Is metoprolol safe to take while breastfeeding?

Is Metoprolol Safe to Take While Breastfeeding?
Metoprolol, a commonly prescribed beta-blocker used to manage conditions such as high blood pressure and heart issues, raises important questions regarding its safety for breastfeeding mothers. As more women navigate the complexities of medication during lactation, understanding the implications of taking metoprolol while nursing is crucial.
Low Levels in Breast Milk
Research indicates that metoprolol is excreted into breast milk, but the quantities are notably low. According to the Drugs and Lactation Database (LactMed), the amounts of metoprolol that an infant would ingest through breast milk are minimal and are not expected to cause adverse effects. Studies conducted on breastfeeding mothers taking metoprolol have not reported any significant side effects in their infants. This is reassuring for mothers who may be concerned about the potential impact of their medication on their breastfeeding child.
Monitoring for Symptoms
While the risk appears low, healthcare providers often advise mothers to remain vigilant for any unusual symptoms in their infants. Signs such as a slow heart rate, excessive sleepiness, feeding difficulties, or pale skin should prompt immediate consultation with a pediatrician. This precautionary approach ensures that any potential issues can be addressed promptly, although such occurrences are rare.
Expert Recommendations
The American Academy of Pediatrics categorizes metoprolol as generally compatible with breastfeeding. This endorsement is based on the drug’s pharmacokinetics, which suggest a low risk of accumulation in breastfed infants due to its moderate half-life and low protein binding. Furthermore, the NHS provides guidance affirming that metoprolol can be taken during breastfeeding, reinforcing the consensus among medical professionals regarding its safety.
Conclusion
In summary, metoprolol is considered safe for breastfeeding mothers, with minimal transfer to breast milk and no reported adverse effects in infants. However, as with any medication, it is essential for mothers to communicate openly with their healthcare providers about their treatment plans and to monitor their infants for any signs of distress. This collaborative approach ensures both the health of the mother and the well-being of the child during the breastfeeding period.

How do beta-blockers affect the baby?

Beta-blockers have been used widely in pregnancy and are generally considered relatively safe, but their use has been associated with an increased risk of growth restriction, preterm birth and neonatal morbidity and mortality.

Can high blood pressure affect milk supply?

Other factors that can affect milk production include: Premature birth. Maternal obesity. Pregnancy-induced high blood pressure.

Is metoprolol safe during breastfeeding?

Metoprolol passes into breast milk in very small amounts. It has not been known to cause any side effects in breastfed babies. It is important to keep taking metoprolol to keep you well. Breastfeeding will also benefit both you and your baby.

What is the safest blood pressure medication while breastfeeding?

women should be informed that the following drugs have no known adverse effects on babies receiving breast milk:

• labetalol.
• nifedipine.
• enalapril.
• captopril.
• atenolol.
• metoprolol.

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

Does metoprolol have side effects on babies?

A small number of pregnant women taking metoprolol have been studied, with no concerns raised that its use causes birth defects or preterm birth. Metoprolol belongs to a family of medicines called beta blockers. Studies have also not shown that beta blockers cause birth defects, stillbirth or preterm birth.

Can metoprolol affect the fetus?

Metoprolol use in late pregnancy may cause the baby to have symptoms such as slowed heart rate and low blood sugar. Talk with your healthcare providers about your use of metoprolol so that if symptoms occur your baby can get the care that is best for them.

What is a nursing consideration when giving metoprolol?

Monitor BP, ECG, and pulse frequently during dose adjustment and periodically during therapy. Monitor frequency of prescription refills to determine compliance. Monitor vital signs and ECG every 5–15 min during and for several hrs after parenteral administration.

What beta-blockers are safe while breastfeeding?

Recommendation. Labetalol, metoprolol, and propranolol are the beta-blockers of choice during breastfeeding. Very small amounts get into breast milk, and they have shorter half-lives leading to a lower risk of accumulation in a breastfed infant.

Who should avoid metoprolol?

To make sure it’s safe for you, tell your doctor before starting metoprolol if you have: ever had an allergic reaction to metoprolol or any other medicine. low blood pressure (hypotension) or a slow heart rate. lung disease or severe asthma.