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Can I Nurse A Child While Having Saphris For Bipolar Disorder?
Question: Hi
I have bipolar and due to having a child had to go back on my medication called Saphris a antipsc med can I nurse while taking this??
I have bipolar and due to having a child had to go back on my medication called Saphris a antipsc med can I nurse while taking this??
Brief Answer:
Not recommended during lactation
Detailed Answer:
Thanks for asking on Healthcaremagic.
Saphris contains Asenapine which has been shown to be excreted in milk of rats during lactation. Although it is not known whether it is excreted in human milk and because there is no published experience with asenapine during breastfeeding, an alternate drug would be more preferable, especially while nursing a newborn. Please talk to your psychiatrist about changing the medicine.
Not recommended during lactation
Detailed Answer:
Thanks for asking on Healthcaremagic.
Saphris contains Asenapine which has been shown to be excreted in milk of rats during lactation. Although it is not known whether it is excreted in human milk and because there is no published experience with asenapine during breastfeeding, an alternate drug would be more preferable, especially while nursing a newborn. Please talk to your psychiatrist about changing the medicine.
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
is there any long term affects of Keppra and Tegrotol with feeding for 3mths and having medication during pregnancy???
Brief Answer:
Both of the drugs can be taken while breast feeding
Detailed Answer:
Thanks for writing back.
Maternal doses of Keppa which contains levetiracetam even if given in doses up to 3500 mg daily produce low levels in milk and would not be expected to cause any adverse effects in breastfed infants in short or long term.
Tegrotol contains Carbamazepine which is used by a lot of patients. It is also now considered to be compatible with breast-feeding and would not cause any long term side effect.
If you have taken the drugs during pregnancy, although it increases the possibility of having congenital malformations, if you have already given birth, the final result is already before you. Please mention if you have already delivered the baby or are still to deliver.
Both of the drugs can be taken while breast feeding
Detailed Answer:
Thanks for writing back.
Maternal doses of Keppa which contains levetiracetam even if given in doses up to 3500 mg daily produce low levels in milk and would not be expected to cause any adverse effects in breastfed infants in short or long term.
Tegrotol contains Carbamazepine which is used by a lot of patients. It is also now considered to be compatible with breast-feeding and would not cause any long term side effect.
If you have taken the drugs during pregnancy, although it increases the possibility of having congenital malformations, if you have already given birth, the final result is already before you. Please mention if you have already delivered the baby or are still to deliver.
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
concerning to answer to last question my babys is 3 and a half months old now in my last two babies and XXXXXXX had low platelet count which by blood test results was to do with a genetic factor between myself and my partner but due to that factor my baby was four weeks XXXXXXX so was my second youngest which he was 5weeks XXXXXXX with all these factors aswell and from what you have said in last reply I just want confirmation that in reality I have nothing to worry about concerning the drugs I stopped feeding a lot earlier with my other two for the same reason but went longer with XXXXXXX in Nursing my other two were abit behind in developemental XXXXXXX was the worst I had higher doses of meds and he also had a worse case with low platelets
Brief Answer:
No need to worry.
Detailed Answer:
Thanks for writing back. I have gone through the details and assure you that there is nothing to worry. I hope that Keppra and tegretol would be able to take care of your problems and changing the drugs will not create problems. I do not think any major problems will occur due to the previous breastfeeding on the meds. The children should be fine but you will have to account for their prematurity. For a child born 5 weeks preterm the corrected age would be 5 weeks lesser from birth date. So he would naturally be expected to reach the developmental milestones proportionately late. I would not grow apprehensive about the low platelet issue as of now.
Take care. Wishing you and your family good health.
No need to worry.
Detailed Answer:
Thanks for writing back. I have gone through the details and assure you that there is nothing to worry. I hope that Keppra and tegretol would be able to take care of your problems and changing the drugs will not create problems. I do not think any major problems will occur due to the previous breastfeeding on the meds. The children should be fine but you will have to account for their prematurity. For a child born 5 weeks preterm the corrected age would be 5 weeks lesser from birth date. So he would naturally be expected to reach the developmental milestones proportionately late. I would not grow apprehensive about the low platelet issue as of now.
Take care. Wishing you and your family good health.
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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