Oxcarbazepine Suspension Breastfeeding
Modern medicine has evolved so much so that sooner or later every breastfeeding mother needs to take it in one form or other. Medication that is present in mothers blood will transfer into her breast milk to some extent. Most drugs do so at low levels and pose no real risk to infants but then there are some exceptions. In This post will discuss whether Oxcarbazepine Suspension is safe in breast-feeding or not.

What is Oxcarbazepine Suspension used for?


Oxcarbazepine oral suspension, USP is indicated for use as monotherapy or adjunctive therapy in the treatment of partial seizures in adults and as monotherapy in the treatment of partial seizures in children aged 4 years and above with epilepsy, and as adjunctive therapy in children aged 2 years and above with partial seizures. Oxcarbazepine, USP is an antiepileptic drug indicated for: Adults: -Monotherapy or adjunctive therapy in the treatment of partial seizures Children: -Monotherapy in the treatment of partial seizures in children 4 to 16 years -Adjunctive therapy in the treatment of partial seizures in children 2 to 16 years (1)

Is Oxcarbazepine Suspension usage safe while breastfeeding? If a lactating mother is using it can there be any effect on growth or development of infant?

Oxcarbazepine Suspension safe for breastfeeding
As per our analysis Oxcarbazepine Suspension contains only one ingredient and that is Oxcarbazepine. We have analyzed Oxcarbazepine and it seems to be safe to use Oxcarbazepine while breastfeeding, that means usage of Oxcarbazepine Suspension shall be safe while breastfeeding. Below you can check more details of Oxcarbazepine 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 Oxcarbazepine and its active metabolite (MHD) are excreted in human milk. A milk-to-plasma concentration ratio of 0.5 was found for both. Because of the potential for serious adverse reactions to oxcarbazepine in nursing infants, a decision should be made about whether to discontinue nursing or to discontinue the drug in nursing women, taking into account the importance of the drug to the mother.

Oxcarbazepine Suspension Breastfeeding Analsys


Oxcarbazepine while Breastfeeding

Safe

CAS Number: 28721-07-5

A derivative of carbamazepine with a very similar chemical structure and therapeutic action. It is rapidly and extensively metabolised to licarbazepine (MHD), its active metabolite. It is excreted in breast milk in clinically insignificant amounts (Lutz 2007, Bulau 1988) and no problems have been observed in infants whose mothers have taken it (Lutz 2007, Tomson 2007, Eisenschenk 2006, Gentile 2003, Bulau 1988). Plasma levels in these infants were very low, less than 5% of maternal plasma levels (Öhman 2009, Lutz 2007). Carbamazepine (see specific information) is considered compatible with breastfeeding by the American Academy of Pediatrics (AAP 2001) and thus appears on the list of WHO essential medicines (WHO/UNICEF 2002). Given the proven benefits of breastfeeding and despite the fact that there is a lack of reports on the safety of oxcarbazepine, several expert authors consider it safe to take during breastfeeding (Uguz 2016, Reimers 2014, Davanzo 2013, Bar-Oz 2000). Furthermore, as an integral and important part of the experience of motherhood, the American Academy of Neurology and the American Academy of Pediatrics advise that mothers undergoing anti-epileptic treatment can breastfeed (Pack 2006). Plasma levels of oxcarbazepine and its metabolite MHD decrease slightly during pregnancy and increase significantly in the immediate postpartum period. Therefore, close monitoring of these levels is required to adjust the dosage of the drug (Mazzucchelli 2006) See below the information of these related products:


Oxcarbazepine Suspension Breastfeeding Analsys - 2


Oxcarbazepine while Breastfeeding

CAS Number: 28721-07-5

Limited information indicates that oxcarbazepine would not be expected to cause any adverse effects in breastfed infants, especially if the infant is older than 2 months. Monitor the infant for drowsiness, adequate weight gain, and developmental milestones, especially in younger, exclusively breastfed infants and when using combinations of anticonvulsants.



I am nursing mother and I have already used Oxcarbazepine Suspension, what should I do?

As usage of Oxcarbazepine Suspension 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 Oxcarbazepine Suspension else no further action is required.


I am nursing mother and my doctor has suggested me to use Oxcarbazepine Suspension, is it safe?

Definitely, Oxcarbazepine Suspension is safe in lactation for baby. No wonder your doctor has recommended it.


If I am using Oxcarbazepine Suspension, will my baby need extra monitoring?

No extra baby monitoring required while mother is using Oxcarbazepine Suspension


Who can I talk to if I have questions about usage of Oxcarbazepine Suspension 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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