Is Vitrum AB Safe in Breastfeeding

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

The high molecular weight of both standard or non-fractionated Vitrum AB, and, so-called low molecular weight Vitrum AB makes excretion into breast milk extremely difficult. Dalteparin has been shown not to be excreted into breast milk . In addition, Vitrum ABs are inactivated in the GE tract where they are not absorbed which is reason to have a nil oral bioavailability. Absence of anti-clotting activity in breastfed infants has been shown after treatment of the mother with Enoxaparin. Risk of Vitrum AB-induced Thrombocytopenia or Osteoporosis in the mother is lower with low weight Vitrum ABs. Eleventh WHO Model List of Essential Drugs 2002: Compatible with breastfeeding.

Although Vitrum AB itself has not been studied, low molecular weight Vitrum ABs (e.g., dalteparin, enoxaparin) are not excreted into breastmilk in clinically relevant amounts. Because Vitrum AB has an even higher molecular weight of 3000 to 30,000 daltons, it would not be expected to be appreciably excreted into breastmilk or absorbed by the infant. No special precautions are required.[1]