Desmopressin use while Breastfeeding
Drugs containing Desmopressin: DDAVP, Noctiva, Stimate, Minirin, Nocdurna, DDAVP Nasal, DDAVP Rhinal Tube
Medically reviewed on Aug 3, 2018
Desmopressin Levels and Effects while Breastfeeding
Summary of Use during Lactation
Desmopressin from a nasal spray is excreted in negligible amounts into milk and is poorly absorbed orally by the infant, so it appears acceptable to use during breastfeeding. There is no published experience with sublingual desmopressin during breastfeeding. Until more data become available, sublingual desmopressin should be used with caution during breastfeeding, especially while nursing a newborn or preterm infant.
Maternal Levels. In a patient who was using intranasal desmopressin 10 mcg twice daily for diabetes insipidus, serum and milk levels of arginine vasopressin were measured after a dose. Milk levels gradually increased from the background level of 1 ng/L to about 1.5 ng/L over the 4-hour observation period.
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
Several cases have been reported of mothers with diabetes insipidus using desmopressin and breastfeeding their infants. In one case, the mother discontinued nursing after 2 weeks because of a low milk supply, but this was not clearly drug related. Lactation sometimes improves diabetes insipidus and reduces desmopressin requirements.
1. Burrow GN, Wassenaar W, Robertson GL et al. DDAVP treatment of diabetes insipidus during pregnacy and the post-partum period. Acta Endocrinol (Copenh). 1981;97:23-5. PMID: 7223315
2. Hadi HA, Mashini IS, Devoe LD. Diabetes insipidus during pregnancy complicated by preeclampsia. A case report. J Reprod Med. 1985;30:206-8. PMID: 3999072
3. Hime MC, Richardson JA. Diabetes insipidus and pregnancy. Case report, incidence and review of literature. Obstet Gynecol Surv. 1978;33:375-9. PMID: 652196
4. Wallia A, Bizhanova A, Huang W, Goldsmith SL, Gossett DR, Kopp P. Acute diabetes insipidus mediated by vasopressinase after placental abruption. J Clin Endocrinol Metab. 2013;98:881-6. PMID: 23393172
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LactMed Record Number
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