Last update Jan. 23, 2023

Rasagiline Mesylate

Limited compatibility

Unsafe. Moderate/severe adverse effects. Compatible under certain circumstances. Follow-up recommended. Use safer alternative or discontinue breastfeeding from 5 to 7 T ½ . Read Commentary.

Es un inhibidor selectivo irreversible de la monoamino oxidasa tipo B, una enzima involucrada en la degradación metabólica de la dopamina en el cerebro. Potencia los efectos de la levodopa y se usa en el tratamiento de la enfermedad de Parkinson como monoterapia inicial y como terapia adjunta a la levodopa. Administración oral una vez al día.

At the date of the last update we did not find any published data on its excretion in breast milk.

Its pharmacokinetic data (high percentage of protein binding and very wide volume of distribution) make it highly unlikely that significant quantities will pass into breast milk.

By increasing the production of dopamine, it inhibits the secretion of prolactin and may decrease milk production, especially during the first weeks after delivery. After the first month and/or when lactation is well established, milk production does not depend as much on prolactin levels: the stimulation of the infant's suckling and regular emptying of the breast are usually sufficient to maintain lactation. (Messinis 1985)

Until more published data is known about this drug in relation to breastfeeding, known safer alternatives are preferable, especially during the neonatal period and in the event of prematurity.

Alternatives

  • Selegiline Hydrochloride (Unsafe. Moderate/severe adverse effects. Compatible under certain circumstances. Follow-up recommended. Use safer alternative or discontinue breastfeeding from 5 to 7 T ½ . Read Commentary.)

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

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Thank you for helping to protect and promote breastfeeding.

José María Paricio, founder of e-lactancia.

Other names

Rasagiline Mesylate in other languages or writings:

Group

Rasagiline Mesylate belongs to this group or family:

Tradenames

Main tradenames from several countries containing Rasagiline Mesylate in its composition:

Pharmacokinetics

Variable Value Unit
Oral Bioavail. 36 %
Molecular weight 267 daltons
Protein Binding 88 - 94 %
VD 1.2 l/Kg
Tmax 0.5 - 1 hours
0.6 - 3 hours

References

  1. Apotex. Rasagiline. Drug Summary. 2016 Full text (in our servers)
  2. Messinis IE, Souvatzoglou A, Fais N, Lolis D. Histamine H1 receptor participation in the control of prolactin secretion in postpartum. J Endocrinol Invest. 1985 Apr;8(2):143-6. Abstract

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