Last update: May 30, 2020
Moderately safe. Probably compatible.
Mild risk possible. Follow up recommended.
Read the Comment.
Epileptic disorders are not a contraindication for breastfeeding.
Many Medical Associations like American Academy of Neurology, Spanish Society of Neurology, American Association of Epilepsy and American Academy of Pediatrics among others support breastfeeding in epilepsy affected mothers who are on treatment for this condition.
Many anti-epileptic drugs are compatible with breastfeeding since they are not a cause of harm to the breastfed infant. Phenobarbital, Primidone and Ethosuximide should be avoided because may be a cause of excessive sedation. Avoid felbamate due to risk of hematological and liver toxicity. See info on any particular drug which is offered at our website.
Because some drugs are excreted into breast milk in small amounts an abrupt weaning may trigger a Deprivation Syndrome in the infant (seizures due to sudden drug discontinuation). This is a reason for gradual weaning as the best option.
Non-breastfed newborn babies are at a higher risk of seizures than breastfed ones because of sudden decrease of fetal drug serum levels.
Affected mothers should nurse their babies in a recumbent position or accompanied by a person to assist her in case of seizure or a falling down.
Suggestions made at e-lactancia are done by APILAM´s pediatricians and pharmacists, and are based on updated scientific publications.
It is not intended to replace the relationship you have with your doctor but to compound it.
Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.
Thank you for helping to protect and promote breastfeeding.
e-lactancia is a resource recommended by Confederación Nacional de Pediatría (CONAPEME) from Mexico
Would you like to recommend the use of e-lactancia? Write to us at corporate mail of APILAM