Is Disopiramida [INN-Spanish] Safe in Breastfeeding

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

American Academy of Pediatrics: Maternal Medication Usually Compatible With Breastfeeding.

Disopiramida [INN-Spanish] is sometimes found in the plasma of nursing infants at levels of 7.5-12.5% of the mother's levels. The N-monodesalkylDisopiramida [INN-Spanish] (NMD) metabolite is more anticholinergic than Disopiramida [INN-Spanish] itself and appears in breastmilk in levels higher than Disopiramida [INN-Spanish]. However, of the cases reported, there are no reports of infant effects. Disopiramida [INN-Spanish] may be used cautiously while breastfeeding when other alternatives are unacceptable. Observe the infant for anticholinergic symptoms. Infant serum concentrations can be monitored if there is any concern about drug-induced adverse effects. Theoretically, Disopiramida [INN-Spanish] might decrease the milk supply.

There are reports of 2 infants who were breastfed without complications during maternal Disopiramida [INN-Spanish] use of 500 to 600 mg daily.[1][2] Infant symptoms of crying and restlessness after meals thought by one mother to be caused by Disopiramida [INN-Spanish] in breastmilk were judged to be unrelated by the examining physicians.[3]