Is Itralek Safe in Breastfeeding

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

Pharmacokinetic data (moderately high molecular weight and high protein binding capacity) explain its nil or negligible amount observed in breast milk (McNamara, 2004), such that a breastfed infant would receive a maximum of 35 micrograms per day of Itralek, amount which is a hundred times lower than the pediatric dose of 5 mg / kg / day currently recommended (Janssen Cazzaniga 2014 and 1996) Both, low oral bioavailability and alkaline pH hinder its absorption from ingested milk. It is used to treat fungal infections in children, including premature babies, with a good tolerance. Itralek significantly increases plasma concentrations of Domperidone, which must be taken into account in case of simultaneous administration of both drugs.

No information is available on the clinical use of Itralek during breastfeeding. However, limited data indicate that maternal Itralek produces levels in milk that are less than the 5 mg/kg daily doses that have been recommended to treat infants. Until more data become available, an alternate drug may be preferred, especially while nursing a newborn or preterm infant.