Norethindrone Acetate Tablet while Breastfeeding

What is Norethindrone Acetate Tablet used for?

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

Norethindrone acetate while Breastfeeding

CAS Number: 68-22-4

Progestin contraceptive used as a single product or linked to ethinyl estradiol (see Etinilestradiol + Norethindrone). Norethindrone is a progestin derivative of 19-nortestosterone. It is excreted in breast milk in clinically significant amount and no problems have been observed in infants whose mothers took it. Plasma levels of these infants were undetectable or very low. Progestin is generally considered contraceptive drugs of choice during lactation since it neither alter the quantity and composition of milk nor cause side effects on both growth of infants and the duration of breastfeeding.Published study results have shown protection against breast bone mass loss with the use of progestin-only contraceptives. For the first 6 weeks postpartum, non-hormonal methods are of choise. There is a debate on the role of progestin-related drugs in decreasing milk production when used before lactation has been fully established. The American Academy of Pediatrics states that this medication is usually compatible with breastfeeding.WHO List of Essential Medicines 2002: rates it as compatible with breastfeeding after the 6th postnatal week.

Norethindrone acetate while Breastfeeding

CAS Number: 68-22-4

This record contains information specific to norethindrone used alone. Readers with an interest in a combination oral contraceptive should consult the record entitled, "Contraceptives, Oral, Combined." Poor to fair quality evidence indicates that norethindrone does not adversely affect the composition of milk, the growth and development of the infant or the milk supply.[1][2][3][4] Some evidence indicates that progestin-only contraceptives may offer protection against bone mineral density loss during lactation, or at least do not exacerbate it.[5][6][7] Although nonhormonal methods are preferred during breastfeeding, progestin-only contraceptives such as norethindrone are considered the hormonal contraceptives of choice during lactation. Fair quality evidence indicates that norethindrone does not adversely affect the composition of milk, the growth and development of the infant or the milk supply. Expert opinion holds that the risks of progestin-only contraceptive products usually are acceptable for nursing mothers at any time postpartum.[8][9]

What should I do if already breastfed my kid after using Norethindrone Acetate Tablet?

I am nursing mother and my doctor has suggested me to use Norethindrone Acetate Tablet, is it safe?

If I am using Norethindrone Acetate Tablet, will my baby need extra monitoring?

Who can I talk to if I have questions about usage of Norethindrone Acetate Tablet in breastfeeding?