Gengraf and Breastfeeding

Whether or not a woman can take Gengraf (cyclosporine) while breastfeeding still seems subject to debate. The manufacturer advises against it; however, some healthcare providers believe that the drug is not likely to cause problems, especially if the breastfeeding child is at least two months old. It is best to discuss the matter with your healthcare provider, who knows your situation best.

Can Breastfeeding Women Take Gengraf?

Gengraf® (cyclosporine) is passed through breast milk in humans. The manufacturer recommends the medication not be used in breastfeeding women. Therefore, if you breastfeeding or thinking of breastfeeding, talk with your healthcare provider prior to beginning treatment.
 

More Information About Gengraf and Breastfeeding

Gengraf has been shown to pass through human breast milk in small amounts. Researchers have estimated that, in general, a nursing infant would likely receive no more than 2 percent of the mother's Gengraf dosage. In many cases, the infant may receive so little of the medicine that it is not even detectable in their blood.
 
There have been no published reports of serious problems occurring in nursing infants whose mothers took Gengraf. However, because the medicine has not been thoroughly studied in breastfeeding women, all possible problems cannot be ruled out.
 
Because of the potential for serious side effects from Gengraf use, many experts advise against breastfeeding during Gengraf treatment. However, other experts suggest that the drug is unlikely to cause problems, especially if the nursing child is at least two months of age.
 
If your healthcare provider recommends Gengraf while breastfeeding, watch for any possible side effects in your nursing child. Contact your child's healthcare provider if you notice any of the following:
 
  • Difficulty eating
  • Tremor
  • Diarrhea
  • Excessive crying
  • Anything else that just doesn't seem right.
     
If the healthcare provider suspects your child may be experiencing medication side effects, he or she may choose to do simple blood tests to determine if any Gengraf is measurable in your child's bloodstream.
 
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