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  • Breastfeeding & Tramadol

    How long after taking 100mg of Tramadol do you need to wait to breastfeed?
    should you pump and dump in the mean time ?

  • #2
    22013,

    Tramadol is rated an L3-limited data-probably compatible. The amount that transfers into breast milk is 2.86% of your dose. Tramadol peaks at 2 hours and the half-life is 7 hours. Take your medicine right after you nurse or pump so that you have a break before nursing again. We think short term use is probably ok as long as your infant is not symptomatic. Monitor for sedation, slowed breathing rate/apnea, pallor, constipation, not waking to feed/poor feeding.

    Sandra Lovato R.N.
    InfantRisk Center

    Comment


    • #3
      What does the half life mean is that when it’s completely out of your milk supply ?

      Comment


      • #4
        22013,

        The half-life is the amount of time it takes for medications to be reduced to 50% of the beginning plasma levels in the body. The medications continue to drop by half of the remaining amount at each half-life. With most medications it takes 5-6 half-lives to be completely out of the system.

        For example:

        If a medication has a half-life of 4 hours it is 50% out at 4 hours, then at 8 hours it is 75% out (half of 50 is 25 added to 50=75%), then at 12 hours it is 87.5% (half of 25 is 12.5 added to 75=87.5%) out etc.

        Sandra Lovato R.N.
        InfantRisk Center

        Comment


        • #5
          What would be the safest way If this is a medication that will be used long term ?

          as now I pump in the mornings which is about 2 half lives after taking the last medication and when nursing in the evenings it’s been one full half life since taking the medication

          ive not noticed any side effects, sedation, breathing ect
          or should we switch to formula
          I know breastfeeding is always recommended but I want to be sure we are taking the safest route possible

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          • #6
            22013,

            We recommend taking the medication right after nursing and avoiding the peak time of the first 2 hours. The way you are taking this medication and nursing as described above sounds good as long as it works well for you. We think you can continue to nurse as long as your infant is not symptomatic, watch for sedation, slowed breathing rate/apnea, pallor, constipation, not waking to feed/poor feeding and poor wt gain.


            Sandra Lovato R.N.
            InfantRisk Center

            Comment

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