Lanoxin and Breastfeeding

Because Lanoxin (digoxin) is approved for use in infants, it is not expected to be problematic if it passes through breast milk to a nursing child. Nonetheless, it's still important to use caution. For example, it may be a good idea to watch for side effects of Lanoxin in your breastfeeding infant, such as vomiting, difficulty breathing, or diarrhea.

Can Breastfeeding Women Take Lanoxin?

Lanoxin® (digoxin) passes through breast milk in humans. However, it is not expected to cause harm to a nursing infant. The manufacturer recommends that Lanoxin be used with caution in breastfeeding women.

What Does the Research Say?

Studies have shown that the amount of Lanoxin found in breast milk is very small. Therefore, a nursing child would ingest a very small amount of the drug. Lanoxin is approved for use in infants. It is estimated that the amount of Lanoxin an infant would ingest through breastfeeding would be much lower than the usual infant dose.
Although infants are expected to ingest only very small amounts of Lanoxin through breast milk, there is little information about the possible effects of Lanoxin on breastfeeding infants. The small number of available reports do not demonstrate any harmful effects in infants who breastfed while their mothers took Lanoxin.
Studies that have looked specifically at intravenous (IV) doses of Lanoxin showed that breast milk levels were high immediately after the IV dose, and decreased to low levels after two hours. Therefore, it is recommended that breastfeeding be avoided for at least two hours after an IV dose.
If, after speaking with your healthcare provider, you breastfeed while taking this medication, it may be a good idea to watch for any potential Lanoxin side effects in your nursing child. Such side effects may include:
  • Difficulty feeding
  • Nausea
  • Vomiting
  • Diarrhea
  • Difficulty breathing.
If you notice any of these problems, or if something just does not seem right, contact your healthcare provider right away.
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