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


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

Non-ergotamine and D2 /D3 Dopamine agonist drug.Indicated for Parkinson's disease and Restless Legs Syndrome (Evening dose). At latest update no published data on excretion into breast milk were found.Pharmacokinetic data do not allow easily predict the possibility of excretion into breastmilk, since a low protein-binding capacity would not prevent it, however, a large distribution volume would make it unlikely.Its low oral bioavailability which decreases even more when taken with meals, suggests that plasma concentration would reach a very low level in the infant, except during the neonatal period and in case of prematurity in which intestinal absorption may be increased.Side effects are neither frequent nor severe. Prolactin levels may be lowered with decreased production of breastmilk during the first weeks after birth.Gut absorption may be increased with higher plasma levels if taken together with Ciprofloxacin (Kaye 2000). Whenever it is used while breastfeeding, it would be wise avoiding it during the first 15 to 20 days and assess milk production and onset of nausea, drowsiness or irritability in infants.By waiting six hours after medication, excretion into breastmilk would possibly be lowered.

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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 Ropinirole Hydrochloride:

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