Question

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

Clostridiopeptidase A lactation summary

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

Proteolytic enzyme which is derived from the fermentation of Clostridium histolyticum that is capable of hydrolyzing and breaking down the peptide collagen bonds. It is a polypeptide formed by about 1,000 amino acids which is a part of the proteases.It is used topically on ulcers and burns and is injected locally in case of localized connective tissue contracture (Dupuytren). At latest update relevant published data on excretion into breast milk were not found. The small dose and low plasma uptake of most topical dermatological preparations make it unlikely a significant excretion into breastmilk.Following local injections on Dupuytren treatment, no measurable plasma levels are detected (EMA 2016: 5.2).Its high molecular weight would hinder any excretion into breastmilk.Because of its protein nature, when orally taken it will be digested in the infant’s gut which should prevent its absorption and passage to the plasma. It has been used on the nipple to treat and prevent pain and various nipple problems without conclusive results. The best prevention and treatment of problems on the nipple is an adequate latching-on technique (Kuşcu 2002, Morland-Schultz 2005). Whenever applied to the chest or nipple, it should be cleaned up before the next breast feeding.

Alternate Drugs for Treatment of wounds and ulcers: Cicatrizants & Enzymes. Act D03

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