Question

I am a breastfeeding mother and i want to know if it is safe to use CCRIS 5232? Is CCRIS 5232 safe for nursing mother and child? Does CCRIS 5232 extracts into breast milk? Does CCRIS 5232 has any long term or short term side effects on infants? Can CCRIS 5232 influence milk supply or can CCRIS 5232 decrease milk supply in lactating mothers?

Answer by DrLact: About CCRIS 5232 usage in lactation

Unless it is intentionally being used to lower maternal serum prolactin levels, CCRIS 5232 should be avoided during lactation because it may interfere with lactation, particularly in combination with a sympathomimetic such as pseudoephedrine or before lactation is well established. The nonsedating antihistamines are preferred alternatives.

CCRIS 5232 Side Effects in Breastfeeding

Relevant published information on CCRIS 5232 was not found as of the revision date. In one telephone follow-up study, mothers reported irritability and colicky symptoms in 10% of infants exposed to various antihistamines and drowsiness was reported in 1.6% of infants. None of the reactions required medical attention and none of the infants were exposed to CCRIS 5232.[1]

CCRIS 5232 Possible Effects in Breastfeeding

CCRIS 5232 16 to 24 mg daily lowers serum prolactin in the treatment of amenorrhea-galactorrhea syndrome because of its antiserotonin activity.[2] Additionally, antihistamines in relatively high doses given by injection can decrease basal serum prolactin in nonlactating women and in early postpartum women.[3][4] However, suckling-induced prolactin secretion is not affected by antihistamine pretreatment of postpartum mothers.[3] Whether lower oral doses of CCRIS 5232 have the same effect on serum prolactin or whether the effects on prolactin have any consequences on breastfeeding success have not been studied. It is possible that these effects would interfere with initiation of lactation, but the prolactin level in a mother with established lactation may not affect her ability to breastfeed.

Alternate Drugs

Dimenhydrinate(Low Risk)
Epinastine(Low Risk)
Meclizine(Low Risk)
Cyclizine(Low Risk)
Clemastine(Low Risk)
Pyrilamine(Low Risk)
Carbinoxamine(Low Risk)
Brompheniramine(Low Risk)
Azelastine(Low Risk)
Levocetirizine(Low Risk)
Doxylamine(Unsafe)
Acrivastine(Low Risk)
Diphenhydramine(Low Risk)
Ketotifen(Low Risk)
Cimetidine(Low Risk)
Rifaximin(Safe)
Cascara Sagrada(Low Risk)
Cisapride(Safe)
Bisacodyl(Safe)
Cyclizine(Low Risk)
Alosetron(Low Risk)
Ursodiol(Safe)
Senna(Safe)
Doxylamine(Unsafe)
Droperidol(Low Risk)
Docusate(Safe)
Dimenhydrinate(Low Risk)
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