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


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

Recombinant immunoglobulin G4 monoclonal antibody which is indicated in certain cases of melanoma. At latest update no published data on excretion into breast milk were found. Its high molecular weight and protein nature make it theoretically impossible any excretion into breastmilk as well as the intestinal absorption by the infant gut: its low oral bioavailability hinders the pass to infant plasma from ingested breastmilk, except in premature and early newborn period, in which there may be an increased intestinal permeability. Although it would be possibly safe during breastfeeding, a long elimination half-life (26,7días) and the likelihood of side effects make prudent to avoid breastfeeding until more published data on this drug is available.The period to “washout" (time-period it takes for the drug to be completely eliminated from the body) that should be expected to resume breastfeeding would be about 134 days (5 half-lives) since the last dose.

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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 Nivolumab:

Scientific literature

The level of risk for breastfeeding is confirmed in these scientific publications:

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