Question

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

Milecitan lactation summary

Milecitan is dangerous in breastfeeding
  • DrLact safety Score for Milecitan is 7 out of 8 which is considered Dangerous as per our analyses.
  • A safety Score of 7 indicates that usage of Milecitan may cause toxic or severe side effects in breastfed baby.
  • Our study of different scientific research indicates that Milecitan 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 Milecitan .
  • Usage of Milecitan is in contradiction to breastfeeding hence if it is must to use Milecitan and there is no better alternative available then breastfeeding shall be stopped permanently or temporarily.
  • 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 Milecitan usage in lactation

Drug is cleared from the body in 10 elimination half-lives. Resuming breastfeeding is likely safe after 24 hours of pumping-and-dumping.

Answer by DrLact: About Milecitan usage in lactation

Most sources consider breastfeeding to be contraindicated during maternal antineoplastic drug therapy.[1] It might be possible to breastfeed safely during intermittent therapy with an appropriate period of breastfeeding abstinence. Although minimal data are available to determine an appropriate period to withhold breastfeeding, the drug's terminal half-live of 2.5 hours suggests that withholding breastfeeding for at least 24 hours may be sufficient. Chemotherapy may adversely affect the normal microbiome and chemical makeup of breastmilk.[2] Women who receive chemotherapy during pregnancy are more likely to have difficulty nursing their infant.[3]

Milecitan Side Effects in Breastfeeding

Milecitan in a dosage of 4 mg/day for 5 weeks was taken for myeloid leukemia by one woman while breastfeeding. Weekly monitoring found no adverse effects on her infant's leukocyte count or hemoglobin.[3]

Alternate Drugs

Cyclophosphamide(Dangerous)
Busulfan(Dangerous)
Cladribine(Dangerous)
Erlotinib(Unsafe)
Gemcitabine(Dangerous)
Dasatinib(Unsafe)
Vincristine(Dangerous)
Nilotinib(Unsafe)
Tamoxifen(Dangerous)
Ipilimumab(Unsafe)
Mitoxantrone(Dangerous)
Cetuximab(Unsafe)
Carboplatin(Dangerous)
Paclitaxel(Dangerous)
Hydroxyurea(Low Risk)
Fluorouracil(Dangerous)
Etoposide(Dangerous)
Alemtuzumab(Low Risk)
Letrozole(Dangerous)
Nivolumab(Unsafe)
Doxorubicin(Dangerous)
Rituximab(Low Risk)
Exemestane(Dangerous)
Vinblastine(Dangerous)
Bleomycin(Dangerous)
Docetaxel(Dangerous)
Cyclophosphamide(Dangerous)
Bevacizumab(Low Risk)
Pazopanib(Unsafe)
Vinorelbine(Dangerous)
Dactinomycin(Dangerous)
Cisplatin(Unsafe)
Dacarbazine(Dangerous)
Trastuzumab(Unsafe)
Busulfan(Dangerous)
Imatinib(Unsafe)
Thioguanine(Dangerous)
Disclaimer: Information presented in this database is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation. We do not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site.