Tegretol Xr | Carbamazepine Tablet, Extended Release Breastfeeding
American Academy of Pediatrics and other medical experts exclusively recommend to breastfeed the baby for first 6 months. Once you introduce baby to other foods it is recommended to breastfeed for at least first year of babys life. Taking medication while breastfeeding could be tricky as most drugs pass in breast milk. In this article we will evaluate Tegretol Xr | Carbamazepine Tablet, Extended Release for its safety in breastfeeding.

What is Tegretol Xr | Carbamazepine Tablet, Extended Release used for?


Epilepsy Tegretol is indicated for use as an anticonvulsant drug. Evidence supporting efficacy of Tegretol as an anticonvulsant was derived from active drug-controlled studies that enrolled patients with the following seizure types: Partial seizures with complex symptomatology (psychomotor, temporal lobe). Patients with these seizures appear to show greater improvement than those with other types. Generalized tonic-clonic seizures (grand mal). Mixed seizure patterns which include the above, or other partial or generalized seizures. Absence seizures (petit mal) do not appear to be controlled by Tegretol (see PRECAUTIONS, General). Trigeminal Neuralgia Tegretol is indicated in the treatment of the pain associated with true trigeminal neuralgia. Beneficial results have also been reported in glossopharyngeal neuralgia. This drug is not a simple analgesic and should not be used for the relief of trivial aches or pains.

Is using Tegretol Xr | Carbamazepine Tablet, Extended Release unsafe in breastfeeding? Can there be bad consequences for baby if I use it while breastfeeding?

Tegretol Xr | Carbamazepine Tablet, Extended Release safe for breastfeeding
As per our analysis Tegretol Xr | Carbamazepine Tablet, Extended Release contains only one ingredient and that is Carbamazepine. We have analyzed Carbamazepine and it seems to be safe to use Carbamazepine while breastfeeding, that means usage of Tegretol Xr | Carbamazepine Tablet, Extended Release shall be safe while breastfeeding. Below you can check more details of Carbamazepine usage in breastfeeding. We recommend you to go through provided detailed analysis as below take decision accordingly.

Statement of Manufacturer/Labeler about breastfeeding usage
Nursing Mothers Tegretol and its epoxide metabolite are transferred to breast milk. The ratio of the concentration in breast milk to that in maternal plasma is about 0.4 for Tegretol and about 0.5 for the epoxide. The estimated doses given to the newborn during breastfeeding are in the range of 2 to 5 mg daily for Tegretol and 1 to 2 mg daily for the epoxide. Because of the potential for serious adverse reactions in nursing infants from carbamazepine, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.

Tegretol Xr | Carbamazepine Tablet, Extended Release Breastfeeding Analsys


Carbamazepine while Breastfeeding

Safe

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.

Tegretol Xr | Carbamazepine Tablet, Extended Release Breastfeeding Analsys - 2


Carbamazepine while Breastfeeding

CAS Number: 298-46-4

Tegretol Xr | Carbamazepine Tablet, Extended Release and breastfeeding

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]

Tegretol Xr | Carbamazepine Tablet, Extended Release safe for breastfeeding

I already used Tegretol Xr | Carbamazepine Tablet, Extended Release and meanwhile I breastfed my baby should I be concerned?

Tegretol Xr | Carbamazepine Tablet, Extended Release is safe in breastfeeding and should not create any health problem for your baby but in case you feel any health issue associated with Tegretol Xr | Carbamazepine Tablet, Extended Release you should contact your doctor or health care provider. Be it pregnancy or lactation you shall keep your doctor informed.


My health care provider has asked me to use Tegretol Xr | Carbamazepine Tablet, Extended Release, what to do?

Definitely, Tegretol Xr | Carbamazepine Tablet, Extended Release is safe in lactation for baby. No wonder your doctor has recommended it.


If I am using Tegretol Xr | Carbamazepine Tablet, Extended Release, will my baby need extra monitoring?

No extra baby monitoring required while mother is using Tegretol Xr | Carbamazepine Tablet, Extended Release


Who can I talk to if I have questions about usage of Tegretol Xr | Carbamazepine Tablet, 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

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