Subject: | |
From: | |
Reply To: | |
Date: | Wed, 14 Feb 2018 04:43:43 -0800 |
Content-Type: | text/plain |
Parts/Attachments: |
|
|
Louanne , can the mother ask the doctor about other medications that may be
as effective but not as new (thus no research yet available)?
Often medications chosen are based on the latest sales rep that has been by
the office or at a conference they attended, but not necessarily that it is
hugely more effective than the one used for the previous 10 years.
Just wondering..
I did find this in e-Lactancia.org under the Spanish name: cinitaprida:
http://www.e-lactancia.org/breastfeeding/cinitapride/product/ .I
highlighted another reason this mom may want to change meds.
Benzamide-type drug that is similar to Cisapride.
At latest update no published data on excretion into breast milk were found.
Drug that is poorly documented in the scientific literature. It seems to be
lacking of side effects (QT-interval prolongation, cardiac arrhythmias) that
led to the withdrawal of Cisapride.
Until more published information about this drug regarding breastfeeding
appears, it may be preferable a known and safer alternative, especially
during the neonatal period and in cases of prematurity.
And, as you suspected, the alternatives listed in e-lactancia are
familiar..and also challenging for different reasons.
Alternatives
* Domperidone (Very Low Risk)
* Metoclopramide (Very Low Risk)
Jeanette Panchula, BA-SW, RN, PHN, IBCLC
Vacaville, CA
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
|
|