

| NAME: |
|
| BABY'S NAME: |
Client's
baby--Benjamin |
| BABY'S AGE: |
1 month |
| BABY'S PRESENT WEIGHT: |
9 lbs, 1 oz |
| BABY'S BIRTH WEIGHT:
|
7 lbs, 1 oz |
QUESTION: Breastfeeding mom-nursing her 2nd baby--she has MS and weaned her 1st baby at
3 months because she had to start taking her medication for MS. She takes
Betaseron, a interfuron.
The doctors and pharmacist don't have any current information on this medication. I looked it
up in T. Hale's book but found no information on it. Can she safely breastfeed and take this
medication? Please point me in the right direction for documentation.

Dear Carolee,
On page 360 in Tom Hales 1998/1999 Medications and Mother's Milk it says It is an
antiviral, antiproliferative and immunomodulatory used to treat MS. Little is known about
the secretion of interferons in human milk however they are large in molecular weight
which would limit their transfer to human milk. Interferons are relatively non toxic
unless extraordinarily large doses are administered parenerally. AHL 4.3 PK 3-15 hrs Oral
absorption poor. References Chiang J Gloff Ca et al Pharmacokinetics of recombinant human
interferon-Bser in healthy volunteers and its effect on serum neopterin. Pharm Res.
10:567-72 1993 Wills RJ Clinical pharmacokinetics of interferons. Clin. Pharmacokinet.
19:390-399 1990 Hope this helps. Also says pediatric concerns- none reported and this is
also given to children to treat ITP.
Denise G Hewson RN IBCLC

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