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


woomen

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

Antimalarial drug used as anti-inflammatory and immunomodulating agent on tissue diseases such as arthritis or lupus. It is excreted in breast milk in clinically non-significant amount which is much lower than the dose used in infants. Problems related to clinical features, development, vision or hearing issues have not been observed in infants whose mothers have received this medication. When the mother takes 400 mg per day only 1 mg appears for every liter of milk, which is not considered dangerous to the infant, since a preventive dose for malaria in infants is 5 mg per kilo of weight once a week. American Academy of Pediatrics states that it is usually compatible with breastfeeding medication.

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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/26750124
  2. http://rheumatology.oxfordjournals.org/content/early/2016/01/12/rheumatology.kev404.full.pdf
  3. http://www.ncbi.nlm.nih.gov/pubmed/26888948
  4. http://ard.bmj.com/content/early/2016/02/17/annrheumdis-2015-208840.full.pdf
  5. http://www.ncbi.nlm.nih.gov/pubmed/26888577
  6. http://www.ncbi.nlm.nih.gov/pubmed/27490204
  7. http://www.ncbi.nlm.nih.gov/pubmed/24614280
  8. http://www.ncbi.nlm.nih.gov/pubmed/24528912
  9. http://www.ncbi.nlm.nih.gov/pubmed/24855048
  10. http://www.ncbi.nlm.nih.gov/pubmed/21371350
  11. http://www.ncbi.nlm.nih.gov/pubmed/21144482
  12. http://www.ncbi.nlm.nih.gov/pubmed/20074099
  13. http://jtm.oxfordjournals.org/content/jtm/17/1/32.full.pdf
  14. http://www.ncbi.nlm.nih.gov/pubmed/18799245
  15. http://www.ncbi.nlm.nih.gov/pubmed/17599074
  16. http://www.ncbi.nlm.nih.gov/pubmed/16712713
  17. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1526635/pdf/ar1957.pdf
  18. http://www.ncbi.nlm.nih.gov/pubmed/16194696
  19. http://www.ncbi.nlm.nih.gov/pubmed/15496869
  20. http://www.nature.com/jp/journal/v25/n2/pdf/7211208a.pdf
  21. http://www.ncbi.nlm.nih.gov/pubmed/15722258
  22. http://www.ncbi.nlm.nih.gov/pubmed/15936475
  23. http://www.ncbi.nlm.nih.gov/pubmed/15457485
  24. http://www.ncbi.nlm.nih.gov/pubmed/11853823
  25. http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(02)07643-2.pdf
  26. http://www.ncbi.nlm.nih.gov/pubmed/11950010
  27. http://www.ncbi.nlm.nih.gov/pubmed/11533352
  28. http://pediatrics.aappublications.org/content/108/3/776.full.pdf
  29. http://www.ncbi.nlm.nih.gov/pubmed/10724046
  30. http://archinte.jamanetwork.com/data/Journals/INTEMED/11959/ira90005.pdf
  31. http://www.ncbi.nlm.nih.gov/pubmed/11128686
  32. http://www.ncbi.nlm.nih.gov/pubmed/3101825
  33. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1245238/pdf/bmjcred00004-0046.pdf
  34. http://www.ncbi.nlm.nih.gov/pubmed/4007043
  35. http://www.ncbi.nlm.nih.gov/pubmed/6712872
  36. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1463384/pdf/brjclinpharm00163-0130.pdf

Comments  

+3 #4 Reviewer: Judyvv3xwo, 75 or over on Treatment for less than 1 month (Patient) 2018-08-03 03:23
Got Stevens/Johnson (ten) Syndromecould have been fatel / rash all over my body blisters itching had to use ice pacs to cool body/ was hospitalized got bags of cooling substance/ after blisters went away then my skin peeled off all over body chest/back/legs/ feet eyes also lost about I did get new skin but horrible! 1/2 of my hair had blisters on scalp/ IT WAS THE MOST HORRIBLE THING that ever happened to me/ I was so sick! oh also lost some toenails/ skin peeled off in sheets
+3 #3 Reviewer: Tommy, 55-64 Male on Treatment for 1 to 6 months (Patient) 2018-06-06 09:31
i have taken Hydroy for 4 months,, i started getting worried about the side effects, got my eyes checked everything was fine, but i stopped it anyway,, several days after i stopped i got hives and itching on my back, then Bursitis in my left elbow and left knee,, i started again at my regular 200mg dose twice a day and will see if the poppy elbow goes away
+3 #2 Reviewer: 55-64 Female on Treatment for less than 1 month (Patient) 2017-12-11 02:23
The only side effect I have experienced is nausea when taking med and during the day. Goes away after about 30-45 minutes.
+3 #1 Reviewer: Nena, 65-74 Female on Treatment for 1 to 6 months (Patient) 2017-05-02 09:27
Constant upset stomach, vomiting, blurred vision, mood changes and also affects my CHF. Have not felkt this bad in a long time.

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