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


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Is it allowed to take Ulipristal Acetate (Myomas) during lactation?
Is it safe for a nursing mother and a child?

Selective modulator of progesterone receptors with slightly antagonistic effect on it.It is used on the treatment of uterine fibroids (Donnez 2012, Vázquez 2013) A high plasma protein-binding capacity explains its small passage (0.02 mg / L) into breastmilk observed at the first day (HRA Pharma 2015: 8.3). As an emergency contraceptive it is a medication of limited and occasional use. World Health Organization considers it compatible with breastfeeding on such cases. (WHO 2015). See specific info on "Ulipristal acetate (contraceptive)". On the treatment of fibroids, the issue of a possible increased risk is posed on long lasting treatments (one daily intake on cycles of 3 months each at a maximum of 4 cycles with a two-months resting period between cycles). Theoretically, the relative daily dose ingested by the infant would reach 1%, that is, on an each complete cycle (90 days) the infant would not even have been able to ingest the dose (weight-based) corresponding to one-day treatment.There are no published data on this medication related to breastfeeding, hence, a known safer alternative should be evaluated by following the best health caregiver knowledge.

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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...

Trade Names

The main trade names in different countries containing in its composition Ulipristal Acetate (Myomas):

Scientific literature

The level of risk for breastfeeding is confirmed in these scientific publications:
  1. http://www.ncbi.nlm.nih.gov/pubmed/22296076
  2. http://www.ncbi.nlm.nih.gov/pubmed/12923133

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