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Discussion Starter · #1 ·
I have calls into my Lactation consultant and the pediatrician, but I'm hoping to find some information tonight. My dentist wants to put me on two prescription drugs and I need help finding out if these drugs are safe while BF. I've googled them and looked at kellymom. The drugs are Flexerall and Medrol Dose Pack. Any advice please. My 27 mo old DD only nurses 2-3x a day but she's not ready to wean. (My mom is pressuring me to wean and has been for while and DH is starting to drop hints.)<br>
Thanks for any resources.<br>
K
 

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Arg... I have a great book, which I can't remember the name of just now. I am staying at my parents for the week, and don't have it here. It might be called something like Medications in Mother's Milk... or something like that? It lists tons of meds, supplements, herbs, etc. and gives all the research about safety with breastfeeding and pregnancy. I would pop into a bookstore tomorrow and see if you can find it and just look up those meds right there in the store. It's blue! Wish I could be more help! Good luck.<br>
Do what is right for you and your babe. Don't let other people's STUFF become pressure for you.
 

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I would post the names on the main Bfing forum and ask someone to check the Hale's guide for you. That's THE book on medications and bfing.<br><br>
Also ask the pharmacist when they peak in your blood stream and you can try to time taking the meds so that your blood concentration is low when you nurse.
 

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I bet it is "flexerall" is flexeril/cyclobenzaprine. It is an L3. Half life is 24-72 hours if dosage is 20-60 mg.<br><br>
Maybe the "medrol" is methylprednisolone? AAP rates it as usually compatible with breastfeeding, it is an L2. Half life is 2.8 hours.<br><br>
You can search on <a href="http://toxnet.nlm.nih.gov/cgi-bin/sis/search" target="_blank">http://toxnet.nlm.nih.gov/cgi-bin/sis/search</a> but you must have the correct spelling of the drug. If you want you can PM me for more info.
 

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From ToxMed<br>
Summary of Use during Lactation:<br>
If cyclobenzaprine is required by the mother, it is not necessarily a reason to discontinue breastfeeding. However, because there is no published experience with cyclobenzaprine during breastfeeding, other agents may be preferred, especially while nursing a newborn or preterm infant, or when other drugs that can cause sedation are used simultaneously.<br><br><span style="color:#FF0000;">Flexeril is chemically similar to another class of drugs tricyclic antidepressants which are considered less safe by AAP especially with long term use. Although everything was about infants... What are you using flexeril for? there may be another option.</span><br><br><br>
Summary of Use during Lactation:<br>
Limited information indicates that maternal doses of methylprednisolone up to 8 mg daily produce low levels in milk and would not be expected to cause any adverse effects in breastfed infants. With high maternal doses, especially intravenous doses, avoiding breastfeeding for 3 to 4 hours after a dose should decrease the dose received by the infant. However, this maneuver is probably not necessary.<br><span style="color:#FF0000;">The first day of a Medrol dose pack is 24 mg , it then decreases by 4 mg a day for 6 days. I couldn't find info for dosing above 8 mg per day. 8 mg/day has been used long-term in mother's after renal transplant. Other drugs in this class are usually considered safe by AAP. I would probably ask denstist if you could go with a lower dose. the link to ToxMED is <a href="http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT" target="_blank">http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT</a>. Hope this helps</span>
 

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Per Hale, though it is part of the tricyclic family, it is not used as an antidepressant, it is used as a muscle relaxant. There is not currently any data on Flexeril and breastfeeding, but Dr. Hale cites that "virtually none of the tricyclics are a problem in breastfeeding mothers, I really doubt this one would be a problem for a breastfeeding infant...but I don't have any data to confirm this as yet."<br><br>
The Medrol is an L2, and shouldn't cause pediatric concerns for short term use. There are no pediatric concerns reported via breastmilk. Per M&MM pp630-632, 2008 Edition<br><br>
Hope this helps!
 

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Discussion Starter · #7 ·
Thank You, Thank you, thank you.... all of you for your responses and help.<br><br>
chi mama - using the Flexeril? as a muscle relaxant and the Medrol as an anti-inflamitory.<br><br>
Sorry about the spelling - I copied and pasted straight from the email from the dentist. No wonder I couldn't find information on Flexerall online.
 

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Your dentist wants you on a muscle relaxant?<br><br><br>
If, by chance, this is for TMJ, go to a chiropractor or a cranio sacral therapist first. They will help in different ways, but they will definitely help.
 

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<div>Originally Posted by <strong>klewaidz</strong> <a href="/community/forum/post/12394611"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">chi mama - using the Flexeril? as a muscle relaxant and the Medrol as an anti-inflamitory.</div>
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oops sorry, I meant how are you using it... if your using it just at bedtime and lo is nightweaned then probably not a big deal but if it's going to be 3 times daily long-term then I'd be leary.<br><br>
as pp said if it's for TMJ I'd also look at chiro. Meds aren't very effective for TMJ anyway.
 
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