Is Oseltamivir Phosphate compatible with breastfeeding? Do we have alternatives for Oseltamivir Phosphate?

Oseltamivir Phosphate

January 29, 2014 (Very Low Risk)

Prophylaxis and treament of Influenza virus disease.

Excreted in non-significant levels into breast milk. No adverse effects have been shown in breastfed infants.

Alternatives

We do not have alternatives for Oseltamivir Phosphate since it is relatively safe.

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.

Drug trade names

References

  1. Greer LG, Leff RD, Rogers VL, Roberts SW, McCracken GH Jr, Wendel GD Jr, Sheffield JS. Pharmacokinetics of oseltamivir in breast milk and maternal plasma. Am J Obstet Gynecol. 2011Abstract Full text (in our servers)
  2. Dembinski J. [Oseltamivir in pregnancy, lactation and neonatal period--comparison of international recommendations]. Z Geburtshilfe Neonatol. 2010Abstract
  3. Skalli S, Ferreira E, Bussières JF, Allenet B. [Influenza A/H1N1v 2009 during pregnancy and breastfeeding: which antiviral to choose?]. Ann Pharm Fr. 2010Abstract
  4. Chen LH, Zeind C, Mackell S, LaPointe T, Mutsch M, Wilson ME. Breastfeeding travelers: precautions and recommendations. J Travel Med. 2010Abstract Full text (link to original source) Full text (in our servers)
  5. Tanaka T, Nakajima K, Murashima A, Garcia-Bournissen F, Koren G, Ito S. Safety of neuraminidase inhibitors against novel influenza A (H1N1) in pregnant and breastfeeding women. CMAJ. 2009Abstract Full text (in our servers)
  6. Academy of Breastfeeding Medicine. Breastfeeding / Swine Flu Recommendations for Physicians from the Academy of Breastfeeding Medicine For immediate release (ABM) 2009 Full text (in our servers)
  7. Agencia Europea del Medicamento (EMA) Oseltamivir Ficha técnica 2009 Full text (in our servers)
  8. Agencia Española del Medicamento Uso de Oseltamivir y Zanamivir en niños de cualquier edad, en mujeres gestantes y mujeres en periodo de lactancia y en personas con problemas de deglución.\ Nota Informativa 2009 Full text (in our servers)
  9. Wentges-van Holthe N, van Eijkeren M, van der Laan JW. Oseltamivir and breastfeeding. Int J Infect Dis. 2008Abstract Full text (in our servers)