Esgic-plus | Butalbital, Acetaminophen And Caffeine Tablet while Breastfeeding

It is recommended to breastfeed exclusively for six months and then while introducing to other food sources extend it to twelve months. In this duration most mothers will need help of some sort of medication, It could be for short term like could and flue or it could be something chronic like Arthritis or Diabetes and here comes the question of safety of medication in use. In this post we will figure out what is Esgic-plus | Butalbital, Acetaminophen And Caffeine Tablet and whether its safe to use Esgic-plus | Butalbital, Acetaminophen And Caffeine Tablet while nursing or not.

What is Esgic-plus | Butalbital, Acetaminophen And Caffeine Tablet used for?


Esgic-plusĀ® Tablets (butalbital, acetaminophen and caffeine tablets, USP 50 mg/500 mg/40 mg) are indicated for the relief of the symptom complex of tension (or muscle contraction) headache. Evidence supporting the efficacy and safety of this combination product in the treatment of multiple recurrent headaches is unavailable. Caution in this regard is required because butalbital is habit-forming and potentially abusable.

Is Esgic-plus | Butalbital, Acetaminophen And Caffeine Tablet safe to use while breastfeeding? Can it interfere with growth and development of my kid?

Esgic-plus | Butalbital, Acetaminophen And Caffeine Tablet low risk for breastfeeding
Task to evaluate the effect of Esgic-plus | Butalbital, Acetaminophen And Caffeine Tablet is quite difficult as it consist mainly 3 ingredients. However we have analyzed all 3 active ingredients and have reached a conclusion that Esgic-plus | Butalbital, Acetaminophen And Caffeine Tablet poses low risk while breastfeeding. Below we have summarized our analysis of each 3 ingredients.

Statement of Manufacturer/Labeler about breastfeeding usage
Nursing Mothers Caffeine, barbiturates and acetaminophen are excreted in breast milk in small amounts, but the significance of their effects on nursing infants is not known. Because of potential for serious adverse reactions in nursing infants from butalbital, acetaminophen and caffeine, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.

Esgic-plus | Butalbital, Acetaminophen And Caffeine Tablet Breastfeeding Analsys


Butalbital while Breastfeeding

Low Risk

CAS Number: 77-26-9

Commercialized in association with other drugs for migraine treatment. Multiple drug compounds are not advisable. Caffeine may be a part of it (100 mg each tablet) and may be a cause of irritability to the infant. (See Caffeine)

Acetaminophen while Breastfeeding

Safe

CAS Number: 103-90-2

Excreted in very low amount into breast milk. Infant intake may be lower than 4% of usual pediatric dose. The American Academy of Pediatrics rates it as compatible with Breastfeeding.

Caffeine while Breastfeeding

Low Risk

CAS Number: 58-08-2

Trimethylxanthine component which is present in many compounds like decongestant or pain relief drugs (50 to 100 mg per unit) . It is also present in many infusion beverages (coffee, tea, mate, guarana) and other drinks with allegedly energizing properties. See also Coffee, Caffeine (beverages). At a dose higher than 300 mg a-day may induce nervousness and irritability in the infant. Intravenous high doses used to treat post-epidural anesthesia headache within 2-3 days after delivery, before mature breast milk comes, are compatible with breastfeeding. High doses used Intravenously to treat headache related to epidural should be regarded as compatible with breastfeeding only in the 2-3 days before milk comes in. Elimination period may last from few hours in adults, to 3-4 days in the newborn infant. American Academy of Pediatrics: Maternal Medication Usually Compatible With Breastfeeding.


Esgic-plus | Butalbital, Acetaminophen And Caffeine Tablet Breastfeeding Analsys - 2


Butalbital while Breastfeeding

CAS Number: 77-26-9

Because there is no published experience with butalbital or combination products containing butalbital during breastfeeding, other agents may be preferred, especially while nursing a newborn or preterm infant.

Acetaminophen while Breastfeeding

CAS Number: 103-90-2

Acetaminophen is a good choice for analgesia, and fever reduction in nursing mothers. Amounts in milk are much less than doses usually given to infants. Adverse effects in breastfed infants appear to be rare.

Caffeine while Breastfeeding

CAS Number: 58-08-2

Esgic-plus | Butalbital, Acetaminophen And Caffeine Tablet and breastfeeding

Caffeine appears in breastmilk rapidly after maternal ingestion. Insufficient high-quality data are available to make good evidence-based recommendations on safe maternal caffeine consumption.[1] Fussiness, jitteriness and poor sleep patterns have been reported in the infants of mothers with very high caffeine intakes equivalent to about 10 or more cups of coffee daily. Studies in mothers taking 5 cups of coffee daily found no stimulation in breastfed infants 3 weeks of age and older. Some experts feel that a maternal intake limit of 300 mg daily might be a safe level of intake.[2] However, preterm and younger newborn infants metabolize caffeine very slowly and may have serum levels of caffeine and other active caffeine metabolites similar to their mothers' levels,[2][3][4] so a lower intake level preferable in the mothers of these infants. Other sources of caffeine, such as cola and energy drinks, yerba mate or guarana, will have similar dose-related effects on the breastfed infant. Coffee intake of more than 450 mL daily may decrease breastmilk iron concentrations and result in mild iron deficiency anemia in some breastfed infants.[5]


Is Esgic-plus | Butalbital, Acetaminophen And Caffeine Tablet safe while breastfeeding

What if I already have used Esgic-plus | Butalbital, Acetaminophen And Caffeine Tablet?

Esgic-plus | Butalbital, Acetaminophen And Caffeine Tablet is in the category of low risk, if you have already used it then its not a big deal if health and behavior of baby is good. However your health care provider shall be aware of the fact that you have used Esgic-plus | Butalbital, Acetaminophen And Caffeine Tablet so you should inform him based on your convenience.


My health care provider has asked me to use Esgic-plus | Butalbital, Acetaminophen And Caffeine Tablet, what to do?

Esgic-plus | Butalbital, Acetaminophen And Caffeine Tablet comes in category of low risk and if your doctor is aware that you are breastfeeding it should be ok to use without much concerns.


If I am using Esgic-plus | Butalbital, Acetaminophen And Caffeine Tablet, will my baby need extra monitoring?

Not much monitoring required while using Esgic-plus | Butalbital, Acetaminophen And Caffeine Tablet


Who can I talk to if I have questions about usage of Esgic-plus | Butalbital, Acetaminophen And Caffeine Tablet in breastfeeding?

US
National Womens Health and Breastfeeding Helpline: 800-994-9662 (TDD 888-220-5446) 9 a.m. and 6 p.m. ET, Monday through Friday

UK
National Breastfeeding Helpline: 0300-100-0212 9.30am to 9.30pm, daily
Association of Breastfeeding Mothers: 0300-330-5453
La Leche League: 0345-120-2918
The Breastfeeding Network supporter line in Bengali and Sylheti: 0300-456-2421
National Childbirth Trust (NCT): 0300-330-0700

Australia
National Breastfeeding Helpline: 1800-686-268 24 hours a day, 7 days a week

Canada
Telehealth Ontario for breastfeeding: 1-866-797-0000 24 hours a day, 7 days a week