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Doctor

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


woomen

Is it allowed to take DU-23000 during lactation?
Is it safe for a nursing mother and a child?

It is excreted into breast milk in non-significant amount. Plasma level in infants from mother who receive Fluvoxamine is usually undetectable. Not effects on the infant's physical and psychomotor development at both short or long-term were found. Because there is less experience published than with other antidepressants of the same pharmacological group, it should be preferred the use of an alternative drug that is known to be safer in the neonatal period or prematurity. Galactorrhea has been observed but less frequently than with other antidepressants. In cases of treatment with xanthines (theophylline, caffeine) for apnea of prematurity, the plasma level of them should be monitored because Fluvoxamine is a strong inhibitor of activity of the Cytochrome P450-CYP1A2 which is responsible for metabolic elimination of xanthines. Women who use antidepressant medication during pregnancy are in need of more support for breastfeeding since they are at risk for early weaning.

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woomen

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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/25572308
  2. http://www.ncbi.nlm.nih.gov/pubmed/25559357
  3. http://www.ncbi.nlm.nih.gov/pubmed/26204124
  4. https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/18-use-of-antidepressants-protocol-english.pdf
  5. http://www.ncbi.nlm.nih.gov/pubmed/23979084
  6. http://pediatrics.aappublications.org/content/132/3/e796.full.pdf
  7. http://www.ncbi.nlm.nih.gov/pubmed/23260337
  8. http://www.ncbi.nlm.nih.gov/pubmed/23178070
  9. http://www.ncbi.nlm.nih.gov/pubmed/22283766
  10. http://www.ncbi.nlm.nih.gov/pubmed/22344850
  11. http://www.ncbi.nlm.nih.gov/pubmed/22787503
  12. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3394379/pdf/Dtsch_Arztebl_Int-109-0419.pdf
  13. http://www.ncbi.nlm.nih.gov/pubmed/22077504
  14. http://www.ncbi.nlm.nih.gov/pubmed/22299006
  15. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3267169/pdf/CWHR-7-28.pdf
  16. http://www.ncbi.nlm.nih.gov/pubmed/22192462
  17. http://www.ncbi.nlm.nih.gov/pubmed/20958101
  18. http://www.ncbi.nlm.nih.gov/pubmed/19661763
  19. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2902256/pdf/nihms139489.pdf
  20. http://www.ncbi.nlm.nih.gov/pubmed/18333769
  21. http://online.liebertpub.com/doi/pdfplus/10.1089/bfm.2007.9978
  22. http://www.ncbi.nlm.nih.gov/pubmed/16683078
  23. http://www.ncbi.nlm.nih.gov/pubmed/15691224
  24. http://www.ncbi.nlm.nih.gov/pubmed/15169695
  25. http://ajp.psychiatryonline.org/doi/pdf/10.1176/appi.ajp.161.6.1066
  26. http://www.ncbi.nlm.nih.gov/pubmed/15591613
  27. http://www.ncbi.nlm.nih.gov/pubmed/12716242
  28. http://www.ncbi.nlm.nih.gov/pubmed/14645327
  29. http://www.jabfm.org/content/16/5/372.full.pdf
  30. http://www.ncbi.nlm.nih.gov/pubmed/12033075
  31. http://www.ncbi.nlm.nih.gov/pubmed/12124409
  32. http://www.ncbi.nlm.nih.gov/pubmed/11475200
  33. http://tidsskriftet.no/article/248947
  34. http://www.ncbi.nlm.nih.gov/pubmed/11483479
  35. http://bjp.rcpsych.org/content/bjprcpsych/179/2/163.full.pdf
  36. http://www.ncbi.nlm.nih.gov/pubmed/11475200
  37. http://www.ncbi.nlm.nih.gov/pubmed/11247095
  38. http://www.ncbi.nlm.nih.gov/pubmed/10718788
  39. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2014913/pdf/bcp0049-0286.pdf
  40. http://www.ncbi.nlm.nih.gov/pubmed/10917415
  41. http://www.ncbi.nlm.nih.gov/pubmed/10485633
  42. http://www.ncbi.nlm.nih.gov/pubmed/9296322
  43. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2042834/pdf/bcp_0652.pdf
  44. http://www.ncbi.nlm.nih.gov/pubmed/9296327
  45. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2042842/pdf/bcp_0576.pdf
  46. http://www.ncbi.nlm.nih.gov/pubmed/9278215
  47. http://www.ncbi.nlm.nih.gov/pubmed/1904751
  48. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1368397/pdf/brjclinpharm00061-0091.pdf

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