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Horizant and Breastfeeding

It is likely that Horizant (gabapentin enacarbil) passes through breast milk. However, it is still unclear if the medication would cause any problems in a nursing infant. If you are thinking about breastfeeding while taking Horizant, talk to your healthcare provider about your health situation and stay alert for any side effects in your nursing child.

Is Horizant Safe While Breastfeeding?

Horizant™ (gabapentin enacarbil) passes through breast milk in women. Because it is not known if Horizant is safe for nursing infants, the manufacturer recommends that breastfeeding women take this drug only if the benefits clearly outweigh the possible risks. Therefore, if you are breastfeeding or plan to start, make sure to discuss both the benefits and the risks with your healthcare provider, and perhaps with your child's healthcare provider.

Breastfeeding and Horizant: What Does the Research Say?

Based on research done with other gabapentin products (such as Neurontin®), it can be concluded that Horizant passes through breast milk in women. However, it is not known if taking Horizant while breastfeeding would cause problems for the infant. There are a few reports of women who took gabapentin while breastfeeding without causing any problems in their infants.
If your healthcare provider recommends taking Horizant while breastfeeding, be sure to watch for any side effects in your child. In particular, watch for:
  • Drowsiness
  • Feeding problems
  • Slow weight gain
  • Slow development.

Talking With Your Healthcare Provider

You should discuss breastfeeding and Horizant 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.
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Horizant Medication Information

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