Morphine Sulfate Er | Morphine Sulfate Tablet, Film Coated, Extended Release while Breastfeeding
What is Morphine Sulfate Er | Morphine Sulfate Tablet, Film Coated, Extended Release ?
Is using Morphine Sulfate Er | Morphine Sulfate Tablet, Film Coated, Extended Release safe or dangerous while breastfeeding?
8.3 Nursing Mothers Morphine is excreted in breast milk, with a milk to plasma morphine AUC ratio of approximately 2.5:1. The amount of morphine received by the infant varies depending on the maternal plasma concentration, the amount of milk ingested by the infant, and the extent of first pass metabolism. Withdrawal signs can occur in breast-feeding infants when maternal administration of morphine is stopped. Because of the potential for adverse reactions in nursing infants from morphine sulfate extended-release tablets, a decision should be made whether to discontinue nursing or discontinue the drug, taking into account the importance of the drug to the mother.
Morphine Sulfate Er | Morphine Sulfate Tablet, Film Coated, Extended Release Breastfeeding Analsys
Morphine sulfate while Breastfeeding
Low RiskCAS Number: 57-27-2
Excretion into breast milk is low (even lower when administered through Epidural Anesthesia). In addition, a low oral bioavailability makes that the amount present in the infant's plasma due to absorption from milk by the gut is low. Even though, level of drug has been found in the plasma of infants from treated mothers, harmful effects in the infants were not reported. Levels in the milk are lower and side-effects are fewer among infants whose mothers were treated with Morphine than with Pethidine. Some authorities consider Morphine as the elective opioid medication for breastfeeding mothers. Analgesia used during the birth process is related to a brief delayed of stage II of Lactogenesis (milk come-in). Morphine increases Prolactin level and may decrease Oxytocin level, but it would not be determinant for already established lactations. Avoidance of repetitive or chronic use and follow-up for somnolence and adequacy of infant nourishment is recommended. Bed-sharing should be avoid whenever this medication is used by parents. The American Academy of Pediatrics rates it as compatible with breastfeeding.
Morphine Sulfate Er | Morphine Sulfate Tablet, Film Coated, Extended Release Breastfeeding Analsys - 2
Morphine sulfate while Breastfeeding
CAS Number: 57-27-2
Epidural morphine given to mothers for postcesarean section analgesia results in trivial amounts of morphine in their colostrum and milk. Intravenous or oral doses of maternal morphine in the immediate postpartum period result in higher milk levels than with epidural morphine. Labor pain medication may delay the onset of lactation. Maternal use of oral narcotics during breastfeeding can cause infant drowsiness, central nervous system depression and even death, although low-dose morphine might be preferred over other opiates.[1] Newborn infants seem to be particularly sensitive to the effects of even small dosages of narcotic analgesics. Once the mother's milk comes in, it is best to provide pain control with a nonnarcotic analgesic and limit maternal intake of morphine to a 2 to 3 days at a low dosage with close infant monitoring, especially in the outpatient setting.[2] If the baby shows signs of increased sleepiness (more than usual), difficulty breastfeeding, breathing difficulties, or limpness, a physician should be contacted immediately.
I already used Morphine Sulfate Er | Morphine Sulfate Tablet, Film Coated, Extended Release and meanwhile I breastfed my baby should I be concerned?
During whole lactation period you shall first discuss with your doctor and then together you shall decide whether you shall take that drug or not however if you have already taken Morphine Sulfate Er | Morphine Sulfate Tablet, Film Coated, Extended Release then you shall inform your doctor, But you should not be worried too much as Morphine Sulfate Er | Morphine Sulfate Tablet, Film Coated, Extended Release comes in category of low risk drug.
My doctor has prescribed me Morphine Sulfate Er | Morphine Sulfate Tablet, Film Coated, Extended Release, what should I do?
Though Morphine Sulfate Er | Morphine Sulfate Tablet, Film Coated, Extended Release dose not comes in category of safe drugs rather it comes in category of low risk but if your doctor is aware that you are breastfeeding your baby and has still recommended it then its advantages must be outweighing the risks.
If I am using Morphine Sulfate Er | Morphine Sulfate Tablet, Film Coated, Extended Release, will my baby need extra monitoring?
Not much
Who can I talk to if I have questions about usage of Morphine Sulfate Er | Morphine Sulfate Tablet, Film Coated, 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