Naloxone use while Breastfeeding

Drugs containing Naloxone: Suboxone, Zubsolv, Evzio, Narcan Nasal Spray, Talwin Nx, Bunavail, Narcan Injection, Targiniq ER, Cassipa

Medically reviewed on Mar 15, 2018

Naloxone Levels and Effects while Breastfeeding

Summary of Use during Lactation

No information is available on the excretion of naloxone into breastmilk. Because it is not orally bioavailable, it is unlikely to affect the breastfed infant. However, if naloxone is required by the mother for an opiate overdose, she should withhold nursing until the opiate is out of her system.

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

In contrast to its effect in some animal species, naloxone does not affect suckling-induced secretion of oxytocin or prolactin in postpartum women.[1][2]

Alternate Drugs to Consider

Naltrexone

References

1. Cholst IN, Wardlaw SL, Newman CB, Frantz AG. Prolactin response to breast stimulation in lactating women is not mediated by endogenous opioids. Am J Obstet Gynecol. 1984;150:558-61. PMID: 6496587

2. Johnson MR, Andrews MA, Seckl JR, Lightman SL. Effect of naloxone on neurohypophyseal peptide responses to breast feeding and breast stimulation in man. Clin Endocrinol (Oxf). 1990;33:81-6. PMID: 2401100

Naloxone Identification

Substance Name

Naloxone

CAS Registry Number

465-65-6

Drug Class

Breast Feeding

Lactation

Narcotic Antagonists

Administrative Information

LactMed Record Number

778

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.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer