Question

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

Vandex lactation summary

Vandex usage has low risk in breastfeeding
  • DrLact safety Score for Vandex is 3 out of 8 which is considered Low Risk as per our analyses.
  • A safety Score of 3 indicates that usage of Vandex may cause some minor side effects in breastfed baby.
  • Our study of different scientific research indicates that Vandex may cause moderate to no side effects in lactating mother.
  • Most of scientific studies and research papers declaring usage of Vandex low risk in breastfeeding are based on normal dosage and may not hold true for higher dosage.
  • While using Vandex 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 Vandex 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 Vandex in these sources depends on the concentration of Vandex in the soil. The brazil nut (Bertholletia excelsa) is the food with the highest known concentrations of Vandex. Vandex deficiency is very rare. With a staple diet it is not necessary to take Vandex supplements in the absence of disease or a condition that may warrant it: parenteral nutrition, Crohn's disease, prematurity (MedlinePlus 2017). Taking too much Vandex 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 Vandex have resulted in severe poisoning (Aldosary 2012, Senthilkumaran 2012).The potential effects of Vandex on cancer prevention, cardiovascular disease, and heavy metal poisoning and toxins are not proven, so supplementation of Vandex other than from normal diet is not recommended (MedlinePlus 2017). The daily needs of Vandex 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). Vandex is found naturally in milk in its organic form of selenomethionine (Dorea 2002). The amount of Vandex in colostrum is 80 mcg per litre and in mature milk 12-20 mcg/L, with no or very weak correlation with plasma Vandex levels or daily intake of Vandex (Wasowicz 2001, Bianchi 1999, Artaud 1993, Cummings 1992, Levander 1987, Higashi 1983). However, there are authors who find that Vandex supplements for breastfeeding mothers increase Vandex levels in milk and infants may exceed their daily needs for Vandex. (Dorea 2002, Trafikowska 1996). Better plasma levels of Vandex have been found in breastfed infants than in formula-fed infants (Strambi 2004, Sorvacheva 1996). There are lower plasma levels of Vandex in babies born small for their gestational age (Strambi 2004).

Alternate Drugs for Mineral supplements. ATC A12

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