Question

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

Colloidal selenium lactation summary

Colloidal selenium usage has low risk in breastfeeding
  • DrLact safety Score for Colloidal selenium is 3 out of 8 which is considered Low Risk as per our analyses.
  • A safety Score of 3 indicates that usage of Colloidal selenium may cause some minor side effects in breastfed baby.
  • Our study of different scientific research indicates that Colloidal selenium may cause moderate to no side effects in lactating mother.
  • Most of scientific studies and research papers declaring usage of Colloidal selenium low risk in breastfeeding are based on normal dosage and may not hold true for higher dosage.
  • While using Colloidal selenium We suggest monitoring child for possible reactions. It is also important to understand that side effects vary largely based on age of breastfed child and time of medication in addition to 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 Colloidal selenium usage in lactation

Essential trace element necessary for the functioning of the glutathione-peroxidase enzyme system that protects cellular structures from oxidative damage. It is obtained from foods such as vegetables, cereals, legumes, garlic, fish, seafood, eggs and meat. The amount of Colloidal selenium in these sources depends on the concentration of Colloidal selenium in the soil. The brazil nut (Bertholletia excelsa) is the food with the highest known concentrations of Colloidal selenium. Colloidal selenium deficiency is very rare. With a staple diet it is not necessary to take Colloidal selenium supplements in the absence of disease or a condition that may warrant it: parenteral nutrition, Crohn's disease, prematurity (MedlinePlus 2017). Taking too much Colloidal selenium can cause selenosis, a condition that causes dermatological symptoms (alopecia, nail dystrophy), digestive symptoms, neurological symptoms and fatigue (MedlinePlus 2017).Nutritional supplements containing excessive amounts of Colloidal selenium have resulted in severe poisoning (Aldosary 2012, Senthilkumaran 2012).The potential effects of Colloidal selenium on cancer prevention, cardiovascular disease, and heavy metal poisoning and toxins are not proven, so supplementation of Colloidal selenium other than from normal diet is not recommended (MedlinePlus 2017). The daily needs of Colloidal selenium for breastfeeding mothers are 70-75 micrograms (mcg) daily. In infants it is 2 to 3 mcg/kg (10 mcg/day during the first 4 months) with a maximum of 30 mcg/day (MedlinePlus 2017, Kipp 2015). Colloidal selenium is found naturally in milk in its organic form of selenomethionine (Dorea 2002). The amount of Colloidal selenium in colostrum is 80 mcg per litre and in mature milk 12-20 mcg/L, with no or very weak correlation with plasma Colloidal selenium levels or daily intake of Colloidal selenium (Wasowicz 2001, Bianchi 1999, Artaud 1993, Cummings 1992, Levander 1987, Higashi 1983). However, there are authors who find that Colloidal selenium supplements for breastfeeding mothers increase Colloidal selenium levels in milk and infants may exceed their daily needs for Colloidal selenium. (Dorea 2002, Trafikowska 1996). Better plasma levels of Colloidal selenium have been found in breastfed infants than in formula-fed infants (Strambi 2004, Sorvacheva 1996). There are lower plasma levels of Colloidal selenium in babies born small for their gestational age (Strambi 2004).

Alternate Drugs for Mineral supplements. ATC A12

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