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


woomen

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

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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woomen

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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...

Scientific literature

The level of risk for breastfeeding is confirmed in these scientific publications:
  1. http://www.ncbi.nlm.nih.gov/pubmed/27467196
  2. https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/13-contraception-and-breastfeeding-protocol-spanish.pdf
  3. http://www.ncbi.nlm.nih.gov/pubmed/25551519
  4. https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/13-contraception-and-breastfeeding-protocol-english.pdf
  5. http://apps.who.int/iris/bitstream/10665/181468/1/9789241549158_eng.pdf?ua=1
  6. http://www.ncbi.nlm.nih.gov/pubmed/26410174
  7. http://www.contraceptionjournal.org/article/S0010-7824(15)00585-5/pdf
  8. http://www.ncbi.nlm.nih.gov/pubmed/26447268
  9. http://www.ncbi.nlm.nih.gov/books/NBK321151/pdf/Bookshelf_NBK321151.pdf
  10. http://www.ncbi.nlm.nih.gov/pubmed/23635040
  11. http://www.ncbi.nlm.nih.gov/pubmed/23623474
  12. http://www.fertstert.org/article/S0015-0282(13)00455-X/pdf
  13. http://www.ncbi.nlm.nih.gov/pubmed/22928541
  14. http://www.ncbi.nlm.nih.gov/pubmed/23784109
  15. http://www.cdc.gov/mmwr/pdf/rr/rr6205.pdf
  16. http://www.ncbi.nlm.nih.gov/pubmed/22935323
  17. http://www.ncbi.nlm.nih.gov/pubmed/22036473
  18. http://www.ncbi.nlm.nih.gov/pubmed/22018124
  19. http://www.ncbi.nlm.nih.gov/pubmed/20559203
  20. http://www.cdc.gov/mmwr/pdf/rr/rr5904.pdf
  21. http://www.ncbi.nlm.nih.gov/pubmed/19606192
  22. http://www.ncbi.nlm.nih.gov/pubmed/18330813
  23. http://www.ncbi.nlm.nih.gov/pubmed/17337471
  24. http://www.ncbi.nlm.nih.gov/pubmed/16246660
  25. http://www.ncbi.nlm.nih.gov/pubmed/15222930
  26. http://jfprhc.bmj.com/content/30/3/181.long
  27. http://www.ncbi.nlm.nih.gov/pubmed/12804497
  28. http://whqlibdoc.who.int/hq/2002/55732.pdf
  29. http://www.ncbi.nlm.nih.gov/pubmed/11861054
  30. http://www.ncbi.nlm.nih.gov/pubmed/11880130
  31. http://www.ncbi.nlm.nih.gov/pubmed/12066106
  32. http://www.ncbi.nlm.nih.gov/pubmed/12169382
  33. http://www.ncbi.nlm.nih.gov/pubmed/11293937
  34. http://www.ncbi.nlm.nih.gov/pubmed/11727180
  35. http://www.ncbi.nlm.nih.gov/pubmed/11727176
  36. http://www.ncbi.nlm.nih.gov/pubmed/11533352
  37. http://pediatrics.aappublications.org/content/108/3/776.full.pdf
  38. http://www.ncbi.nlm.nih.gov/pubmed/11044538
  39. http://www.ncbi.nlm.nih.gov/pubmed/11091988
  40. http://www.ncbi.nlm.nih.gov/pubmed/10438999
  41. http://www.ncbi.nlm.nih.gov/pubmed/9853546
  42. http://www.ncbi.nlm.nih.gov/pubmed/9617600
  43. http://www.ncbi.nlm.nih.gov/pubmed/9408703
  44. http://www.ncbi.nlm.nih.gov/pubmed/9025449
  45. http://www.ncbi.nlm.nih.gov/pubmed/7924322
  46. http://www.ncbi.nlm.nih.gov/pubmed/7740991
  47. http://www.ncbi.nlm.nih.gov/pubmed/7924321
  48. http://www.ncbi.nlm.nih.gov/pubmed/1741150
  49. http://www.ncbi.nlm.nih.gov/pubmed/1835650
  50. http://www.ncbi.nlm.nih.gov/pubmed/2515939
  51. http://www.ncbi.nlm.nih.gov/pubmed/2906764
  52. http://www.ncbi.nlm.nih.gov/pubmed/3117488
  53. http://www.ncbi.nlm.nih.gov/pubmed/3113823
  54. http://www.ncbi.nlm.nih.gov/pubmed/3096635
  55. http://www.ncbi.nlm.nih.gov/pubmed/3089681
  56. http://www.ncbi.nlm.nih.gov/pubmed/3105266
  57. http://www.ncbi.nlm.nih.gov/pubmed/3096635
  58. http://www.ncbi.nlm.nih.gov/pubmed/3931973
  59. http://www.ncbi.nlm.nih.gov/pubmed/3936675
  60. http://www.ncbi.nlm.nih.gov/pubmed/3937665
  61. http://www.ncbi.nlm.nih.gov/pubmed/12264126
  62. http://www.ncbi.nlm.nih.gov/pubmed/6800691
  63. http://www.ncbi.nlm.nih.gov/pubmed/6804164
  64. http://www.ncbi.nlm.nih.gov/pubmed/7276552
  65. http://www.ncbi.nlm.nih.gov/pubmed/900181
  66. http://www.ncbi.nlm.nih.gov/pubmed/606500

Comments  

+3 #2 Reviewer: Cathy, 19-24 Female on Treatment for less than 1 month 2019-01-11 08:45
I had no side effects and started my periods about a week after i used it . i had taken the drug a day after unprotected sex
+3 #1 Reviewer: 19-24 Female (Patient) 2017-09-19 08:29
I took this when it was still two steps, however out of all the times i took it, it caused the onset of my period within 24 hours, even if i just finished with my period. This also made me nauseated, light headed, and sick to my stomach--however, I am not pregnant or a parent, so it has HUGE benefits despite any other random side effects. worth it.

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