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


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

Cyclophosphamide, together with its active metabolites, aldophosphamide, acrolein and nitrogenated mustard, is an antineoplastic from the group of nitrogen mustards with very marked immunosuppressive properties. Cyclophosphamide is excreted in breast milk (Wiernik 1971). In two studies, breastfed infants developed neutropenia, thrombocytopenia, and anemia. (Durodola 1979, Amato 1977). Given the variability in interindividual pharmacokinetics, potential pharmacokinetic changes with co-administration with other medication and its serious side effects, it is prudent not to breastfeed during treatment (Anderson 2016, Götestam 2016, Grunewald 2015, Pistilli 2013, Østensen 2006, WHO 2002, Pediatrics 2001). When possible, detection in breast milk of each patient to determine the total elimination of the drug would be the best indicator for resuming breastfeeding between two rounds of chemotherapy. It is known via Pharmacokinetics that after 3 elimination half-lives (T½) 87.5% of the drug is eliminated from the body; after 4 T½ 94%, after 5 T½ 96.9%, after 6 T½ 98.4% and after 7 T½ 99%. Plasma drug concentrations in the body are negligible after 7 T½. In general, a period of five half-lives may be considered a safe waiting period before returning to breastfeeding (Anderson 2016). Based on this, expert authors recommend waiting 72 hours after the last dose (practically 10 T½) to restart breastfeeding. Meanwhile, express and discard breast milk regularly (Hale 2017 p.239).

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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...

Comments  

+3 #1 Reviewer: jessianne67, 35-44 on Treatment for 1 to 6 months (Patient) 2017-04-22 04:22
I have only been on this drug for 2 months so it is hard to tell if it is working yet. I have been losing some hair though. My appetite has decreased. When I eat I start feeling sick so I have to stop. I think my breathing is better but it is a very subtle change.

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