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


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

At latest update, relevant published data on excretion into breast milk were not found. Because of a high protein-binding capacity, a significant excretion into breast milk is unlikely. However, it is one among the Sartan drugs (ARA-II type) with the longest half-life and highest oral bioavailability. The latter properties make it less convenient for use while breastfeeding. Reportedly, a newborn infant appeared with transient renal failure (kidney malfunction) whose mother had taken Telmisartan during pregnancy. Until more data on this medication is available safer alternative drugs are preferred especially in premature babies or during the neonatal period. Should an ARA-II medication (Sartan type) be necessary, the associated risk may be decreased by choosing the one with a favorable pharmacokinetics (shorter half-life elimination time and lower bioavailability) like Eprosartan and Losartan.

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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...

Scientific literature

The level of risk for breastfeeding is confirmed in these scientific publications:
  1. http://www.ncbi.nlm.nih.gov/pubmed/23178070
  2. http://www.ncbi.nlm.nih.gov/pubmed/12732865
  3. http://www.nature.com/jp/journal/v23/n3/pdf/7210871a.pdf

Comments  

+3 #5 Reviewer: Sugarjetwzzwqq, 65-74 on Treatment for 6 months to less than 1 year (Patient) 2019-04-01 08:25
I have been on Telmisartan for several months. It has not lowered by blood pressure. In fact, my diastolic reading has increased. My pressure reduces to normal or below 120/80 when I exercise and my heart rate is higher. Otherwise, its high when my heart rate is normal. The only response I got from the Cardiologist is "You are not normal." Thanks.
+3 #4 Reviewer: 55-64 Female (Patient) 2018-05-26 11:12
I am tired, short winded, legs, back and stomach pains.
+3 #3 Reviewer: birdlady, 65-74 Female on Treatment for 1 to 6 months (Caregiver) 2018-05-13 06:12
I have been on this med for 5 weeks along with my other Bd Pr med. and I take my old med in the morning it works, I take the new med at night and it does not keep my Bd Pr down. Also experiencing muscle aches and pain and developed a heel spur. It messes with my mind and causes depression.
+3 #2 Reviewer: 75 or over on Treatment for 1 to less than 2 years (Patient) 2017-07-07 06:26
I take it, in addition to my Diltiazem, which is also for BP. In combination, it has lowered my BP.v
+3 #1 Reviewer: Donna, 55-64 on Treatment for less than 1 month (Patient) 2017-03-24 04:35
Blood pressure is still high

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