Analgesics Use During Breastfeeding and Concentrations in Human Mature Milk
Conditions
Keywords
Analgesics, Ibuprofene, Ketoprofene, Breastmilk, Relative Infant Dose, Theoric Infant Dose
Brief summary
The purpose of this study is to determine whether ibuprofen and ketoprofen do not enter into mature breastmilk that could allowed breastfeeding during a long time
Detailed description
Analgesics are frequently used to prevent and treat pain and inflammatory disease. Due to a lack of information on drug's human milk transfer, breastfeeding is sometimes contraindicated. Mothers are advised to either stop breastfeeding or if they don't, not to treat themselves. Since the fatal neonatal case with codeine during breastfeeding, analgesics are being reviewed. Ibuprofen seems to have the best benefit-risk ratio during the post-partum period. However there are no pharmacologic data about the use of ibuprofen during breastfeeding, after the colostrum phase. This study aims to determine the relative infant dose (RID) of ibuprofen in human mature milk. Considering the increased interest in NSAIDs in light of the codeine case, this is an important information. It will help health practitioners when advising and treating breastfeeding women.
Interventions
ibuprofen and ketoprofen measured into breast milk
Sponsors
Study design
Eligibility
Inclusion criteria
* breastfeeding women after the first week of delivery * breastfeeding women treated by ketoprofen or ibuprofen per os more than 24 hours * Written Informed Consent
Exclusion criteria
* breastfeeding women treated by naproxene * Curator or justice decision's
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| concentration of ibuprofene in human mature milk. | 6 months |
| concentration of ketoprofene in human mature milk | 6 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| comparison between ibuprofene and ketoprofene concentrations in the human breastmilk | 6 months | To compare the concentrations of ibuprofene and ketoprofene in the human breastmilk in correlation with the maturity |
Countries
France
Contacts
Assistance Publique - Hôpitaux de Paris