Fexinidazole Levels and Effects while Breastfeeding
Summary of Use during Lactation
No adverse effects to breastfed infants have been associated with fexinidazole exposure through breastmilk based on a limited number of reported cases. If a mother requires fexinidazole, it is not a reason to discontinue breastfeeding. Until more data are available, fexinidazole should only be used during breastfeeding with careful infant monitoring for vomiting, insomnia, nausea, tremor, and decreased appetite.
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
According to the manufacturer, no adverse effects to the breastfed child have been associated with fexinidazole exposure through breastmilk based on a limited number of reported cases.
In a phase 3b, prospective, open-label, non-randomized, cohort study of fexinidazole for treating gambiense African trypanosomiasis in the Democratic Republic of the Congo, 17 infants were breastfed (extent not stated, but probably exclusively). The babies developed normally, except one who died from a neonatal infection and two who died because of anemia in the context of severe or complicated malaria. None of these fatalities were considered related to fexinidazole.[1]
Effects on Lactation and Breastmilk
Relevant published information was not found as of the revision date.
References
1.
Kumeso VKB, Perdrieu C, Menétrey C, et al. Effectiveness and safety of fexinidazole for gambiense human African trypanosomiasis and exploration of adherence in outpatients: A phase 3b, prospective, open-label, non-randomised, cohort study. Lancet Glob Health 2025;13:e900–e09. [PMC free article: PMC12041186] [PubMed: 40288399]
Substance Identification
Substance Name
Fexinidazole
CAS Registry Number
59729-37-2
Drug Class
Breast Feeding
Lactation
Milk, Human
Anti-Infective Agents
Antiprotozoal Agents
Nitroimidazoles
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.