Recommendations made
pediatrician - Dr. Victоr Аbdоw
Rоckville, МD, USА.
Is it allowed to take Olsalazine during lactation? |
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Prodrug of Mesalazine: Medication compounded by union of two molecules of 5-ASA resulting in a dimer which is degraded into monomeric Mesalazine (5-ASA) in the large intestine. Mesalazine is badly absorbed by the intestine, serum levels are low with scant excretion into breast milk. Traces of Olsalazine and/or Mesalazine have not been found in breast milk of treated mothers with Olsalazine. N-acetyl-5-ASA is an inactive metabolite which is excreted into breast milk but not higher than 1% of relative infant's dose. No harm effects among breastfed infants from treated mothers have been reported, except for rare cases of diarrhea reported in the 80's with the use of Mesalazine compounds different to Olsalazine. In a review of 121 cases and 121 controls, the authors failed to observe those findings. (Moretti, 1989). Expert consensus supports the compatibility of Mesalazine and/or its prodrugs during breastfeeding. |
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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...
Synonyms
Trade Names
The main trade names in different countries containing in its composition Olsalazine:Scientific literature
The level of risk for breastfeeding is confirmed in these scientific publications:- http://www.ncbi.nlm.nih.gov/pubmed/23749699
- http://medwiekurozwoj.pl/articles/2013-1-10.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/23749699
- http://www.ncbi.nlm.nih.gov/pubmed/21122553
- http://ecco-jcc.oxfordjournals.org/content/eccojc/4/5/493.full.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/21172284
- http://download.journals.elsevierhealth.com/pdfs/journals/1873-9946/PIIS1873994609000269.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/19786762
- http://www.ncbi.nlm.nih.gov/pubmed/18239407
- http://www.ncbi.nlm.nih.gov/pubmed/16831611
- http://www.gastrojournal.org/article/S0016-5085(06)00865-1/pdf
- http://www.ncbi.nlm.nih.gov/pubmed/15591526
- http://www.ncbi.nlm.nih.gov/pubmed/12833232
- http://www.latamjpharm.org/trabajos/22/3/LAJOP_22_3_4_1_S7X6Z4TSVV.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/11726078
- http://www.collectionscanada.gc.ca/obj/s4/f2/dsk1/tape11/PQDD_0010/MQ40845.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/23282454
- http://www.ncbi.nlm.nih.gov/pubmed/8009971
- http://www.ncbi.nlm.nih.gov/pubmed/8408729
- http://www.ncbi.nlm.nih.gov/pubmed/8102746
- http://www.ncbi.nlm.nih.gov/pubmed/8498418
- http://www.ncbi.nlm.nih.gov/pubmed/2309691
- http://www.ncbi.nlm.nih.gov/pubmed/2563532
- http://www.ncbi.nlm.nih.gov/pubmed/2892343
- http://www.ncbi.nlm.nih.gov/pubmed/2864155