Narcolepsy
Neurological disease that causes excessive sleepiness and uncontrollable fits of sleep at any time of day.
It is recommended to breastfeed lying down horizontally, do not bathe the baby alone or with the baby in the bathtub and usually carry her in a pram better than in the arms. Bed sharing is not advisable.
Pregnancy, childbirth, breastfeeding and newborn care may worsen sleepiness.
The safest medications during lactation are fluoxetine, sodium oxybate and methylphenidate, rather than the Armodafinil and modafinil (see specific data sheets of these drugs).
See below the information of these related products:
- Armodafinil (High Risk probable)
- Fluoxetine (Low Risk probable)
- Methylphenidate (Very Low Risk)
- Modafinil (High Risk probable)
- Sodium Oxybate (Low Risk probable)
Very Low Risk
Compatible. Not risky for breastfeeding or infant.
Low Risk
Moderately safe. Mild risk possible. Follow up recommended. Read the Comment.
High Risk
Poorly safe. Evaluate carefully. Use a safer alternative. Read the Comment.
Very High Risk
Not recommended. Cessation of breastfeeding or alternative.
Synonyms
- Cataplexy
- Hypersomnia
References
- Calvo-Ferrandiz E, Peraita-Adrados R. Narcolepsy with cataplexy and pregnancy: a case-control study. J Sleep Res. 2018Abstract
- Busardò FP, Bertol E, Mannocchi G, Tittarelli R, Pantano F, Vaiano F, Baglio G, Kyriakou C, Marinelli E. Determination of GHB levels in breast milk and correlation with blood concentrations. Forensic Sci Int. 2016Abstract
- Gashlin LZ, Sullo D, Lawrence RA, Rosen-Carole C. Treatment of Narcolepsy with Sodium Oxybate While Breastfeeding: A Case Report. Breastfeed Med. 2016Abstract
- Marchese M, Koren G, Bozzo P. Is it safe to breastfeed while taking methylphenidate? Can Fam Physician. 2015Abstract Full text (link to original source) Full text (in our servers)
- Hoque R, Chesson AL Jr. Conception, pregnancy, delivery, and breastfeeding in a narcoleptic patient with cataplexy. J Clin Sleep Med. 2008Abstract Full text (link to original source) Full text (in our servers)
- Wise MS, Arand DL, Auger RR, Brooks SN, Watson NF; American Academy of Sleep Medicine. Treatment of narcolepsy and other hypersomnias of central origin. Sleep. 2007Abstract Full text (link to original source) Full text (in our servers)
- Spigset O, Brede WR, Zahlsen K. Excretion of methylphenidate in breast milk. Am J Psychiatry. 2007Abstract Full text (link to original source) Full text (in our servers)
- Heikkinen T, Ekblad U, Palo P, Laine K. Pharmacokinetics of fluoxetine and norfluoxetine in pregnancy and lactation. Clin Pharmacol Ther. 2003Abstract