Droperidol use while Breastfeeding

Drugs containing Droperidol: Inapsine, Innovar

Droperidol Levels and Effects while Breastfeeding

Summary of Use during Lactation

Because little information is available on the long-term use of droperidol during breastfeeding, an alternate drug may be preferred, especially while nursing a newborn or preterm infant. Single-dose or short-term use during breastfeeding, such as during surgery, is unlikely to adversely affect the breastfed infant, especially if the infant is older than 2 months.[1] When multiple doses are given to the mother, monitor the infant for drowsiness, especially in younger, exclusively breastfed infants and when using combinations of psychotropic drugs.

Drug Levels

Maternal Levels. Relevant published information was not found as of the revision date.

Infant Levels. Relevant published information was not found as of the revision date.

Effects in Breastfed Infants

A randomized study compared the breastfed infants born by cesarean section whose mothers received either morphine or morphine plus droperidol by patient-controlled analgesia postoperatively. On days 1 and 2 of life, the infants whose mothers received droperidol had a lower neonatal neurologic and adaptive capacity score (NACS) than those who received morphine only.[2]

One breastfed (extent not stated) infant whose mother was taking droperidol had a somewhat decreased intellectual development on testing, but her mother had also taken olanzapine, clonazepam, sertraline, thioridazine and valproic acid while breastfeeding.[3]

Effects on Lactation and Breastmilk

Hyperprolactinemia has been reported in patients taking long-term droperidol[4][5] and after short-term use during surgical procedures.[6][7] The maternal prolactin level in a mother with established lactation may not affect her ability to breastfeed.

References

1. Spigset O. Anaesthetic agents and excretion in breast milk. Acta Anaesthesiol Scand. 1994;38:94-103. PMID: 8171959

2. Bonhomme V, Brichant JF, Wuilmart M et al. Droperidol reduces nausea after caesarean section but alters the neurological status of the breastfed infants. Anesthesiology. 2002;96:A1044. Abstract.

3. Gardiner SJ, Kristensen JH, Begg EJ et al. Transfer of olanzapine in to breast milk, calculation of infant drug dose, and effect on breast-fed infants. Am J Psychiatry. 2003;160:1428-31. PMID: 12900304

4. Langer G, Puhringer W. Haloperidol and droperidol treatment in schizophrenics. Clinical application of the "prolactin-model". Acta Psychiatr Belg. 1980;80:574-83. PMID: 7234451

5. Smith S, Wheeler MJ, Murray R, O'Keane V. The effects of antipsychotic-induced hyperprolactinaemia on the hypothalamic-pituitary-gonadal axis. J Clin Psychopharmacol. 2002;22:109-14. PMID: 11910254

6. Naito Y, Tamai S, Fukata J et al. Comparison of endocrinological stress response associated with transvaginal ultrasound-guided oocyte pick-up under halothane anaesthesia and neuroleptanaesthesia. Can J Anaesth. 1989;36:633-6. PMID: 2555076

7. Jullien Y, de Rodez M, Bonardet A et al. [Comparison of postoperative blood levels of prolactin and somatotropin after two methods of anesthesia]. Ann Anesthesiol Fr. 1980;21:459-66. PMID: 6110401

Droperidol Identification

Substance Name

Droperidol

CAS Registry Number

548-73-2

Drug Class

Antiemetics

Antipsychotic Agents

Butyrophenones

Dopamine Antagonists

Administrative Information

LactMed Record Number

707

Last Revision Date

20130907

Disclaimer

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