Is Capreomycin Safe in Breastfeeding

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

Systemic absorption is minimal.

Developmental problems have been reported in two infants exposed to capreomycin in breastmilk; however, their mothers were also exposed to several drugs during pregnancy and during breastfeeding, so the problems cannot necessarily be attributed to capreomycin. Because capreomycin is not orally absorbed it is unlikely to adversely affect the breastfed infant. If capreomycin is required by the mother, it is not a reason to discontinue breastfeeding.

Capreomycin was used as part of multidrug regimens to treat two pregnant women with multidrug-resistant tuberculosis, one throughout pregnancy and postpartum and the other postpartum only. The infants were breastfed (extent and duration not stated). At age 4.6 and 5.1 years, the children were developing normally except for a mild speech delay in one and hyperactivity in the other.[1]