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Coleus use while Breastfeeding

Coleus Levels and Effects while Breastfeeding

Summary of Use during Lactation

Coleus amboinicus leaves are a traditional galactogogue used in Indonesia called torbangun or bangun-bangun in the local languages.[1] One study of poor quality indicated that it might have some efficacy in mothers who were not instructed in proper technique, thus inadequate to establish activity.[2][3] Galactogogues should never replace evaluation and counseling on modifiable factors that affect milk production.[4] No data exist on the excretion of any components of Coleus amboinicus into breastmilk or on the safety and efficacy of Coleus amboinicus in nursing mothers or infants, although it has been used for hundreds of years in Indonesia with apparent safety. A related plant, Coleus forskohlii, is well tolerated as a supplement.

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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

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

Effects on Lactation and Breastmilk

A study of 67 healthy women who delivered a fullterm infant and desired to breastfeed for at least 4 months compared torbangun (Coleus amboinicus), fenugreek, and a control product containing placental extract and vitamin B12 (Molocco+B12) for their effects on breastmilk volume. No mention was made of any breastfeeding support provided to the women. Participants were randomly assigned to receive one of the products for 30 days and followed for another 30 days. A soup was made from 150 grams of Coleus amboinicus leaves 6 days per week for 30 days, beginning on the second postpartum day, and it was consumed during the day. Infants were weighed before and after each nursing at 2-week intervals during the study to measure 24-hour milk volume. In the torbangun group, the milk volume on day 28 was statistically greater than on day 14. The increase in milk volume on day 28 was 33% in the torbangun group, compared to a decrease of 15% in the control group and a decrease of 14% in the fenugreek group. However, the baseline production in the torbangun group was 20 to 23% lower than in the other groups and there was no statistical difference in milk volume at any time compared to the initial volume of milk in the control group. Analysis of breastmilk found no decrease in nutritional quality of milk in the torbangun group.[5]

References

1. Damanik R. Torbangun (Coleus amboinicus lour): a Bataknese traditional cuisine perceived as lactagogue by Bataknese lactating women in Simalungun, North Sumatera, Indonesia. J Hum Lact. 2008;25:64-72. PMID: 18984829

2. Mortel M, Mehta SD. Systematic review of the efficacy of herbal galactogogues. J Hum Lact. 2013;29:154-62. PMID: 23468043

3. Zapantis A, Steinberg JG, Schilit L. Use of herbals as galactagogues. J Pharm Pract. 2012;25:222-31. PMID: 22392841

4. The Academy of Breastfeeding Medicine Protocol Committee. ABM clinical protocol #9: use of galactogogues in initiating or augmenting the rate of maternal milk secretion (First revision January 2011). Breastfeed Med. 2011;6:41-9. PMID: 21332371

5. Damanik R, Wahlqvist ML, Wattanapenpaiboon N. Lactagogue effects of Torbangun, a Bataknese traditional cuisine. Asia Pac J Clin Nutr. 2006;15:267-74. PMID: 16672214

Coleus Identification

Substance Name

Coleus

Scientific Name

Coleus amboinicus

Drug Class

Complementary Therapies

Phytotherapy

Plants, Medicinal

Administrative Information

LactMed Record Number

956

Last Revision Date

20140708

Disclaimer

Information presented in this database is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation. The U.S. government does not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site.

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