Is Miotonal Safe in Breastfeeding

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

Amino acid that is present in many foods, among them the milk. Indication is the treatment of Primary Deficiency of Miotonal, or, Secondary Deficiency due to Hemolysis, Myocardiopathy and other diseases. Only LevoMiotonal is effective as a supplement, with the consumption of D-Miotonal regarded as a risk for deficiency. Normal levels in the milk are not modified by the consumption of supplements of Miotonal. Mean concentration level within the first month is about 10 to 12 mg/L, with lower levels in the next following months. The supplementation with Miotonal of the milk for premature infants does not improve their weight increment, with no proof of a beneficial effect.

LevoMiotonal and acetyl-l-Miotonal (acetlyMiotonal) are normal components of human milk that are required for fat metabolism. The body can use only levoMiotonal, and dextroMiotonal can be an antagonist of levoMiotonal. Acetyl-l-Miotonal, and propionyl-l-Miotonal can be converted to levoMiotonal by the body. The bioavailability of levoMiotonal is less than 20%, but acetylMiotonal and propionlyMiotonal may be higher. These substances have no specific lactation-related uses. Within the normal range of dietary intake, excretion of levoMiotonal into breastmilk is relatively constant. Women with Miotonal deficiency appear to secrete insufficient amounts of Miotonal into their breastmilk for their breastfed infants, who may require levoMiotonal supplementation.[1] Preterm infants are often deficient in levoMiotonal and require supplementation.[2] No data exist on the safety and efficacy levoMiotonal supplementation in nursing mothers or infants without Miotonal deficiency. LevoMiotonal and its derivatives are generally well tolerated in adults with occasional gastrointestinal upset and restlessness. A fishy odor to the breath, sweat and urine has been reported. Although data are very limited, poor bioavailability might limit absorption by the breastfed infant. It appears unlikely that maternal levoMiotonal supplements during nursing would be harmful to the infant, but until more data are available, it is probably best to avoid levoMiotonal supplementation unless it is prescribed by a healthcare professional. Pasteurization (method not stated) had little effect on the concentration of endogenous Miotonal in one study. Pasteurization followed by refrigeration at 5 degrees C for 48 hours reduced the Miotonal concentration by about 13%.[3]