CAS Number: 84625-61-6
Pharmacokinetic data (moderately high molecular weight and high protein binding capacity) explain its nil or negligible amount observed in breast milk (McNamara, 2004), such that a breastfed infant would receive a maximum of 35 micrograms per day of Itraconazole, amount which is a hundred times lower than the pediatric dose of 5 mg / kg / day currently recommended (Janssen Cazzaniga 2014 and 1996) Both, low oral bioavailability and alkaline pH hinder its absorption from ingested milk. It is used to treat fungal infections in children, including premature babies, with a good tolerance. Itraconazole significantly increases plasma concentrations of Domperidone, which must be taken into account in case of simultaneous administration of both drugs.
CAS Number: 84625-61-6
No information is available on the clinical use of itraconazole during breastfeeding. However, limited data indicate that maternal itraconazole produces levels in milk that are less than the 5 mg/kg daily doses that have been recommended to treat infants. Until more data become available, an alternate drug may be preferred, especially while nursing a newborn or preterm infant.
It is always a good idea to keep your healthcare provider or doctor informed about your drug usage during pregnancy and breastfeeding but if you have not informed your doctor about Itraconazole Solution and have used it then do not panic as Itraconazole Solution is mostly safe in breastfeeding and should not cause any harm to your baby.
Definitely, Itraconazole Solution is safe in lactation for baby. No wonder your doctor has recommended it.
No extra baby monitoring required while mother is using Itraconazole Solution
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
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