Last update July 3, 2022

Narcolepsy. Narkolepsy.

Low Risk

Moderately safe. Probably compatible. Mild risk possible. Follow up recommended. Read the Comment.

Neurological disease that causes excessive sleepiness and uncontrollable fits of sleep at any time of day.

Many women with narcolepsy breastfeed and breastfeed for long periods of time; neither cataplexy nor drowsiness are limitations to breastfeeding. (Calvo 2018, Maurovich 2013)

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.

Most medications used in narcolepsy can be compatible with breastfeeding with adequate controls for mother and infant. (Aurora 2018, Busardò 2016, Gashlin 2016, Marchese 2015, Spigset 2007, Heikkinen 2003)


See below the information of these related products:

  • Armodafinil (Moderately safe. Probably compatible. Mild risk possible. Follow up recommended. Read the Comment.)
  • Fluoxetine Hydrochloride (Moderately safe. Probably compatible. Mild risk possible. Follow up recommended. Read the Comment.)
  • Methylphenidate ( Safe. Compatible. Minimal risk for breastfeeding and infant.)
  • Modafinil (Moderately safe. Probably compatible. Mild risk possible. Follow up recommended. Read the Comment.)
  • Sodium Oxybate (Moderately safe. Probably compatible. Mild risk possible. Follow up recommended. Read the Comment.)
  • Solriamfetol (Moderately safe. Probably compatible. Mild risk possible. Follow up recommended. Read the Comment.)

Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it. The pharmaceutical industry contraindicates breastfeeding, mistakenly and without scientific reasons, in most of the drug data sheets.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

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.

José María Paricio, founder of e-lactancia.

Other names

Narcolepsy. Narkolepsy. is also known as


Group

Narcolepsy. Narkolepsy. belongs to this group or family:

References

  1. Aurora S, Aurora N, Datta P, Rewers-Felkins K, Baker T, Hale TW. Evaluating Transfer of Modafinil Into Human Milk During Lactation: A Case Report. J Clin Sleep Med. 2018 Dec 15;14(12):2087-2089. Abstract Full text (link to original source) Full text (in our servers)
  2. Calvo-Ferrandiz E, Peraita-Adrados R. Narcolepsy with cataplexy and pregnancy: a case-control study. J Sleep Res. 2018 Apr;27(2):268-272. Abstract Full text (link to original source)
  3. 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. 2016 Abstract
  4. Gashlin LZ, Sullo D, Lawrence RA, Rosen-Carole C. Treatment of Narcolepsy with Sodium Oxybate While Breastfeeding: A Case Report. Breastfeed Med. 2016 Jun;11:261-3. Abstract
  5. Marchese M, Koren G, Bozzo P. Is it safe to breastfeed while taking methylphenidate? Can Fam Physician. 2015 Abstract Full text (link to original source) Full text (in our servers)
  6. Maurovich-Horvat E, Kemlink D, Högl B, Frauscher B, Ehrmann L, Geisler P, Ettenhuber K, Mayer G, Peraita-Adrados R, Calvo E, Lammers GJ, Van der Heide A, Ferini-Strambi L, Plazzi G, Poli F, Dauvilliers Y, Jennum P, Leonthin H, Mathis J, Wierzbicka A, Puertas FJ, Beitinger PA, et al. Narcolepsy and pregnancy: a retrospective European evaluation of 249 pregnancies. J Sleep Res. 2013 Oct;22(5):496-512. Abstract
  7. Hoque R, Chesson AL Jr. Conception, pregnancy, delivery, and breastfeeding in a narcoleptic patient with cataplexy. J Clin Sleep Med. 2008 Abstract Full text (link to original source) Full text (in our servers)
  8. Spigset O, Brede WR, Zahlsen K. Excretion of methylphenidate in breast milk. Am J Psychiatry. 2007 Abstract Full text (link to original source) Full text (in our servers)
  9. 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. 2007 Abstract Full text (link to original source) Full text (in our servers)
  10. Heikkinen T, Ekblad U, Palo P, Laine K. Pharmacokinetics of fluoxetine and norfluoxetine in pregnancy and lactation. Clin Pharmacol Ther. 2003 Abstract

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