1 1 1 1 1 1 1 1 1 1 Rating 5.00 (42 Votes)
Doctor

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


woomen

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

It is excreted into breast milk in clinically non-significant amount, in any case, much lower than the doses commonly used in newborns and infants (Snider 1984, Singh 2008). No significant problems have been observed in infants whose mothers were treated. (Drobac 2005). An infant whose mother was treated with anti-TBC drugs during pregnancy and lactation for 7 months, presented moderately high levels of liver transaminases along with a normal clinical and developmental course (Peters 2008). The plasma levels measured in any of those infants were undetectable or very low. Several medical societies and consensus of expert panels consider safe the use of this medication while breastfeeding (Dautzenberg 1988, Tran 1998, Blumberg 2003, Schram 2005, WHO 2007, Singh 2008, Baquero-Artigao 2015, Malhamé 2016).American Academy of Pediatrics: medication usually compatible with breastfeeding.WHO List of Essential Medicines 2002: compatible with breastfeeding. The addition of Vitamin B6 (Pyridoxine) to treatment of mother-infant dyad should be evaluated, especially in cases of malnutrition, diabetes, other diseases or a new pregnancy (Blumberg 2003, Steichen 2006, Baquero-Artigao 2015, 2016 Principi Di 2016).

doctor

woomen

Would you like to ask something else about Isoniazid ?
Ask your question through the form below.

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...

Scientific literature

The level of risk for breastfeeding is confirmed in these scientific publications:
  1. http://www.ncbi.nlm.nih.gov/pubmed/26270256
  2. http://www.ncbi.nlm.nih.gov/pubmed/26612773
  3. http://www.ncbi.nlm.nih.gov/pubmed/27149116
  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4858222/pdf/pone.0154825.pdf
  5. http://www.ncbi.nlm.nih.gov/pubmed/25754314
  6. http://www.analesdepediatria.org/es/pdf/S1695403315000533/S300/
  7. http://www.ncbi.nlm.nih.gov/pubmed/25754314
  8. http://www.ncbi.nlm.nih.gov/pubmed/25222775
  9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4181157/
  10. http://www.ncbi.nlm.nih.gov/pubmed/22132339
  11. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3206367/pdf/JP2012-379271.pdf
  12. http://www.ncbi.nlm.nih.gov/pubmed/18093257
  13. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2291261/pdf/bcp0065-0418.pdf
  14. http://www.ncbi.nlm.nih.gov/pubmed/18855309
  15. http://www.ncbi.nlm.nih.gov/pubmed/17217124
  16. http://www.ncbi.nlm.nih.gov/pubmed/16788441
  17. http://www.ncbi.nlm.nih.gov/pubmed/15889370
  18. http://cid.oxfordjournals.org/content/40/11/1689.full.pdf
  19. http://www.ncbi.nlm.nih.gov/pubmed/16159037
  20. http://www.ncbi.nlm.nih.gov/pubmed/12588714
  21. http://www.atsjournals.org/doi/pdf/10.1164/rccm.167.4.603
  22. http://www.ncbi.nlm.nih.gov/pubmed/12836625
  23. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5211a1.htm
  24. http://whqlibdoc.who.int/hq/2002/55732.pdf
  25. http://www.ncbi.nlm.nih.gov/pubmed/11533352
  26. http://pediatrics.aappublications.org/content/108/3/776.full.pdf
  27. http://www.ncbi.nlm.nih.gov/pubmed/10205455
  28. http://www.ncbi.nlm.nih.gov/pubmed/3041502
  29. http://www.ncbi.nlm.nih.gov/pubmed/6367682
  30. http://www.ncbi.nlm.nih.gov/pubmed/7072582

Comments  

+3 #2 Reviewer: Kimmy, 55-64 on Treatment for 6 months to less than 1 year (Patient) 2018-06-06 09:19
I read through all the reviews and thanks to everyone, it sure helped me. I will start my medication today with the B6 for 9 months. So I am going to give it a chance but I am scared. Good luck to everyone.
+3 #1 Reviewer: bugsy, 55-64 Male on Treatment for less than 1 month (Patient) 2017-09-13 04:31
ive been on this med for inactive tb..about one month now, it makes me very tired, i was also put on rifampin...and got seizures from that..so just this med plus b6...not bad, but makes me feel run down.

Add comment