Spironolactone

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

woomen

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

A diuretic which is antagonist of Aldosterone receptor and a potassium-sparing drug. Excretion into breast milk is clinically non-significant and without side-effects observed in breastfed infants of treated mothers. A medication which is used for treatment of infants even in the neonatal period. It decreases slightly the secretion of Prolactin, however, instead other diuretic drugs, a suppressive effect on lactation has not been reported. The American Academy of Pediatrics (2001) rates it as Medication Usually Compatible With Breastfeeding. Eleventh WHO Model List of Essential Drugs 2002: Compatible with 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...

Trade Names

The main trade names in different countries containing in its composition Spironolactone:

Scientific literature

The level of risk for breastfeeding is confirmed in these scientific publications:
  1. http://www.ncbi.nlm.nih.gov/pubmed/24528912
  2. http://www.ncbi.nlm.nih.gov/pubmed/19843067
  3. http://www.ncbi.nlm.nih.gov/pubmed/18466419
  4. http://onlinelibrary.wiley.com/doi/10.1111/j.1527-3466.2007.00036.x/pdf
  5. http://whqlibdoc.who.int/hq/2002/55732.pdf
  6. http://www.ncbi.nlm.nih.gov/pubmed/11533352
  7. http://pediatrics.aappublications.org/content/108/3/776.full.pdf
  8. http://www.ncbi.nlm.nih.gov/pubmed/8150100
  9. http://www.ncbi.nlm.nih.gov/pubmed/8299783
  10. http://www.ncbi.nlm.nih.gov/pubmed/7976677
  11. http://www.ncbi.nlm.nih.gov/pubmed/2331276
  12. http://www.ncbi.nlm.nih.gov/pubmed/894512

Comments  

+3 #3 Reviewer: Ellaine, 19-24 Female on Treatment for 1 to less than 2 years (Patient) 2019-01-30 01:06
I want to mention that this drug is an effective tool to medically transition. No where in its literature does it mention that this drug has this potential. I am also quite happy with the reduced acne side effect.
+3 #2 Reviewer: CC, 25-34 Female on Treatment for 6 months to less than 1 year (Patient) 2018-10-09 05:13
I started on 100 mg QD of spironolactone and I am now on 200 mg QD for female pattern baldness. Used in conjunction with biotin, this medication has helped in speeding up hair growth. I have tons of baby hairs growing and my hair part has thinned. Unfortunately, one major side effect that has made life (slightly) more difficult for me is the increased urge to urinate. There are nights I wake up 5-6 times in an 8-hour period to pee. You really have to watch your water intake prior to sleeping on this med...
+3 #1 Reviewer: TheLAW232, 45-54 Female on Treatment for 1 to 6 months (Patient) 2017-02-23 04:35
Working for acne however have experience increased headaches. Calling doc to see if I should decrease mg.

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