It is recommended to breastfeed exclusively for six months and then while introducing to other food sources extend it to twelve months. In this duration most mothers will need help of some sort of medication, It could be for short term like could and flue or it could be something chronic like Arthritis or Diabetes and here comes the question of safety of medication in use. In this post we will figure out what is Relexxii | Methylphenidate Hydrochloride Tablet, Extended Release and whether its safe to use Relexxii | Methylphenidate Hydrochloride Tablet, Extended Release while nursing or not.
What is Relexxii | Methylphenidate Hydrochloride Tablet, Extended Release used for?
RELEXXII™ is indicated for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) in children 6 years of age and older, adolescents, and adults up to the age of 65 [see Clinical Studies (14)]. A diagnosis of Attention Deficit Hyperactivity Disorder (ADHD; DSM-IV) implies the presence of hyperactive-impulsive or inattentive symptoms that caused impairment and were present before age 7 years. The symptoms must cause clinically significant impairment, e.g., in social, academic, or occupational functioning, and be present in two or more settings, e.g., school (or work) and at home. The symptoms must not be better accounted for by another mental disorder. For the Inattentive Type, at least six of the following symptoms must have persisted for at least 6 months: lack of attention to details/careless mistakes; lack of sustained attention; poor listener; failure to follow through on tasks; poor organization; avoids tasks requiring sustained mental effort; loses things; easily distracted; forgetful. For the Hyperactive-Impulsive Type, at least six of the following symptoms must have persisted for at least 6 months: fidgeting/squirming; leaving seat; inappropriate running/climbing; difficulty with quiet activities; "on the go;" excessive talking; blurting answers; can't wait turn; intrusive. The Combined Type requires both inattentive and hyperactive-impulsive criteria to be met. RELEXXII™ is a CNS stimulant indicated for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) in children 6 years of age and older, adolescents, and adults up to the age of 65. (1) 1.1 Special Diagnostic Considerations Specific etiology of this syndrome is unknown, and there is no single diagnostic test. Adequate diagnosis requires the use of medical and special psychological, educational, and social resources. Learning may or may not be impaired. The diagnosis must be based upon a complete history and evaluation of the patient and not solely on the presence of the required number of DSM-IV characteristics. 1.2 Need for Comprehensive Treatment Program RELEXXII™ is indicated as an integral part of a total treatment program for ADHD that may include other measures (psychological, educational, social). Drug treatment may not be indicated for all patients with ADHD. Stimulants are not intended for use in patients who exhibit symptoms secondary to environmental factors and/or other primary psychiatric disorders, including psychosis. Appropriate educational placement is essential and psychosocial intervention is often helpful. When remedial measures alone are insufficient, the decision to prescribe stimulant medication will depend upon the physician's assessment of the chronicity and severity of the patient's symptoms.
Can I continue breastfeeding if I am using Relexxii | Methylphenidate Hydrochloride Tablet, Extended Release? How long does it stays in breast milk?
As per our analysis Relexxii | Methylphenidate Hydrochloride Tablet, Extended Release contains only one ingredient and that is Methylphenidate hydrochloride. We have analyzed Methylphenidate hydrochloride and it seems to be safe to use Methylphenidate hydrochloride while breastfeeding, that means usage of Relexxii | Methylphenidate Hydrochloride Tablet, Extended Release shall be safe while breastfeeding. Below you can check more details of Methylphenidate hydrochloride usage in breastfeeding. We recommend you to go through provided detailed analysis as below take decision accordingly.
Statement of Manufacturer/Labeler about breastfeeding usage
8.3 Nursing Mothers It is not known whether methylphenidate is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised if RELEXXII™ is administered to a nursing woman. In lactating female rats treated with a single oral dose of 5 mg/kg radiolabeled methylphenidate, radioactivity (representing methylphenidate and/or its metabolites) was observed in milk and levels were generally similar to those in plasma.
Relexxii | Methylphenidate Hydrochloride Tablet, Extended Release Breastfeeding Analsys
SafeCAS Number: 113-45-1
The amount excreted to breast milk is so small that it is not detected in breast-fed infants. No adverse side-effects have been reported. Check-up for milk production since it may decrease Prolactin excretion on theoretical basis.
Relexxii | Methylphenidate Hydrochloride Tablet, Extended Release Breastfeeding Analsys - 2
CAS Number: 113-45-1
In dosages prescribed for medical indications, limited evidence indicates that methylphenidate levels in milk are very low and not detectable in infant serum. The effects of methylphenidate in milk on the neurological development of the infant have not been well studied. If methylphenidate is required by the mother, it is not a reason to discontinue breastfeeding.[1] It is possible that large dosages of methylphenidate might interfere with milk production, especially in women whose lactation is not well established.

What if I already have used Relexxii | Methylphenidate Hydrochloride Tablet, Extended Release?
As usage of Relexxii | Methylphenidate Hydrochloride Tablet, Extended Release is mostly safe while breastfeeding hence there should not be any concern. In case of any change in behavior or health of your baby you should inform your health care provider about usage of Relexxii | Methylphenidate Hydrochloride Tablet, Extended Release else no further action is required.
My doctor has prescribed me Relexxii | Methylphenidate Hydrochloride Tablet, Extended Release, what should I do?
Usage of Relexxii | Methylphenidate Hydrochloride Tablet, Extended Release is safe for nursing mothers and baby, No worries.
If I am using Relexxii | Methylphenidate Hydrochloride Tablet, Extended Release, will my baby need extra monitoring?
No
Who can I talk to if I have questions about usage of Relexxii | Methylphenidate Hydrochloride Tablet, Extended Release in breastfeeding?
US
National Womens Health and Breastfeeding Helpline: 800-994-9662 (TDD 888-220-5446) 9 a.m. and 6 p.m. ET, Monday through Friday
UK
National Breastfeeding Helpline: 0300-100-0212 9.30am to 9.30pm, daily
Association of Breastfeeding Mothers: 0300-330-5453
La Leche League: 0345-120-2918
The Breastfeeding Network supporter line in Bengali and Sylheti: 0300-456-2421
National Childbirth Trust (NCT): 0300-330-0700
Australia
National Breastfeeding Helpline: 1800-686-268 24 hours a day, 7 days a week
Canada
Telehealth Ontario for breastfeeding: 1-866-797-0000 24 hours a day, 7 days a week
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