Carnexiv | Carbamazepine Injection, Powder, For Solution while Breastfeeding

What is Carnexiv | Carbamazepine Injection, Powder, For Solution used for?

Is Carnexiv | Carbamazepine Injection, Powder, For Solution safe to use while breastfeeding? Can it interfere with growth and development of my kid?

Carbamazepine while Breastfeeding

CAS Number: 298-46-4

Excreted into breast milk in moderate amount that could arrive to be significant. Most infants reported were not found of suffering clinical issues at short or long term. However, serum levels have reached a low range of therapeutic levels, with isolated cases of somnolence, poor feeding and transient liver dysfunction with associated cholestasis. One case of Deprivation Syndrome has been reported after sudden discontinuation of medication. The American Academy of Pediatrics rates it as usually compatible with Breastfeeding. Eleventh WHO Model List of Essential Drugs 2002: Compatible with breastfeeding.

Carbamazepine while Breastfeeding

CAS Number: 298-46-4

Breastfeeding during carbamazepine 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 carbamazepine is required by the mother, it is not necessarily a reason to discontinue breastfeeding. Carbamazepine has relatively high levels in breastmilk and breastfed infants have serum levels that are measurable, but usually below the anticonvulsant therapeutic range. Most infants have had no adverse reactions, but sedation, poor sucking, withdrawal reactions and 3 cases of hepatic dysfunction have been reported. These have all been complicated because of intrauterine exposure and, in some cases, concurrent drug therapy. Monitor the infant for jaundice, drowsiness, adequate weight gain, and developmental milestones, especially in younger, exclusively breastfed infants and when using combinations of anticonvulsant or psychotropic drugs. One author recommends monitoring infant serum carbamazepine levels, liver enzymes, and a complete blood count during therapy.[2]

What should I do if I am breastfeeding mother and I am already exposed to Carnexiv | Carbamazepine Injection, Powder, For Solution?

My health care provider has asked me to use Carnexiv | Carbamazepine Injection, Powder, For Solution, what to do?

If I am using Carnexiv | Carbamazepine Injection, Powder, For Solution, will my baby need extra monitoring?

Who can I talk to if I have questions about usage of Carnexiv | Carbamazepine Injection, Powder, For Solution in breastfeeding?