is no information on the amount of prasugrel which passes into breast milk although levels are likely to be low. It can be used with caution during breastfeeding but monitoring is required
monitoring
monitor the infant for skin reactions, and for signs of bruising or bleeding which could be prolonged
Notes:
is no published evidence of use of prasugrel during breastfeeding
LactMed states (2)
until more data become available, prasugrel should be used with caution during breastfeeding, especially while nursing a newborn or preterm infant
prasugrel's high protein binding is likely to limit the amount excreted into milk. However, prasugrel irreversibly binds to platelets so any that is absorbed could have a prolonged effect
no side effects have been reported in breastfed infants
Drugs and Lactation Database (LactMed [Internet]. Bethesda (MD): National Institute of Child Health and Human Development; 2006-. Prasugrel. [Updated 2019 Jun 3]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK543166/
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