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


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

Trimethylxanthine component which is present in many compounds like decongestant or pain relief drugs (50 to 100 mg per unit) . It is also present in many infusion beverages (coffee, tea, mate, guarana) and other drinks with allegedly energizing properties. See also Coffee, Caffeine (beverages). At a dose higher than 300 mg a-day may induce nervousness and irritability in the infant. Intravenous high doses used to treat post-epidural anesthesia headache within 2-3 days after delivery, before mature breast milk comes, are compatible with breastfeeding. High doses used Intravenously to treat headache related to epidural should be regarded as compatible with breastfeeding only in the 2-3 days before milk comes in. Elimination period may last from few hours in adults, to 3-4 days in the newborn infant. American Academy of Pediatrics: Maternal Medication Usually Compatible With 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/27050859
  2. http://www.scielo.br/pdf/anp/v74n3/0004-282X-anp-74-03-0262.pdf
  3. http://www.ncbi.nlm.nih.gov/pubmed/26265921
  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4523676/pdf/ECAM2015-105256.pdf
  5. http://www.ncbi.nlm.nih.gov/pubmed/25217187
  6. http://www.ncbi.nlm.nih.gov/pubmed/23212937
  7. http://jhl.sagepub.com/content/29/1/17.full.pdf
  8. http://www.ncbi.nlm.nih.gov/pubmed/24388325
  9. http://www.ncbi.nlm.nih.gov/pubmed/23178070
  10. http://www.ncbi.nlm.nih.gov/pubmed/22473365
  11. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3566755/pdf/peds.2011-1773.pdf
  12. http://www.ncbi.nlm.nih.gov/pubmed/22928364
  13. http://www.ncbi.nlm.nih.gov/pubmed/17304161
  14. http://www.ncbi.nlm.nih.gov/pubmed/15139511
  15. http://www.ncbi.nlm.nih.gov/pubmed/11533352
  16. http://pediatrics.aappublications.org/content/108/3/776.full.pdf
  17. http://www.ncbi.nlm.nih.gov/pubmed/10776186
  18. http://www.ncbi.nlm.nih.gov/pubmed/9849117
  19. http://www.ncbi.nlm.nih.gov/pubmed/8603790
  20. http://www.ncbi.nlm.nih.gov/pubmed/7784352
  21. http://www.ncbi.nlm.nih.gov/pubmed/1576327
  22. http://www.ncbi.nlm.nih.gov/pubmed/2310481
  23. http://www.ncbi.nlm.nih.gov/pubmed/3395670
  24. http://www.ncbi.nlm.nih.gov/pubmed/3414579
  25. http://ajcn.nutrition.org/content/48/3/645.full.pdf
  26. http://www.ncbi.nlm.nih.gov/pubmed/4075934
  27. http://www.ncbi.nlm.nih.gov/pubmed/4075932
  28. http://www.ncbi.nlm.nih.gov/pubmed/3855177
  29. http://www.ncbi.nlm.nih.gov/pubmed/6691042
  30. http://www.ncbi.nlm.nih.gov/pubmed/6677875
  31. http://www.ncbi.nlm.nih.gov/pubmed/7098450
  32. http://www.ncbi.nlm.nih.gov/pubmed/7214793
  33. http://www.ncbi.nlm.nih.gov/pubmed/507903
  34. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1545656/pdf/archdisch00788-0063.pdf
  35. http://www.ncbi.nlm.nih.gov/pubmed/12336945

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