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


woomen

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

Drugs used in the treatment of opioid dependence and treatment of neonatal opiate withdrawal. It is excreted in breast milk in clinically non-significant amount without problems in the short or long term in infants whose mothers were treated. Plasma levels of these infants were undetectable or very low. The dose that gets the infant through the mother's milk, even when taking 70-150 mg a-day, is much lower than that used to treat neonatal abstinence syndrome. This is a reason for not using it as a solely measure of treatment. It should be reinforced that it is observed a non-polydrug behavior and adequacy of maternal care is maintained. Many newborns are either premature or underweight infants, and over 60% develop withdrawal syndrome at about one post-natal month. Breastfeeding with regard to the entire context of addictive behavior is neither easy nor frequently achieved. Much help is needed on supporting addicted mothers by health and social services in the community. Methadone excretion into breast milk is minimal regardless of the dose taken by the mother. No correlation was found between maternal dose and concentration in either breast milk or infant plasma.It has been shown delayed onset of neonatal abstinence syndrome, less need for drug treatment and lower average of hospital stay in breastfed infants.High doses can lead to a slow start (within 2-6 weeks) of withdrawal syndrome when breastfeeding is suddenly stopped. Methadone can cause galactorrhea due to increased prolactin secretion.

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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/25836677
  2. https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/21-drug-dependency-protocol-english.pdf
  3. http://www.ncbi.nlm.nih.gov/pubmed/25784740
  4. https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/21-drug-dependency-protocol-spanish.pdf
  5. http://www.ncbi.nlm.nih.gov/pubmed/25070299
  6. http://pediatrics.aappublications.org/content/134/2/e547.full.pdf
  7. http://www.ncbi.nlm.nih.gov/pubmed/24845493
  8. http://www.ncbi.nlm.nih.gov/pubmed/25199822
  9. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4166410/pdf/1940-0640-9-19.pdf
  10. http://www.ncbi.nlm.nih.gov/pubmed/23979084
  11. http://pediatrics.aappublications.org/content/132/3/e796.full.pdf
  12. http://www.ncbi.nlm.nih.gov/pubmed/23178070
  13. http://www.ncbi.nlm.nih.gov/pubmed/23337847
  14. http://www.ncbi.nlm.nih.gov/pubmed/23314720
  15. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3589586/pdf/nihms431948.pdf
  16. http://www.ncbi.nlm.nih.gov/pubmed/23909865
  17. http://www.ncbi.nlm.nih.gov/pubmed/24435188
  18. http://www.hospitalpediatrics.org/content/3/4/317.full.pdf
  19. http://www.ncbi.nlm.nih.gov/pubmed/22375882
  20. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3407283/pdf/nihms373433.pdf
  21. http://www.ncbi.nlm.nih.gov/pubmed/22525931
  22. http://www.ncbi.nlm.nih.gov/pubmed/22555142
  23. http://www.ncbi.nlm.nih.gov/pubmed/21348770
  24. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3228593/pdf/bfm.2010.0060.pdf
  25. http://www.ncbi.nlm.nih.gov/pubmed/22123351
  26. http://www.ncbi.nlm.nih.gov/pubmed/20508596
  27. http://www.ncbi.nlm.nih.gov/pubmed/20658895
  28. http://www.ncbi.nlm.nih.gov/pubmed/19220239
  29. http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.2008.02073.x/epdf
  30. http://www.ncbi.nlm.nih.gov/pubmed/18166563
  31. http://www.ncbi.nlm.nih.gov/pubmed/18333767
  32. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2689552/pdf/nihms-118578.pdf
  33. http://www.ncbi.nlm.nih.gov/pubmed/17478871
  34. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2718050/pdf/nihms-118917.pdf
  35. http://www.ncbi.nlm.nih.gov/pubmed/17291325
  36. http://www.ncbi.nlm.nih.gov/pubmed/16740817
  37. http://www.ncbi.nlm.nih.gov/pubmed/16675813
  38. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1458551/pdf/bmj33201071.pdf
  39. http://www.ncbi.nlm.nih.gov/pubmed/15683374
  40. http://www.ncbi.nlm.nih.gov/pubmed/14974702
  41. http://www.ncbi.nlm.nih.gov/pubmed/11533352
  42. http://pediatrics.aappublications.org/content/108/3/776.full.pdf
  43. http://www.ncbi.nlm.nih.gov/pubmed/11736879
  44. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2014565/pdf/bcp0052-0681.pdf
  45. http://www.ncbi.nlm.nih.gov/pubmed/11013791
  46. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2145042/pdf/canfamphys00031-0055.pdf
  47. http://www.ncbi.nlm.nih.gov/pubmed/11153342
  48. http://www.ncbi.nlm.nih.gov/pubmed/10073159
  49. http://www.ncbi.nlm.nih.gov/pubmed/9341416
  50. http://www.ncbi.nlm.nih.gov/pubmed/9431829
  51. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2042880/pdf/bcp_0624.pdf
  52. http://www.ncbi.nlm.nih.gov/pubmed/550136
  53. http://www.ncbi.nlm.nih.gov/pubmed/4619541

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