Nefedipine and lovenox while breastfeeding

[Horselo285@yahoo.com]

Hi all. I have a 6 day old baby girl who I am exclusively breastfeeding.

I was put on lovenox 80 mg after my c section to prevent blood clots.

Yesterday, my bp spiked and I ended up in the hospital for the night. They sent me home today on nifedipine 30 mg dose.

All doctors involved in my care new I was breastfeeding, but I am still nervous. Please ease my mind regarding these two medications and my daughters safety while being exclusively breastfed.

Thank you!

[admin]

Horselo285,

Lovenox is rated an L2- limited data-probably compatible. The size alone (2000-8000 daltons) would largely preclude its entry into human milk at levels clinically relevant. Due to minimal oral bioavailability, any present in milk would not be orally absorbed by the infant. Monitor your infant for rare-bruising on the skin, petechiae, blood in urine, vomit or stool.

Nifedipine is rated an L2-limited data-probably compatible. The amount transferred into milk is 2.3-3.4% of your dose. No adverse effects have been reported in breastfed infants. Monitor your infant for drowsiness, weakness, lethargy, pallor, poor feeding and weight gain.

Sandra Lovato R.N.
InfantRisk Center
806-352-2519