Debbie,
    From Tom Hale's "Medications and Mother's Milk - 2002" :
    "Pantoprazole (Protonix) is a proton-pump inhibitor similar to
omeprazole (Prilosec).  It is used primarily to suppress acid production in
the stomach for treatment of gastroesophageal reflux or peptic ulcer
disease.  The pharmaceutical manufacturer reports 0.02% of an administsered
dose is excreted into milk.  As with all the proton-pump inhibitors,
pantoprazole is virtually unstable in an acid mileu and when presented in
milk, it would be highly unstable in the infant's stomach.  If any were
present in milk, it would be largely degraded prior to absorption.  See
omeprazole for an alternative."  He also lists the half-life as being 1
hour, so if a drug is virtually gone in 5 half-lives, that would mean that
timing the dose for example after the baby's bedtime if possible, and the 7
month old sleeps at least 5 hours before the next feeding, it would
virtually eliminate even that small exposure.
    Kristeen Rogers, RN, BSN, IBCLC
    Crystal Lake, IL



----- Original Message -----
From: "Debbie foreman" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, December 31, 2003 9:53 AM
Subject: Medication


> Hi ladies,
>
> This board is a God sent, so much information.
> My name is Debbie and I am a NC Lactation Educator in the WIC Program.   I
> have a mom who has been totally bf for 7mths now.  Her Dr. has put her on
> Protonix 40mg once a day for 8 weeks and told her she has to stop
> breastfeeding.   I told her I would look into it and get back to her....
any
> information would be appreciative.
>
> tks
> Debbie
> WIC Program
>
> _________________________________________________________________
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