-Ioflupane;[1] however, the manufacturer states that breastfeeding should be interrupted for 6 days after administration of 123I-Ioflupane to a nursing mother. During the period of interruption, the breasts should be emptied regularly and completely. If the mother has expressed and saved milk prior to the examination, she can feed it to the infant during the period of nursing interruption.[2][3][4] The milk that is pumped by the mother during the time of breastfeeding interruption can either be discarded or stored refrigerated and given to the infant after 10 physical half-lives, or about 5.5 days, have elapsed since pumping. Mothers concerned about the level of radioactivity in their milk could ask to have it tested at a nuclear medicine facility at their hospital. When the radioactivity is at a safe level she may resume breastfeeding. A method for measuring milk radioactivity and determining the time when a mother can safely resume breastfeeding has been published.[5]

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