Publication Date: 5/6/2007
Remember that the information presented here is not intended to replace the care of your own doctor. Before making any changes in the management of your own illness, you should consult your physician or other qualified medical professionals.
Question
I have a patient who was on Prandin and Lantus prior to pregnancy. She is managed on insulin at present time, but will deliver this month and would like to resume her Prandin post partum. She is planning to breastfeed. Is Prandin safe to use in lactation?Answer
Several thoughts:- During breastfeeding, changing caloric intake while the baby's need for breast milk increases may make it very difficult to control blood glucose. As such, there should be consideration for the mom to stay on insulin only until the breast feeding period is over, as the doses can be readily titrated as needed.
- With respect to any medication, and safety for nursing moms, I think it'd be best to contact the "Medical Information" department (called by various names by various pharmaceutical companies) and ask them for updated data. As you probably know, these departments usually have an 800 number, and may be found in the company's info section of the PDR.
