Lovenox and breast feeding

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Advising a breastfeeding mother on the compatibility of her medications and breastfeeding can often be a source of confusion. Clinicians must consider several factors: the benefit the medication will give to the mother; the risk of discontinuation of breastfeeding, even temporarily, to the baby; the risk of the medication to the baby and the risk of the medication to the maternal milk supply. Unfortunately, the typical sources of information on medications and breastmilk, such as Epocrates, Clin-eguide, Lexi-Comp and the PDR, are often inaccurate and may lead to unnecessary interruption or weaning from breastfeeding.

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Medically reviewed by Drugs. Last updated on Mar 6, Limited information indicates that maternal enoxaparin in doses up to 40 mg daily do not to cause any adverse effects in breastfed infants.

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A low molecular weight, synthetic heparin. This agent also has anti-inflammatory properties, inhibiting monocyte adhesion to tumor necrosis factor alpha- or lipopolysaccharide-activated endothelial cells. Compared to unfractionated heparins, the use of enoxaparin is associated with lower incidences of osteoporosis and heparin-induced thrombocytopenia.

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Question I have a client who had breast augmentation in with incisions under her arms. Genetic testing revealed a clotting disorder and several mutant genes. Lovenox was prescribed for the clotting disorder. A weight check after breastfeeding from both breasts indicated an intake of approximately 2 oz 58 cc.

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With my first, I was on lovenox for six weeks after the birth. I had a terribly difficult time with breastfeeding. There were multiple reasons, but I always wondered if the medication was another factor affecting my supply along with my stress level.

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Initially by intravenous injection. Initially by subcutaneous injection. Low body-weight increased risk of bleeding.

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Although many medications do pass into breast milk, most have little or no effect on milk supply or on infant well-being. Few medications are contraindicated while breastfeeding. According to the AAP, health care providers should weigh the risks and benefits when prescribing medications to breastfeeding mothers by considering the following:.

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In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:.

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Drugs in Pregnancy and Lactation. National Library of Medicine US. NLM Web site. Accessed February March 23,


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