Dextroamphetamine Sulfate Capsule, Extended Release while Breastfeeding

What is Dextroamphetamine Sulfate Capsule, Extended Release used for?

Is using Dextroamphetamine Sulfate Capsule, Extended Release unsafe in breastfeeding? Can there be bad consequences for baby if I use it while breastfeeding?

Dextroamphetamine sulfate while Breastfeeding

CAS Number: 51-63-8

A sympathomimetic drug and central nervous system stimulant, it has a similar action and uses to amphetamine, its dextro isomer.It is used (GSK, 2007) in the treatment of narcolepsy (Wise, 2007) and Attention Deficit Hyperactivity Disorder (ADHD), and is also used as an illegal drug (Oei, 2012). It is excreted in breast milk, concentrating about 3 times more than in plasma. This concentration assumes a relative dose about 6% (Ilett, 2007). In infants whose mothers were taking dexamfetamine as treatment for ADHD, levels ranging from undetectable to 14% of maternal plasma levels have been measured and no problems were observed in the clinical follow-up of these infants (Ilett, 2007). There is little information on the impact of amphetamine abuse on the development and health of infants (Oei, 2012, Wise, 2007; Moretti, 2000), but it is known that they are more exposed to social problems, domestic violence, and lower breastfeeding rates (Oei, 2010). There is controversy over the possibly mild negative effect of amphetamine on prolactin (Petraglia, 1987; DeLeo, 1983), but milk production in mothers who took it therapeutically was not affected (Öhman, 2015). During breastfeeding, the therapeutic use (narcolepsy, ADHD) of dexamphetamine can be assessed, using the lowest possible effective dose and monitoring the occurrence of irritability, insomnia, lack of appetite and weight loss. Its use as an illegal drug is totally discouraged (Oei, 2012). See below the information of these related products:

Dextroamphetamine sulfate while Breastfeeding

CAS Number: 51-64-9

In dosages prescribed for medical indications, some evidence indicates that dextroamphetamine might not affect nursing infants adversely. The effect of dextroamphetamine in milk on the neurological development of the infant has not been well studied. It is possible that large dosages of dextroamphetamine might interfere with milk production, especially in women whose lactation is not well established. Relevant published information was not found as of the revision date on the safety of breastfeeding during amphetamine abuse. One expert recommends that amphetamines not be used therapeutically in nursing mothers.[1]

I already used Dextroamphetamine Sulfate Capsule, Extended Release and meanwhile I breastfed my baby should I be concerned?

My health care provider has asked me to use Dextroamphetamine Sulfate Capsule, Extended Release, what to do?

If I am using Dextroamphetamine Sulfate Capsule, Extended Release, will my baby need extra monitoring?

Who can I talk to if I have questions about usage of Dextroamphetamine Sulfate Capsule, Extended Release in breastfeeding?