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


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Is it allowed to take 5-Aminosalicylic Acid during lactation?
Is it safe for a nursing mother and a child?

Mesalazine is badly absorbed by the intestine, serum levels are low with scant excretion into breast milk. N-acetyl-5-ASA is an inactive metabolite which is excreted into breast milk but not higher than 10% of relative infant's dose. No harm effects among breastfed infants from treated mothers have been reported, except for rare cases of diarrhea reported in the 80's with the use of Mesalazine compounds different to Balsalazide. In a review of 121 cases and 121 controls, the authors failed to observe those findings. (Moretti, 1989). Expert consensus supports the compatibility of Mesalazine during breastfeeding.

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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/25602023
  2. http://ecco-jcc.oxfordjournals.org/content/eccojc/9/2/107.full.pdf
  3. http://www.ncbi.nlm.nih.gov/pubmed/26129693
  4. http://www.ncbi.nlm.nih.gov/pubmed/23897285
  5. http://www.ncbi.nlm.nih.gov/pubmed/25200000
  6. http://onlinelibrary.wiley.com/doi/10.1111/apt.12949/epdf
  7. http://www.ncbi.nlm.nih.gov/pubmed/23474350
  8. http://www.dldjournalonline.com/article/S1590-8658(13)00050-9/pdf
  9. http://www.ncbi.nlm.nih.gov/pubmed/23749699
  10. http://medwiekurozwoj.pl/articles/2013-1-10.pdf
  11. http://www.ncbi.nlm.nih.gov/pubmed/22690068
  12. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3369996/pdf/WJG-18-2600.pdf
  13. http://www.ncbi.nlm.nih.gov/pubmed/22221203
  14. http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2036.2011.04967.x/epdf
  15. http://www.ncbi.nlm.nih.gov/pubmed/22387837
  16. http://pdf.medrang.co.kr/Kjg/059/Kjg059-02-05.pdf
  17. http://www.ncbi.nlm.nih.gov/pubmed/21122553
  18. http://ecco-jcc.oxfordjournals.org/content/eccojc/4/5/493.full.pdf
  19. http://www.ncbi.nlm.nih.gov/pubmed/21122490
  20. http://www.ncbi.nlm.nih.gov/pubmed/21172284
  21. http://download.journals.elsevierhealth.com/pdfs/journals/1873-9946/PIIS1873994609000269.pdf
  22. http://www.ncbi.nlm.nih.gov/pubmed/17661756
  23. http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2036.2007.03397.x/epdf
  24. http://www.ncbi.nlm.nih.gov/pubmed/16831611
  25. http://www.gastrojournal.org/article/S0016-5085(06)00865-1/pdf
  26. http://www.ncbi.nlm.nih.gov/pubmed/15591526
  27. http://www.latamjpharm.org/trabajos/22/3/LAJOP_22_3_4_1_S7X6Z4TSVV.pdf
  28. http://www.collectionscanada.gc.ca/obj/s4/f2/dsk1/tape11/PQDD_0010/MQ40845.pdf
  29. http://www.ncbi.nlm.nih.gov/pubmed/23282454
  30. http://www.ncbi.nlm.nih.gov/pubmed/8408729
  31. http://www.ncbi.nlm.nih.gov/pubmed/8102746
  32. http://www.ncbi.nlm.nih.gov/pubmed/2309691
  33. http://www.ncbi.nlm.nih.gov/pubmed/2563532

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