As a rule, pregnant and breastfeeding mothers are kept off drugs
so that the baby is not affected in any way. Delivering a healthy baby
is every woman’s dream, and she sacrifices a lot for her baby’s
However, certain complications may arise during pregnancy or at the time
of breastfeeding, which may necessitate the use of drugs. Here is some
important information that could facilitate in choosing the drugs that
are safe for you and your baby. The information provided in this article
is for information and you should consult your physician before taking
any drug mentioned in this article.
Reglan and Breast Feeding
the baby is developing in the mother’s womb, hormonal changes in
the mother’s body set off the process for milk production. The moment
the baby is born, she should have enough breast milk to feed her rapidly
At times, some mothers may have a problem and not be able to produce milk
or not produce enough milk for the baby’s needs. There can be a
number of reasons for this. The mother may be ill; she may have had a
breast surgery, or adopted a baby.
Reglan is a drug that is primarily used in infants, children, and adults
for upper gastrointestinal problems. However, Reglan and breast-feeding
have a relationship. As a side effect, Reglan increases the production
of prolactin, a milk-producing hormone. Prolactin, in conjunction with
regular breast pumping enhances the production of breast milk.
Women normally take a 10 mg tablet, three to four times a day for one
week, and stop using it by gradually decreasing the dose over the next
one week. The milk producing effects begins in about 2 to 4 days and milk
production increases when accompanied by pumping 6 to 8 times per day.
It is important to empty the breasts frequently, at night also. A small
quantity of Reglan finds its way into the mother’s milk. Reglan
is safely given to infants for upper gastrointestinal problems; it does
not have infant side effects.
Reglan and Side Effects
According to studies, Reglan has no side effects on infants, but you may
watch out for decreased appetite and sleepiness. A small percentage of
mothers do have side effects ranging from fatigue, restlessness, and drowsiness
to diarrhea. You may refer to your physician or the manufacturers’
information for detailed information on the side effect profile of Reglan.
Zoloft and Breast Feeding
It is believed that sertraline (Zoloft) present in breast milk is safer
for the baby. According to some studies, Zoloft could not be found in
breast milk. However, some recent studies have confirmed the presence
of Zoloft in breast milk in very small amounts. The hind-milk contains
the highest concentrations of Zoloft 7 to 10 hours after taking the tablet.
Hind-milk, with high fat content, is the milk that follows the fore milk
with more water content.
Zoloft is taken once a day, and the concentration of the drug is found
to be the lowest an hour before the drug is taken. Breast feeding babies
receive only 0.3 percent of the mother’s dose. It is best to nurse
the baby an hour before you take the drug. At other times, you may breast
feed the baby for a brief period avoiding the hind-milk. If you are off
the drug, then you must ensure that the high-fat hind-milk is made available
for the baby.
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