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


woomen

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

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.

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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/26002804
  2. http://www.ncbi.nlm.nih.gov/pubmed/25793657
  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://www.ncbi.nlm.nih.gov/pubmed/26390248
  6. http://www.ncbi.nlm.nih.gov/pubmed/26447268
  7. http://www.ncbi.nlm.nih.gov/books/NBK321151/pdf/Bookshelf_NBK321151.pdf
  8. http://www.ncbi.nlm.nih.gov/pubmed/26447268
  9. http://www.ncbi.nlm.nih.gov/pubmed/23635040
  10. http://www.ncbi.nlm.nih.gov/pubmed/23623474
  11. http://www.fertstert.org/article/S0015-0282(13)00455-X/pdf
  12. http://www.ncbi.nlm.nih.gov/pubmed/23178070
  13. http://www.ncbi.nlm.nih.gov/pubmed/23784109
  14. http://www.cdc.gov/mmwr/pdf/rr/rr6205.pdf
  15. http://www.ncbi.nlm.nih.gov/pubmed/22682722
  16. http://www.ncbi.nlm.nih.gov/pubmed/20559203
  17. http://www.cdc.gov/mmwr/pdf/rr/rr5904.pdf
  18. http://www.ncbi.nlm.nih.gov/pubmed/19637436
  19. http://www.ncbi.nlm.nih.gov/pubmed/16531169
  20. http://www.ncbi.nlm.nih.gov/pubmed/11861054
  21. http://whqlibdoc.who.int/hq/2002/55732.pdf
  22. http://www.ncbi.nlm.nih.gov/pubmed/11172794
  23. http://www.ncbi.nlm.nih.gov/pubmed/9800931
  24. http://www.ncbi.nlm.nih.gov/pubmed/1835650
  25. http://www.ncbi.nlm.nih.gov/pubmed/3117488
  26. http://www.ncbi.nlm.nih.gov/pubmed/4042659
  27. http://www.ncbi.nlm.nih.gov/pubmed/6617204
  28. http://www.ncbi.nlm.nih.gov/pubmed/6673900
  29. http://www.ncbi.nlm.nih.gov/pubmed/6213373
  30. http://www.ncbi.nlm.nih.gov/pubmed/6781816
  31. http://www.ncbi.nlm.nih.gov/pubmed/7389350
  32. http://www.ncbi.nlm.nih.gov/pubmed/923249
  33. http://www.ncbi.nlm.nih.gov/pubmed/606500
  34. http://www.ncbi.nlm.nih.gov/pubmed/780215
  35. http://www.ncbi.nlm.nih.gov/pubmed/5099971
  36. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1794828/pdf/brmedj02243-0028.pdf

Comments  

+3 #4 Reviewer: Nile_River, 25-34 Female on Treatment for less than 1 month (Patient) 2018-01-22 04:45
I took this after bariatric surgery threw my period off tracks. I was on constant month long periods with only a few weeks of break if that. The breaking point was when I was changing my super tampons AND pads every hour and a half from how heavy my period was. I tried everything. As a result I was diagnosed with Anemia and needed blood transfusion. This medication although its side effects were evident (dizzy, lightheadedness, nausea) ended this torture in 2 days! And I am ever so grateful.
+3 #3 Reviewer: 35-44 Female on Treatment for less than 1 month (Patient) 2017-12-23 12:08
I was put on this medication 10 days for abnormal vaginal bleeding.... Bleeding stopped within 4 days and had no side effects! Reading so many bad reviews I wanted it to be known this medication can help without side effects!
+3 #2 Reviewer: Bonnie, 45-54 Female on Treatment for less than 1 month (Patient) 2017-08-12 07:38
Waiting for me to have a period has not come been more then two week of taken the pill
+3 #1 Reviewer: CuriousOne, 25-34 Female on Treatment for 1 to 6 months (Patient) 2017-03-16 01:53
A little late in refilling my prescription, due to travel reasons, and am noticing slight bleeding having begun a new pack 2 days ago. ~4 days have lapsed since last took the medication. Why am I noticing bleeding?

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