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


woomen

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

As high as therapeutic levels of this drug have been found in the serum of infants (35-50% of maternal serum level). Side-effects were not observed, neither developmental nor IC derangements at long term follow-up among hundreds of children of treated mothers. A case was published of apnea in a newborn baby whose mother was on a very high dose of Lamotrigine (850 mg a-day). During pregnancy, it increases the clearance of Lamotrigine and other antiepileptic medication that warrants an increase in dosage in this period. After birth, the serum level rapidly increases with a risk of harm on both the mother and the infant, whenever dose is not reduced to that previous from pregnancy. An infant, 1 1/2 months old, whose mother was on Lamotrigine, resulted affected with Abstinence Syndrome soon after sudden weaning.

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Ask your question through the form below.

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/27766590
  2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5114206/pdf/40268_2016_Article_148.pdf
  3. http://www.ncbi.nlm.nih.gov/pubmed/26330649
  4. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4539876/
  5. http://www.ncbi.nlm.nih.gov/pubmed/24934501
  6. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4122685/pdf/nihms606090.pdf
  7. http://www.ncbi.nlm.nih.gov/pubmed/24908139
  8. http://www.seizure-journal.com/article/S1059-1311(14)00137-X/pdf
  9. http://www.ncbi.nlm.nih.gov/pubmed/23985170
  10. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3844381/pdf/1824-7288-39-50.pdf
  11. http://www.ncbi.nlm.nih.gov/pubmed/23979084
  12. http://pediatrics.aappublications.org/content/132/3/e796.full.pdf
  13. http://www.ncbi.nlm.nih.gov/pubmed/23178070
  14. http://www.ncbi.nlm.nih.gov/pubmed/24061295
  15. http://archneur.jamanetwork.com/data/Journals/NEUR/928523/noi130062.pdf
  16. http://onlinelibrary.wiley.com/doi/10.1111/fcp.12025/abstract
  17. http://www.ncbi.nlm.nih.gov/pubmed/24185239
  18. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4154145/pdf/nihms603087.pdf
  19. http://www.ncbi.nlm.nih.gov/pubmed/22770820
  20. http://www.seizure-journal.com/article/S1059-1311(12)00157-4/pdf
  21. http://www.ncbi.nlm.nih.gov/pubmed/21852881
  22. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3152149/pdf/i1535-7511-11-4-116.pdf
  23. http://onlinelibrary.wiley.com/doi/10.1111/j.1742-7843.2011.00722.x/abstract
  24. http://onlinelibrary.wiley.com/doi/10.1111/j.1742-7843.2011.00722.x/epdf
  25. http://online.liebertpub.com/toc/bfm/6/S1
  26. http://www.ncbi.nlm.nih.gov/pubmed/21267028
  27. http://tidsskriftet.no/pdf/pdf2011/126-9.pdf
  28. http://www.ncbi.nlm.nih.gov/pubmed/21267028
  29. http://tidsskriftet.no/pdf/pdf2011/126-9.pdf
  30. http://www.ncbi.nlm.nih.gov/pubmed/21106960
  31. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3014232/pdf/8296.pdf
  32. http://www.ncbi.nlm.nih.gov/pubmed/20355672
  33. http://www.ncbi.nlm.nih.gov/pubmed/21075992
  34. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2980428/pdf/0561132.pdf
  35. http://www.ncbi.nlm.nih.gov/pubmed/19388721
  36. http://www.ncbi.nlm.nih.gov/pubmed/23055906
  37. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3460796/pdf/i1551-6776-14-4-212.pdf
  38. http://www.ncbi.nlm.nih.gov/pubmed/19398680
  39. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3475193/pdf/znl142.pdf
  40. http://www.ncbi.nlm.nih.gov/pubmed/19532039
  41. http://www.ncbi.nlm.nih.gov/pubmed/19272754
  42. http://www.ncbi.nlm.nih.gov/pubmed/19752842
  43. http://www.ncbi.nlm.nih.gov/pubmed/19826099
  44. http://www.ncbi.nlm.nih.gov/pubmed/19369666
  45. http://www.ncbi.nlm.nih.gov/pubmed/19884236
  46. http://ajp.psychiatryonline.org/doi/pdf/10.1176/appi.ajp.2009.08121902
  47. http://www.ncbi.nlm.nih.gov/pubmed/18591203
  48. http://www.ncbi.nlm.nih.gov/pubmed/17044826
  49. http://onlinelibrary.wiley.com/doi/10.1111/j.1528-1167.2006.00660.x/epdf
  50. http://www.ncbi.nlm.nih.gov/pubmed/16932550
  51. http://www.nature.com/nrneurol/journal/v2/n4/pdf/ncpneuro0153.pdf
  52. http://www.ncbi.nlm.nih.gov/pubmed/16868219
  53. http://www.ncbi.nlm.nih.gov/pubmed/16302885
  54. http://onlinelibrary.wiley.com/doi/10.1111/j.1528-1167.2005.00323.x/epdf
  55. http://www.ncbi.nlm.nih.gov/pubmed/16404803
  56. http://www.ncbi.nlm.nih.gov/pubmed/15879038
  57. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1743264/pdf/v081p00278.pdf
  58. http://onlinelibrary.wiley.com/doi/10.1111/j.1528-1167.2005.460602.x/abstract
  59. http://www.ncbi.nlm.nih.gov/pubmed/15868389
  60. http://www.ncbi.nlm.nih.gov/pubmed/14751214
  61. http://www.ncbi.nlm.nih.gov/pubmed/15304599
  62. http://www.ncbi.nlm.nih.gov/pubmed/15591613
  63. http://www.ncbi.nlm.nih.gov/pubmed/14504308
  64. http://www.ncbi.nlm.nih.gov/pubmed/10732654
  65. http://www.ncbi.nlm.nih.gov/pubmed/10937463
  66. http://www.ncbi.nlm.nih.gov/pubmed/10840403
  67. http://www.ncbi.nlm.nih.gov/pubmed/9112063
  68. http://www.ncbi.nlm.nih.gov/pubmed/9579945
  69. http://onlinelibrary.wiley.com/doi/10.1111/epi.1997.38.issue-9/issuetoc

Comments  

+3 #1 Reviewer: rack, 25-34 Male on Treatment for 1 to less than 2 years (Patient) 2017-09-03 04:06
work very well with depression, but i think my memory is bad, but i prefer have not depression

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