Dilantin | Phenytoin Sodium Capsule, Extended Release while Breastfeeding
What is Dilantin | Phenytoin Sodium Capsule, Extended Release used for?
Is Dilantin | Phenytoin Sodium Capsule, Extended Release safe to use while breastfeeding? Can it interfere with growth and development of my kid?
Nursing Mothers Infant breast-feeding is not recommended for women taking this drug because phenytoin appears to be secreted in low concentrations in human milk.
Dilantin | Phenytoin Sodium Capsule, Extended Release Breastfeeding Analsys
Phenytoin sodium while Breastfeeding
SafeCAS Number: 57-41-0
Type IB antiarrhythmic agent and anticonvulsant drug. It is excreted into breast milk in clinically non-significant amount and no problems have appeared on clinical follow up, and, long-term psychomotor development in infants whose mothers received this treatment, except in some isolated cases of patients who were on anticonvulsant polytherapy.Plasma levels in these infants were undetectable or very low. It may appear a withdrawal syndrome with hyperexcitability after abruptly stopping breastfeeding. It has been authorized for use in infants and newborns. American Academy of Pediatrics states that it is usually compatible with breastfeeding medication.WHO List of Essential Medicines 2002: compatible with breastfeeding.
Dilantin | Phenytoin Sodium Capsule, Extended Release Breastfeeding Analsys - 2
Phenytoin sodium while Breastfeeding
CAS Number: 57-41-0
Breastfeeding during phenytoin monotherapy does not appear to adversely affect infant growth or development, and breastfed infants had higher IQs and enhanced verbal abilities than nonbreastfed infants at 6 years of age in one study.[1] If phenytoin is required by the mother, it is not necessarily a reason to discontinue breastfeeding. Because of the low levels of phenytoin in breastmilk, amounts ingested by the infant are small and usually cause no difficulties in breastfed infants when used alone except for rare idiosyncratic reactions. Combination therapy with sedating anticonvulsants or psychotropics may result in infant sedation or withdrawal reactions. In one case report, maternal phenytoin dosage requirements decreased as breastfeeding was discontinued.[2]
What should I do if I am breastfeeding mother and I am already exposed to Dilantin | Phenytoin Sodium Capsule, Extended Release?
As usage of Dilantin | Phenytoin Sodium Capsule, 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 Dilantin | Phenytoin Sodium Capsule, Extended Release else no further action is required.
My health care provider has asked me to use Dilantin | Phenytoin Sodium Capsule, Extended Release, what to do?
Definitely, Dilantin | Phenytoin Sodium Capsule, Extended Release is safe in lactation for baby. No wonder your doctor has recommended it.
If I am using Dilantin | Phenytoin Sodium Capsule, Extended Release, will my baby need extra monitoring?
No extra baby monitoring required while mother is using Dilantin | Phenytoin Sodium Capsule, Extended Release
Who can I talk to if I have questions about usage of Dilantin | Phenytoin Sodium Capsule, 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