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Can you breastfeed with Keppra?

Breastfeeding and Keppra: What You Need to Know
Overview of Keppra
Keppra, known generically as levetiracetam, is an antiepileptic medication commonly prescribed to manage seizures in various types of epilepsy. It works by stabilizing electrical activity in the brain, thereby reducing the frequency and severity of seizures. As with any medication, particularly those taken by nursing mothers, it’s essential to understand the implications of breastfeeding while on Keppra.
Safety Profile During Breastfeeding
Research indicates that Keppra is generally considered to be safe for breastfeeding mothers. According to the American Academy of Pediatrics, levetiracetam is categorized as a medication that is usually compatible with breastfeeding. This classification is based on several studies that have shown that the levels of the drug in breast milk are relatively low, meaning that it is unlikely to adversely affect a nursing infant.
One key study found that the concentration of Keppra in breast milk was approximately 10% of the maternal plasma level, which is a low amount. This suggests that while the infant may receive some exposure to the medication through breast milk, the quantities are minor and typically not of concern.
Potential Effects on Infants
While the data supports the safety of breastfeeding while on Keppra, it is still crucial for mothers to monitor their infants for any potential side effects. Some reported effects, though rare, can include:
– Drowsiness or lethargy: Infants may exhibit increased sleepiness, which could be a response to exposure to the medication.
– Feeding difficulties: Any change in feeding patterns should be noted, as it could indicate an adverse reaction.
Healthcare providers often recommend close observation during the initial weeks of breastfeeding while on Keppra, particularly to establish that the infant is feeding well and developing normally.
Consulting Healthcare Professionals
It is essential for mothers considering breastfeeding while on Keppra to have an open dialogue with their healthcare provider. Doctors can provide personalized guidance based on an individual’s health history, the dosage of Keppra, and the specific needs of both the mother and the child.
Conclusion
In summary, breastfeeding while taking Keppra is generally deemed safe, with minimal transmission of the drug to breast milk. However, as with any medication, it is vital for nursing mothers to consult with their healthcare professionals to ensure the best outcomes for both themselves and their babies. Regular monitoring and communication can help address any concerns that may arise, ensuring a healthy breastfeeding experience.

Which drug is usually avoided with breastfeeding?

Table. Examples of drugs contraindicated in breastfeeding.

Drug Comment
Iodine High doses (>150 micrograms daily) lead to risk of infant hypothyroidism
Lithium Breastfeeding only feasible with rigorous monitoring
Radiopharmaceuticals Contact obstetric information service
Retinoids (oral) Potential for serious adverse effects

What pregnancy category is Keppra?

US FDA pregnancy category C: Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

Is Keppra safe during breastfeeding?

Well back to Your pregnancy, You guys will be fine on keppra and breastfeeding as well. Just remember to take your folic acid and prenatals daily! Dont stress, and enjoy the belly. I have decided to not have any more kids after this one, and just enjoy them both.

Can you breastfeed while on seizure medication?

Breastfeeding is safe and should be encouraged for most women taking most commonly prescribed anti-seizure medications.

Can Keppra affect a fetus?

Around 2,500 babies exposed to levetiracetam during pregnancy have been studied in total and, overall, there is no concern of a link with birth defects.

What are the nursing considerations for Keppra?

Nursing considerations

  • Observe for signs of adverse effects.
  • Monitor fluid balance closely.
  • Do not administer the injection undiluted via the intravenous route.
  • Assess and document any signs of seizure activity.

Can Keppra affect babies?

A new report from the U.K. and Ireland Epilepsy and Pregnancy Registers suggests that the risk of malformations associated with levetiracetam (LVT, Keppra) use during pregnancy is low.

Is levETIRAcetam excreted in breast milk?

In conclusion, LEV readily crosses the placenta and is excreted into breast milk. Breast-fed infants usually have very low LEV serum concentrations, probably due to a rapid elimination of LEV. Women with epilepsy should in general be encouraged to nurse their infants. Treatment with LEV is no exception.

What does Keppra do to a fetus?

Recent studies carried out by the Commission on Human Medicines (CHM), looking at the risks associated with commonly prescribed ASMs shows that lamotrigine (Lamictal) and levetiracetam (Keppra) are safer to use during pregnancy than other ASMs, having low rates of physical birth abnormalities, in line with the …

What is the best antiepileptic drug for breastfeeding?

Therefore, gabapentin, lamotrigine, oxcarbazepine, vigabatrin, tiagabine, pregabalin, leviracetam and topiramate are compatible with breastfeeding with a less documented safety profile. Ethosuximide, zonisamide and the continue use of clonazepam and diazepam are contraindicated during breastfeeding.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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