Question

I am a breastfeeding mother and i want to know if it is safe to use SKF 33134 A? Is SKF 33134 A safe for nursing mother and child? Does SKF 33134 A extracts into breast milk? Does SKF 33134 A has any long term or short term side effects on infants? Can SKF 33134 A influence milk supply or can SKF 33134 A decrease milk supply in lactating mothers?

SKF 33134 A lactation summary

SKF 33134 A is unsafe in breastfeeding
  • DrLact safety Score for SKF 33134 A is 5 out of 8 which is considered Unsafe as per our analyses.
  • A safety Score of 5 indicates that usage of SKF 33134 A may cause serious side effects in breastfed baby.
  • Our study of different scientific research indicates that SKF 33134 A may cause moderate to high side effects or may affect milk supply in lactating mother.
  • Our suggestion is to use safer alternate options rather than using SKF 33134 A .
  • It is recommended to evaluate the advantage of not breastfeeding while using SKF 33134 A Vs not using SKF 33134 A And continue breastfeeding.
  • While using SKF 33134 A Its must to monitor 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 SKF 33134 A usage in lactation

A published case of infant hypothyroidism. Others have reported lab controlled cases with harmless effect in breastfed babies.

Answer by DrLact: About SKF 33134 A usage in lactation

Breastmilk and infant serum levels of amiodarone and its active metabolite are somewhat unpredictable, but can be high during breastfeeding. The infant receives an estimated dose of amiodarone plus desethylamiodarone ranging from 3.5 to 45% of the mother's weight-adjusted amiodarone dose, with a median dose of about 11%.[1][2][3][4] Infant serum levels of the drug plus metabolite range from 14 to 74% of simultaneous maternal levels, with the higher values reflecting transplacental passage of the drug.[2][3][4] In addition to possible cardiac effects, these compounds contain a large amount of iodine which may be released during metabolism. Thyroid dysfunction was reported in one breastfed infant. Even if the drug were discontinued at birth, the mother would continue to excrete amiodarone and its metabolite (and possibly large amounts of iodine) into breastmilk for days to weeks. Some investigators believe that breastfeeding can be undertaken during maternal amiodarone use with periodic monitoring of infant cardiac and thyroid function status,[5][6] especially if only a single dose of amiodarone is given.[7] Infant serum levels of amiodarone and desethylamiodarone may be useful for ruling out cardiac effects of the drug. If hypothyroidism develops, therapy should be promptly initiated.

SKF 33134 A Side Effects in Breastfeeding

Several infants who breastfed without apparent harm during maternal amiodarone therapy have been reported.[2][3][4][10] One mother took amiodarone during the last 5 weeks of pregnancy and until one week after delivery. She was also taking metoprolol throughout pregnancy and at the time of delivery. Possible signs of hypothyroidism occurred transiently in her breastfed infant at 9 and 24 days of age. This was possibly caused by amiodarone or iodine from amiodarone in breastmilk, although residual amiodarone from transplacental passage is also a possible contributing factor; no abnormalities in cornea or the lungs were found.[4]

SKF 33134 A Possible Effects in Breastfeeding

Relevant published information was not found as of the revision date. However, if amiodarone causes hypothyroidism in the mother, her milk supply could be diminished.

Alternate Drugs

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