Pradaxa and Breastfeeding

It is not known if Pradaxa (dabigatran) passes through breast milk in humans. Because this medication is typically only used in serious situations, the benefits of taking it probably outweigh the benefits of breastfeeding. Also, Pradaxa might cause life-threatening internal bleeding if a breastfed infant was exposed to this drug through breast milk.

Is Pradaxa Safe While Breastfeeding?

Currently, it is unknown if Pradaxa® (dabigatran etexilate mesylate) is safe for use while breastfeeding. Therefore, make sure to talk with your healthcare provider before taking this medication while nursing.
 

More Information on Breastfeeding and Pradaxa

No studies have checked to see if Pradaxa passes through breast milk in humans. It is entirely unknown if this medication could cause problems for breastfed infants.
 
However, because the drug predictably increases the risk of bleeding, it seems reasonable to assume that a breastfed infant exposed to Pradaxa would have a higher risk of dangerous bleeding, including life-threatening internal bleeding.
 
If your healthcare provider recommends Pradaxa for you, it may be best to stop breastfeeding. Pradaxa can be a life-saving medication and is generally only used in serious situations. The benefits of taking Pradaxa (for you) probably outweigh the benefits of breastfeeding (for both you and the child).
 

Talking With Your Healthcare Provider

You should discuss breastfeeding and Pradaxa with your healthcare provider.
 Each woman's situation is different, and you and your healthcare provider understand your situation best. After considering what you want and expect, as well as your current health situation, the two of you can make a shared decision that is right for you.
Written by/reviewed by: Kristi Monson, PharmD
Last reviewed by: Kristi Monson, PharmD
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