Vagifem | Estradiol Tablet Breastfeeding
Modern medicine has evolved so much so that sooner or later every breastfeeding mother needs to take it in one form or other. Medication that is present in mothers blood will transfer into her breast milk to some extent. Most drugs do so at low levels and pose no real risk to infants but then there are some exceptions. In This post will discuss whether Vagifem | Estradiol Tablet is safe in breast-feeding or not.

What is Vagifem | Estradiol Tablet used for?


Vagifem is an estrogen (estradiol) indicated for the treatment of atrophic vaginitis due to menopause (1). 1.1 Treatment of Atrophic Vaginitis due to Menopause

I am breastfeeding mother and I am using Vagifem | Estradiol Tablet. Can it have any bad effect on my kid? Shall I search for better alternative?

Vagifem | Estradiol Tablet low risk for breastfeeding
Estradiol is the one and only active ingredient present in Vagifem | Estradiol Tablet. Estradiol in itself is a low risk drug for lactation so it is easy to understand that Vagifem | Estradiol Tablet also comes in category of Low Risk item while breastfeeding. Below is the summary of Estradiol in breastfeeding.

Statement of Manufacturer/Labeler about breastfeeding usage
8.3 Nursing Mothers Vagifem should not be used during lactation. Estrogen administration to nursing women has been shown to decrease the quantity and quality of breast milk. Detectable amounts of estrogens have been identified in the breast milk of women receiving estrogen. Caution should be exercised when Vagifem is administered to a nursing woman.

Vagifem | Estradiol Tablet Breastfeeding Analsys


Estradiol while Breastfeeding

Low Risk

CAS Number: 50-28-2

A natural Estrogen that is marketed for oral, injection and topical administration (skin and vaginal).On the chemical form of valerate, it is used in association with a progestin as a combined birth-control compound (e.g. Estradiol + Dienogest) Estradiol is excreted into breast milk in clinically non-significant amount (Nilson 1978) and no problems have been observed in infants whose mothers were treated (Pinheiro 2016). Plasma levels of these infants were undetectable or very low (Pinheiro 2016). After administration in the form of transdermal patches milk levels have been undetectable (Pinheiro 2016, Perheentupa 2004). Despite these data, an older publication associated the use of transdermal estradiol with a case of jaundice and poor weight gain (Ball 1999).There is greater passage to milk when the administration is vaginal. There is evidence (albeit inconsistent) that estrogen-containing pills may decrease milk production, especially during the first few weeks postpartumThey may reduce the protein content of the milk. No problems have been observed in infants whose mothers were treated, except some cases of transient gynecomastia in infants whose mothers were receiving a higher dose than usual. Estrogen exposure in childhood or adolescence, does not influence the subsequent production of milk. The American Academy of Pediatrics states that this medication is usually compatible with breastfeeding.


Vagifem | Estradiol Tablet Breastfeeding Analsys - 2


Estradiol while Breastfeeding

CAS Number: 50-28-2

Is Vagifem | Estradiol Tablet safe while breastfeeding

Limited information on the use of estradiol during breastfeeding indicates that the route of administration and dosage form have influences on the amount transferred into breastmilk. Vaginal administration results in measurable amounts in milk, but transdermal patches do not. Maternal doses of up to 200 mcg daily transdermally do not increase estradiol or estriol in breastfed infants or cause any adverse effects in breastfed infants. Vaginal administration results in unpredictable peak times for estradiol in breastmilk, so timing of the dose with respect to breastfeeding is probably not useful. A case report of inadequate milk production and inadequate infant weight gain was possibly caused by transdermal estradiol initiated on the first day postpartum, but 2 small studies found no such effect when the drug was initiated after lactation was well established.


Vagifem | Estradiol Tablet safe for breastfeeding

I am nursing mother and I have already used Vagifem | Estradiol Tablet, what should I do?

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 Vagifem | Estradiol Tablet then you shall inform your doctor, But you should not be worried too much as Vagifem | Estradiol Tablet comes in category of low risk drug.


I am nursing mother and my doctor has suggested me to use Vagifem | Estradiol Tablet, is it safe?

Though Vagifem | Estradiol Tablet dose not comes in category of safe drugs rather it comes in category of low risk but if your doctor is aware that you are breastfeeding your baby and has still recommended it then its advantages must be outweighing the risks.


If I am using Vagifem | Estradiol Tablet, will my baby need extra monitoring?

Not much


Who can I talk to if I have questions about usage of Vagifem | Estradiol 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