Recommendations made
pediatrician - Dr. Victоr Аbdоw
Rоckville, МD, USА.
Is it allowed to take Methylergonovine Maleate during lactation? |
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Ergot derivative which is used in the prevention and treatment of postpartum hemorrhage. It is not excreted into breast milk in clinically significant amount (Erkkola 1978) and, besides the information offered by the manufacturer, no reliable publications were found about problems in infants whose mothers were treated. There is a controversy on an antiprolactin effect and its ability to decrease milk production found by some authors (Peters 1979, Döner 1979, Weiss 1975).Some have published an association with a decreased in duration of breastfeeding though not in the percentage of initiation (Brown 2014, Jordan 2009) nor a decrease in weight gaining (Arabin 1986).Others did not find a decrease in prolactin level (Javier del Castillo 1985, Del Pozo 1975), nor difference in the rate of exclusive breastfeeding or monthly weight gain (González1984), considering that the treatments limited to the first week postpartum that use a low dose do not affect lactation or the infant. It has frequent side effects (nausea, vomiting, headache, hypertension) that do not occur with oxytocin, so the latter is preferable to reduce the risk of postpartum hemorrhage. There are insufficient data to know whether immediate breastfeeding is effective for this type of prevention (Chelmow 2011).They have occurred serious poisonings in infants when giving directly both orally or intramuscularly due to confusion with other medication for newborns (Aeby 2003). |
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Would you like to ask something else about Methylergonovine Maleate ? |
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/24860899
- http://www.ncbi.nlm.nih.gov/pubmed/25347567
- http://ansm.sante.fr/searchengine/detail/%28cis%29/66417119
- http://ansm.sante.fr/var/ansm_site/storage/original/application/0e429ab83dff91c53800a4e035808d7d.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/21463537
- http://www.ncbi.nlm.nih.gov/pubmed/15592308
- http://www.ncbi.nlm.nih.gov/pubmed/12807307
- http://www.ncbi.nlm.nih.gov/pubmed/11013791
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2145042/pdf/canfamphys00031-0055.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/9806101
- http://www.ncbi.nlm.nih.gov/pubmed/3519353
- http://www.ncbi.nlm.nih.gov/pubmed/3796880
- http://www.ncbi.nlm.nih.gov/pubmed/6543471
- http://www.ncbi.nlm.nih.gov/pubmed/6682072
- http://www.ncbi.nlm.nih.gov/pubmed/7250712
- http://www.ncbi.nlm.nih.gov/pubmed/425743
- http://www.ncbi.nlm.nih.gov/pubmed/463447
- http://www.ncbi.nlm.nih.gov/pubmed/641312
- http://www.ncbi.nlm.nih.gov/pubmed/730424
- http://www.ncbi.nlm.nih.gov/pubmed/1080266
- http://www.ncbi.nlm.nih.gov/pubmed/1174274
- http://www.ncbi.nlm.nih.gov/pubmed/1200082
- http://www.ncbi.nlm.nih.gov/pubmed/1243433
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