Recommendations made
pediatrician - Dr. Victоr Аbdоw
Rоckville, МD, USА.
Is it allowed to take Molgramostim during lactation? |
|
INon-glycosylated stimulating factor of granulocyte colonies (G-CSF) which is obtained by recombinant technology. It is practically identical to the naturally occurring product that is found in the breast milk.It is indicated for the treatment of cancer-related neutropenia, and autologous bone marrow transplantation. At last update no published data on excretion in breast milk were found. A high molecular weight makes unlikely its excretion into breastmilk in a significant amount.Its low oral bioavailability hampers absorption into infant plasma from the breast milk ingested, as for their proteic nature it is degraded in the gastrointestinal tract, not being absorbed. Other substances similar in composition and action as Filgrastim and Lenograstim are excreted into breast milk in trace amounts and have been used to treat sepsis and necrotizing enterocolitis in newborn and premature without harmful effects in the infants. Until more data about this drug regarding breastfeeding is obtained, alternatives that are known to be safer should be preferable, especially during the neonatal period and/or in case of prematurity. |
|
Would you like to ask something else about Molgramostim ? |
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...
Analogues
Trade Names
The main trade names in different countries containing in its composition Molgramostim:Scientific literature
The level of risk for breastfeeding is confirmed in these scientific publications:- http://www.ncbi.nlm.nih.gov/pubmed/23287427
- http://humupd.oxfordjournals.org/content/19/3/259.full.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/17914246
- http://www.karger.com/Article/Abstract/109267
- http://www.ncbi.nlm.nih.gov/pubmed/16769348
- http://www.ncbi.nlm.nih.gov/pubmed/15892086
- http://www.ncbi.nlm.nih.gov/pubmed/12897302
- http://www.ncbi.nlm.nih.gov/pubmed/12917944
- http://www.ncbi.nlm.nih.gov/pubmed/14663166
- http://www.karger.com/Article/Abstract/74226
- http://www.ncbi.nlm.nih.gov/pubmed/11320043
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1721238/pdf/v084p0F172.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/7520770
- http://www.bloodjournal.org/content/bloodjournal/84/5/1427.full.pdf