Is Breast Milk Expressed After Taking Parlodel Safe for My 4-Month-Old?

Is it safe to feed expressed breast milk after taking the medication Parlodel for suppressing lactation?

I am currently taking the medication Parlodel to suppress lactation, but I am still expressing some excess milk.
Is it safe for my 4-month-old baby to consume this expressed milk? Thank you!

Gongzhu QQ, 30~39 year old female. Ask Date: 2018/10/02

Dr. Xiao Kaiwen reply Pediatrics

It has been found that this medication may be excreted in breast milk to some extent, so it is recommended that breastfeeding should be avoided for infants while taking this medication in the short term.

Reply Date: 2018/10/02

More Info

When it comes to the safety of breast milk expressed after taking Parlodel (bromocriptine), it is essential to consider both the medication's effects and the general guidelines surrounding breastfeeding. Parlodel is a medication primarily used to treat conditions such as hyperprolactinemia, Parkinson's disease, and certain types of pituitary tumors. It works by inhibiting the secretion of prolactin, a hormone responsible for milk production.
For a mother who is taking Parlodel and is still expressing breast milk, the primary concern is whether the medication will transfer into the milk and potentially affect the infant. According to available medical literature, bromocriptine does pass into breast milk, but the levels are generally low. The American Academy of Pediatrics classifies bromocriptine as a medication that is usually compatible with breastfeeding, meaning that the benefits of breastfeeding may outweigh the potential risks associated with the medication.

However, it is crucial to note that while the amount of bromocriptine in breast milk is low, individual responses can vary. Some infants may be more sensitive to medications than others. Therefore, if you notice any unusual symptoms in your baby after feeding expressed milk, such as irritability, changes in feeding patterns, or gastrointestinal issues, it is advisable to consult your pediatrician immediately.

In general, if you are expressing milk after taking Parlodel and your baby is healthy and thriving, it is likely safe to continue feeding them this milk. However, if you have concerns about the quantity of milk being expressed or the effects of the medication, it may be beneficial to discuss these with your healthcare provider. They can provide personalized advice based on your specific situation and the health of your baby.

Additionally, if you are considering stopping breastfeeding due to the use of Parlodel, it is essential to weigh the benefits of breast milk against the need for the medication. Breast milk provides numerous health benefits for infants, including essential nutrients, antibodies, and a lower risk of infections and chronic conditions. If you can continue breastfeeding safely, it may be worth doing so, even while on medication.

In conclusion, while expressing breast milk after taking Parlodel is generally considered safe for a 4-month-old, it is essential to monitor your baby for any adverse reactions and maintain open communication with your healthcare provider. They can help you navigate the complexities of medication use while breastfeeding and ensure that both you and your baby remain healthy.

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