Announcement

Collapse
No announcement yet.

Welcome to our forum! Before posting your questions, please read the following terms:

  1. 1. Forum questions will be responded to by InfantRisk staff as schedules permit during normal business hours.
  2. 2. This forum is not intended for emergencies or urgent care. For any immediate medical concerns, please seek appropriate medical attention.
  3. 3. Any statements made by team members should be discussed with your medical care team. Your healthcare providers know you (and your baby) best, and should have a better understanding of your unique situation.
  4. 4. We are a small team dedicated to helping you as best as we can. However, for the quickest response, we recommend calling the InfantRisk Center at +1(806) 352-2519.

By posting to the forums, you acknowledge and agree to these terms.

The InfantRisk team

Oral methylprednisolone for patient with Crohn's disease

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • Sandra
    replied
    kpasque,

    The half life of methylprednisolone is 2.8 hours, so at 5.6 hours 75% of medication is eliminated. Baby receives 0.46-3.15% of moms dose. We recommend not to exceed 80mg a day of this particular steroid, if high dose pulse therapy is needed (e.g. 1000mg a day x 3 days) we recommend pumping and dumping for 8-12 hours after each dose, and for 2gm doses we recommend pumping and dumping for 12-24 hours. Hope this helps, if you have any other questions please call the InfantRisk Center at 806-352-2519. Thanks

    Sandra Lovato R.N.
    InfantRisk Center

    Leave a comment:


  • Oral methylprednisolone for patient with Crohn's disease

    Hello,

    I am an OB giving prenatal counseling to a hospitalized patient. She is 36 weeks with a Crohn's flare and will likely deliver in the next few days. Her GI physicians have increased her medrol from 20 mg to 48 mg daily. We discussed, based on information in this forum, the possibility of discarding milk 4 hours after her dose and breastfeeding the rest of the time. However, now we're looking at a higher dose of steroid and likely a late preterm infant. Would it be reasonable for her to breastfeed from 4-24 hours after her daily dose?
    Many thanks.
Working...
X