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Breastfeeding and Paxlovid

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  • Breastfeeding and Paxlovid

    Hello, I’ve tested positive for covid and my gastroenterologist recommended I start a 5 day course of Paxlovid as I’m immune compromised due to Crohn’s disease and the medication I take. Is there any information on breastfeeding safety?
    I breastfeed my 2.5 year old - mostly at night.
    thank you.

  • #2
    Hi Kamy,

    We don't think this large drug should pass easily into breastmilk. Especially with an older baby, the benefit will most likely be much greater than the risks.

    Kaytlin Krutsch, PharmD

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    • #3
      Dear Dr.Krutsch,

      How's about a newborn whose mother takes Paxlovid? Thank you very much.

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      • #4
        Hi Lactation Clinic,

        While it isn't ideal, the benefits are still likely to outweigh the risks. We still don't have as much data as we would like on the off-target effects of the drug; there are not many known adverse reactions. Nirmatrelvir probably does transfer into milk to a degree but from what we currently know about it there isn't a reason for concern. Ritonavir is well studied and has low transfer. A short 5-day course of Paxlovid is unlikely to cause long-term harm to the infant.

        Dr. Krutsch.

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        • #5
          Dr.Krutsch, thank you so much.

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