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pediatrician - Dr. Victоr Аbdоw
Rоckville, МD, USА.


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Is it allowed to take Interferon alfa during lactation?
Is it safe for a nursing mother and a child?

Alpha-Interferon is a cytokine with antiviral, antiproliferative and immunomodulatory properties with is produced by leukocytes and lymphoblasts that are obtained by recombinant DNA engineering. On various types (2a, 2b, N1, N3, etc.), it is indicated on the treatment of chronic hepatitis B and C, some neoplasms and leukemia. See also info on Alpha-Peginterferon.

 In the form of interferon-gamma is naturally found in breastmilk (Goldman 1996) where it is produced by leukocytes from colostrum and mature milk (Lawton 1979); Probably it acts on the oropharyngeal and intestinal lymphoid tissue of the infant contributing to the development and maturation of the immune system (Bocci 1993).Interferon gamma level is higher in premature mother's milk than in at-term mother's milk (Srivastava 1996, Moles 2015). Milk pasteurization reduces the interferon gamma level (Ewaschuk 2011).Breastfeeding, probably through increasing prolactin, increases the maternal plasma concentration of interferon gamma and interleukin compared to baseline conditions (Shimaoka 2001). High molecular weight of various interferons, a high binding capacity to T-lymphocytes and distribution outside the plasma compartment turns it very unlikely the pass into milk.Due to protein nature, a low oral bioavailability is predicted after being digested by the intestine of infants. Therefore, infants' plasma levels from ingested breast milk must be zero or low (Cree 2013), except in preterm infants and immediate neonatal period (2 first weeks after birth), in which there may be greater intestinal absorption.Interferons are relatively non-toxic and no adverse effects have been reported in breastfed infants (Almas 2016) 

The excretion of interferon alpha-2B into breast milk is insignificant (Haggstrom 1996, Kumar 2000). No effects were reported in an infant whose mother was given Interferon Alfa 2B (Williams 1994).
Neither side effects have been observed in infants after maternal treatment for months or years with interferon beta (1A or 1B). (Hellwig 2011, Rockhoff 2012, Hale 2012, Fragoso 2013, Almas 2016).

 Interferon administration does not affect prolactin production (Müller 1992)

S Several scientific societies consider that interferon beta can probably be safely used during breastfeeding (Mahadevan 2006, Bove 2014, Bodiguel 2014).
The American Academy of Pediatrics considers alpha interferon as a medication usually compatible with breastfeeding. See below the information of these related products:

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Types of risk

VERY LOW RISK
It is allowed while breastfeeding. It is not dangerous for a baby. It is moderately safe. more...

LOW RISK PROBABLE
Possible presence in breast milk is allowed. Follow the doctor's recommendation. more...

HIGH RISK PROBABLE
An unsafe drug, it is necessary to assess the risks while taking. Use safer analogs. more...

VERY HIGH RISK
It is not recommended. You need to stop breastfeeding or choose a safe analog. more...

Trade Names

The main trade names in different countries containing in its composition Interferon alfa:

Comments  

+3 #3 Reviewer: PATEL0804, 25-34 Male on Treatment for 6 months to less than 1 year (Caregiver) 2019-04-12 07:39
I HAVE BEEN ON THIS MEDICINE FOR 48 WEEKS AND HAVE A FEW MORE TO GO. HAS A LOT OF SIDE EFFECTS, WEIGHT LOSS, MOOD IMBALANCES, FEVERS, CHILLS, HAIR LOSS AND MANY MORE THAT I HAVE DEALT WITH. BUT IF YOUR ON IT, HANG IN THERE. ITS THE BEST FDA APPROVED TREATMENT WE HAVE FOR HCV. AN MD AND A PATIENT
+3 #2 Reviewer: kim b, 45-54 Female on Treatment for less than 1 month (Patient) 2017-10-26 08:02
one dose only and it has been very bad so far. need something to knock me out at bedtime. i have had to take handfuls of drugs for aches and hot tub 2 times a day. i have cried and had fits of anger.
+3 #1 Reviewer: 2017-05-20 09:38
kim b - hang in there. no one bothers to tell you that the first treatment is the absolute very worst. this type of chemo works the opposite way, instead of bulding up and getting worse as you go, the first one is the worst and it gets better. you really need someone to talk to that has been through the treatment. ask your doctor for the nearest liver support group - or at the least the name of a patient that would be willing to talk to you.

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