> The "awesome pharmacist" was quite on about Neurontin.
> It is not quite that hard to call though, and I would be a little more
> definitive.
> My reply would have been:
> Neurontin is commonly used in children, and we at the NIH have not noted
> any particular pediatric concerns with its use by breastfeeding mothers.
> It does have a low molecular weight and is only 3 percent protein bound,
> so it probably does get into breast milk.
> Therefore, I would monitor for drowsiness, poor sucking, and tiredness.
> If not observed, I would not be too concerned.  I would not do more than
> one blood test on the baby for levels of Neurontin, and would do so only
> to allay any concerns, especially if no side effects are seen in the
> infant.
> Frank J. Nice, DPA, CPHP

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