Recommendations made
pediatrician - Dr. Victоr Аbdоw
Rоckville, МD, USА.
Is it allowed to take Levonorgestrel during lactation? |
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Progestin containing contraceptive drug that is used as a single dose for oral, subcutaneous implant, intrauterine device (IUD), or emergency contraception administration.Also marketed in association with ethinylestradiol Levonorgestrel is a progestin, and active metabolite isomer of norgestrel, both derived from nortestosterone. It is excreted in breast milk in clinically non-significant amount, and, no problems have been observed in infants whose mothers were treated. The plasma levels of these infants were very low. Levonorgestrel and progestogens are generally considered contraceptive drugs of choice during lactation since they 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. |
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Would you like to ask something else about Levonorgestrel ? |
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 Levonorgestrel:- 28 mini ™
- Duofem ™
- Ecee2 ™
- Follistrel ™
- Glanique ™
- Jadelle ™
- Levelen ™
- Levogynon ™
- Levonelle ™
- Levonova ™
- Madonna ™
- Microlut ™
- Microluton ™
- Microval ™
- Mikro-30 ™
- Minipil ™
- Mirena ™
- Mirena IUD ™
- Next Choice ™
- Norgeal ™
- Norgeston ™
- Norgestrel Max ™
- Norplant ™
- Nortrel ™
- Ovrette ™
- Pilem ™
- Poslov ™
- Postinor-2 ™
- Pozato ™
- Rigesoft ™
- Seasonal ™
- Segurite ™
- Tace (Chile) ™
- Triquilar ™
- Vikela ™
Scientific literature
The level of risk for breastfeeding is confirmed in these scientific publications:- http://www.ncbi.nlm.nih.gov/pubmed/27467196
- https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/13-contraception-and-breastfeeding-protocol-spanish.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/25551519
- https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/13-contraception-and-breastfeeding-protocol-english.pdf
- http://apps.who.int/iris/bitstream/10665/181468/1/9789241549158_eng.pdf?ua=1
- http://www.ncbi.nlm.nih.gov/pubmed/26410174
- http://www.contraceptionjournal.org/article/S0010-7824(15)00585-5/pdf
- http://www.ncbi.nlm.nih.gov/pubmed/26447268
- http://www.ncbi.nlm.nih.gov/books/NBK321151/pdf/Bookshelf_NBK321151.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/23635040
- http://www.ncbi.nlm.nih.gov/pubmed/23623474
- http://www.fertstert.org/article/S0015-0282(13)00455-X/pdf
- http://www.ncbi.nlm.nih.gov/pubmed/22928541
- http://www.ncbi.nlm.nih.gov/pubmed/23784109
- http://www.cdc.gov/mmwr/pdf/rr/rr6205.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/22935323
- http://www.ncbi.nlm.nih.gov/pubmed/22036473
- http://www.ncbi.nlm.nih.gov/pubmed/22018124
- http://www.ncbi.nlm.nih.gov/pubmed/20559203
- http://www.cdc.gov/mmwr/pdf/rr/rr5904.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/19606192
- http://www.ncbi.nlm.nih.gov/pubmed/18330813
- http://www.ncbi.nlm.nih.gov/pubmed/17337471
- http://www.ncbi.nlm.nih.gov/pubmed/16246660
- http://www.ncbi.nlm.nih.gov/pubmed/15222930
- http://jfprhc.bmj.com/content/30/3/181.long
- http://www.ncbi.nlm.nih.gov/pubmed/12804497
- http://whqlibdoc.who.int/hq/2002/55732.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/11861054
- http://www.ncbi.nlm.nih.gov/pubmed/11880130
- http://www.ncbi.nlm.nih.gov/pubmed/12066106
- http://www.ncbi.nlm.nih.gov/pubmed/12169382
- http://www.ncbi.nlm.nih.gov/pubmed/11293937
- http://www.ncbi.nlm.nih.gov/pubmed/11727180
- http://www.ncbi.nlm.nih.gov/pubmed/11727176
- http://www.ncbi.nlm.nih.gov/pubmed/11533352
- http://pediatrics.aappublications.org/content/108/3/776.full.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/11044538
- http://www.ncbi.nlm.nih.gov/pubmed/11091988
- http://www.ncbi.nlm.nih.gov/pubmed/10438999
- http://www.ncbi.nlm.nih.gov/pubmed/9853546
- http://www.ncbi.nlm.nih.gov/pubmed/9617600
- http://www.ncbi.nlm.nih.gov/pubmed/9408703
- http://www.ncbi.nlm.nih.gov/pubmed/9025449
- http://www.ncbi.nlm.nih.gov/pubmed/7924322
- http://www.ncbi.nlm.nih.gov/pubmed/7740991
- http://www.ncbi.nlm.nih.gov/pubmed/7924321
- http://www.ncbi.nlm.nih.gov/pubmed/1741150
- http://www.ncbi.nlm.nih.gov/pubmed/1835650
- http://www.ncbi.nlm.nih.gov/pubmed/2515939
- http://www.ncbi.nlm.nih.gov/pubmed/2906764
- http://www.ncbi.nlm.nih.gov/pubmed/3117488
- http://www.ncbi.nlm.nih.gov/pubmed/3113823
- http://www.ncbi.nlm.nih.gov/pubmed/3096635
- http://www.ncbi.nlm.nih.gov/pubmed/3089681
- http://www.ncbi.nlm.nih.gov/pubmed/3105266
- http://www.ncbi.nlm.nih.gov/pubmed/3096635
- http://www.ncbi.nlm.nih.gov/pubmed/3931973
- http://www.ncbi.nlm.nih.gov/pubmed/3936675
- http://www.ncbi.nlm.nih.gov/pubmed/3937665
- http://www.ncbi.nlm.nih.gov/pubmed/12264126
- http://www.ncbi.nlm.nih.gov/pubmed/6800691
- http://www.ncbi.nlm.nih.gov/pubmed/6804164
- http://www.ncbi.nlm.nih.gov/pubmed/7276552
- http://www.ncbi.nlm.nih.gov/pubmed/900181
- http://www.ncbi.nlm.nih.gov/pubmed/606500
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