Panlor Ss | Acetaminophen, Caffeine And Dihydrocodeine Bitartrate Tablet while Breastfeeding

There are high number of clear evidence that breastfeeding provides best nutrition that you can give to your baby. It is also evident that lactation is good for mothers health as well. Evolution has designed breastfeeding in a way that it caters all nutritional need of your child. However modern medicine is quite new for evolution, that is why mothers body is not well prepared to filter unnecessary chemical found in medicines. It becomes a necessity to figure out which drug is safe and which drug is dangerous for your newborn while nursing. In this article we will understand function of Panlor Ss | Acetaminophen, Caffeine And Dihydrocodeine Bitartrate Tablet and its suitability with breastfeeding.

What is Panlor Ss | Acetaminophen, Caffeine And Dihydrocodeine Bitartrate Tablet ?


: Acetaminophen, caffeine, and dihydrocodeine bitartrate tablets are indicated for the relief of moderate to moderately severe pain.

Is using Panlor Ss | Acetaminophen, Caffeine And Dihydrocodeine Bitartrate Tablet safe or dangerous while breastfeeding?

Panlor Ss | Acetaminophen, Caffeine And Dihydrocodeine Bitartrate Tablet low risk for breastfeeding
Task to evaluate the effect of Panlor Ss | Acetaminophen, Caffeine And Dihydrocodeine Bitartrate Tablet is quite difficult as it consist mainly 3 ingredients. However we have analyzed all 3 active ingredients and have reached a conclusion that Panlor Ss | Acetaminophen, Caffeine And Dihydrocodeine Bitartrate 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: Dihydrocodeine bitartrate, acetaminophen and caffeine tablets are excreted in breast milk in small amounts, but the significance of their effects on nursing infants is not known. Because of the potential for serious adverse reactions in nursing infants from this combination product, 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.

Panlor Ss | Acetaminophen, Caffeine And Dihydrocodeine Bitartrate Tablet Breastfeeding Analsys


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.

Dihydrocodeine bitartrate while Breastfeeding

Low Risk

CAS Number: 125-28-0

Panlor Ss | Acetaminophen, Caffeine And Dihydrocodeine Bitartrate Tablet and breastfeeding

Used for pain and cough relief. As analgesic it is not more effective than Ibuprofen. The enzyme cytochrome P450-CYP2D6 catalyzes its metabolization into dehydromorphine. On date of latest update relevant data concerning breastfeeding were not found. Product with similar characteristics than Codeine but with lower oral bioavailability which would be advantageous for breastfed infants. Codeine is excreted into breast milk in non-significant amount, however, serious health problems have appeared among off-spring of mothers who are rapid metabolizers from Codeine to Morphine. Discontinue if excessive sedation appears in mother or infant, and, do not administer if such a background in mother or family is present, as there are between 1% and 29% of people who are rapid metabolizers from codeine to morphine with an excess of the gene linked to enzyme P450-CYP2D6.


Panlor Ss | Acetaminophen, Caffeine And Dihydrocodeine Bitartrate Tablet Breastfeeding Analsys - 2


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

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]

Dihydrocodeine bitartrate while Breastfeeding

CAS Number: 125-28-0

Is Panlor Ss | Acetaminophen, Caffeine And Dihydrocodeine Bitartrate Tablet safe while breastfeeding

Maternal use of oral narcotics during breastfeeding can cause infant drowsiness, central nervous system (CNS) depression and even death. Like codeine, pharmacogenetics probably plays a role in the extent of CNS depression. Newborn infants seem to be particularly sensitive to the effects of even small dosages of narcotic analgesics. Dihydrocodeine possibly caused severe respiratory depression in one newborn infant whose mother was taking the drug for cough. Once the mother's milk comes in, it is best to provide pain control with a nonnarcotic analgesic and limit maternal intake of hydromorphone to a few days at a low dosage with close infant monitoring. If the baby shows signs of increased sleepiness (more than usual), difficulty breastfeeding, breathing difficulties, or limpness, a physician should be contacted immediately. Because there is little published experience with dihydrocodine during breastfeeding, an alternate drug may be preferred, especially while nursing a newborn or preterm infant.


Panlor Ss | Acetaminophen, Caffeine And Dihydrocodeine Bitartrate Tablet safe for breastfeeding

What should I do if I am breastfeeding mother and I am already exposed to Panlor Ss | Acetaminophen, Caffeine And Dihydrocodeine Bitartrate Tablet?

During whole lactation period you shall first discuss with your doctor and then together you shall decide whether you shall take that drug or not however if you have already taken Panlor Ss | Acetaminophen, Caffeine And Dihydrocodeine Bitartrate Tablet then you shall inform your doctor, But you should not be worried too much as Panlor Ss | Acetaminophen, Caffeine And Dihydrocodeine Bitartrate Tablet comes in category of low risk drug.


My doctor has prescribed me Panlor Ss | Acetaminophen, Caffeine And Dihydrocodeine Bitartrate Tablet, what should I do?

Panlor Ss | Acetaminophen, Caffeine And Dihydrocodeine Bitartrate 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 Panlor Ss | Acetaminophen, Caffeine And Dihydrocodeine Bitartrate Tablet, will my baby need extra monitoring?

Not much


Who can I talk to if I have questions about usage of Panlor Ss | Acetaminophen, Caffeine And Dihydrocodeine Bitartrate 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