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Breastfeeding Moms Breastfeeding Moms

Can you BF while taking keppra?

Posted by on Feb. 5, 2014 at 2:13 PM
  • 7 Replies

My friend had a seizure after having her baby.  They started her on keppra to prevent seizures.  The first doctor said she would not be able to breast feed while on keppra.  The second, saids she could.  Then the last one said she could, but he was not aware of very many studies done on breast feeding while on this medicaiton...  My friend is pumping and dumping for now.  She is hoping they take her off the medication completely in a month so she can BF.  Does anyone have any info or experiance with BF after a seizure?

by on Feb. 5, 2014 at 2:13 PM
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Replies (1-7):
K8wizzo
by Kate on Feb. 5, 2014 at 2:18 PM
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Maternal doses of levetiracetam up to 3500 mg daily produce low levels in milk and would not be expected to cause any adverse effects in breastfed infants, especially if the infant is older than 2 months. If levetiracetam is required by the mother, it is not a reason to discontinue breastfeeding. However, the infant should be monitored for drowsiness, adequate weight gain, and developmental milestones, especially in younger, exclusively breastfed infants and when using combinations of anticonvulsants. Maternal serum level monitoring and dosage adjustment is advisable in the early postpartum period if the drug was taken throughout pregnancy and breastfeeding.[1]
K8wizzo
by Kate on Feb. 5, 2014 at 2:19 PM
1 mom liked this
Basically, she can continue to breastfeed but make sure to watch for drowsiness, weight gain, and milestones
brenatens
by Member on Feb. 6, 2014 at 8:00 AM
Quoting K8wizzo: Basically, she can continue to breastfeed but make sure to watch for drowsiness, weight gain, and milestones


How about Coreg? It's another class 3 that they are concerned about.
K8wizzo
by Kate on Feb. 6, 2014 at 8:21 AM
1 mom liked this
I would have her call the Infant Risk Center and discuss her list of medications with them. They will be able to counsel her on the safety of using all of her meds together and continuing to breastfeed. The center is now open for calls from Monday through Friday, 8-5 pm Central Time. The number to call is (806) 352-2519.



Quoting brenatens:
Quoting K8wizzo: Basically, she can continue to breastfeed but make sure to watch for drowsiness, weight gain, and milestones




How about Coreg? It's another class 3 that they are concerned about.
mostlymaydays
by Group Mod-Stacy on Feb. 6, 2014 at 8:49 AM
^^^^ The Infant Risk Center exists to help pregnant and breastfeeding mothers, and their health practioners, make research - based decisions regarding medications. Please urge her to call them. It's so discouraging to still hear doctors say "the package insert says it's not safe" when EVERY medication is labeled by the manufacturer like that, including prenatal vitamins.
aehanrahan
by Group Mod - Amy on Feb. 6, 2014 at 4:44 PM
Yep!

Quoting mostlymaydays: ^^^^ The Infant Risk Center exists to help pregnant and breastfeeding mothers, and their health practioners, make research - based decisions regarding medications. Please urge her to call them. It's so discouraging to still hear doctors say "the package insert says it's not safe" when EVERY medication is labeled by the manufacturer like that, including prenatal vitamins.
brenatens
by Member on Feb. 7, 2014 at 11:27 PM
Quoting mostlymaydays: ^^^^ The Infant Risk Center exists to help pregnant and breastfeeding mothers, and their health practioners, make research - based decisions regarding medications. Please urge her to call them. It's so discouraging to still hear doctors say "the package insert says it's not safe" when EVERY medication is labeled by the manufacturer like that, including prenatal vitamins.


Thanks, I gave her that info
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