Recommendations made
pediatrician - Dr. Victоr Аbdоw
Rоckville, МD, USА.
Is it allowed to take Levosulpiride during lactation? |
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IL-enantiomer of Sulpiride. Both share similar characteristics and properties. More frequently used as anti-emetic and prokinetic than as anti-psychotic agent. Sulpiride is a Dopamine-selective antagonist that increases Prolactin serum levels which is used as anti-psychotic, anti-depressant, anti-emetic and prokinetic agent. Its property as galactogogue has been questioned because poor methodology used by published studies that intended to prove it. Doses at 50 mg twice-a-day after early post-partum for four weeks have been used to stimulate initiation of lactation without adverse effects in the mother. Excretion into breast milk is moderate, however, side-effects in breastfed infants from treated mothers were not observed. Best galactagogue effect is attained by promoting frequent breastfeeding on-demand along with the use of a proper lactation technique. Effective support to breastfeeding mothers, woman empowerment related to her ability to breastfeed and self-confidence are important factors to reinforce before start using galactagogue drugs. |
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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...
Synonyms
Trade Names
The main trade names in different countries containing in its composition Levosulpiride:Scientific literature
The level of risk for breastfeeding is confirmed in these scientific publications:- http://www.ncbi.nlm.nih.gov/pubmed/21332371
- http://online.liebertpub.com/doi/pdfplus/10.1089/bfm.2011.9998
- http://www.ncbi.nlm.nih.gov/pubmed/16327907
- http://blues.sabinet.co.za/WebZ/Authorize?sessionid=0:autho=pubmed:password=pubmed2004&/AdvancedQuery?&format=F&next=images/ejour/m_samj/m_samj_v95_n9_a3.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/12192964
- http://www.ncbi.nlm.nih.gov/pubmed/9254761
- http://www.ncbi.nlm.nih.gov/pubmed/8715241
- http://www.ncbi.nlm.nih.gov/pubmed/8764918
- http://www.ncbi.nlm.nih.gov/pubmed/7596960
- http://www.ncbi.nlm.nih.gov/pubmed/7596959
- http://www.ncbi.nlm.nih.gov/pubmed/1619566
- http://www.ncbi.nlm.nih.gov/pubmed/3620290
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1387741/pdf/brjclinpharm00109-0014.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/3882143
- http://www.ncbi.nlm.nih.gov/pubmed/6361642
- http://www.ncbi.nlm.nih.gov/pubmed/6762263
- http://www.ncbi.nlm.nih.gov/pubmed/6807435
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1499674/pdf/bmjcred00617-0013.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/7102768
- http://www.ncbi.nlm.nih.gov/pubmed/6811008
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1499572/pdf/bmjcred00624-0053a.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/7418717
- http://www.ncbi.nlm.nih.gov/pubmed/429499
- http://www.ncbi.nlm.nih.gov/pubmed/1227717
- http://www.ncbi.nlm.nih.gov/pubmed/813995
- https://www.jstage.jst.go.jp/article/endocrj1954/22/5/22_5_457/_pdf