Recommendations made
pediatrician - Dr. Victоr Аbdоw
Rоckville, МD, USА.
Is it allowed to take Fingolimod Hydrochloride during lactation? |
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Immunomodulator agent indicated for the treatment of patients affected with very active type of RRMS. At latest update no published data on excretion into breast milk were found.Pharmacokinetic data (large volume of distribution and high protein binding capacity) make it unlikely its passage to breast milk in significant amounts. Its slow elimination rate with a half-life span between 6 and 9 days and its potentially serious cardiac effects suggest that a safer alternative should be preferred until more published data on this drug in relation to breastfeeding is available, especially during the neonatal period and in case prematurity. |
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Would you like to ask something else about Fingolimod Hydrochloride ? |
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:- http://www.ncbi.nlm.nih.gov/pubmed/26966579
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4757692/pdf/MSI2016-6527458.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/28078140
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5203912/pdf/MSI2016-1034912.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/22926165
- http://www.ncbi.nlm.nih.gov/pubmed/23319073
- http://msj.sagepub.com/content/19/7/835.full.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/22149256