Is it safe to take Carbamazepine while breastfeeding?

Question

Hi doctor,

I am a mother of 1-month-old baby, who is exclusively breastfed. My baby is healthy and gaining normal weight. The problem is that he sleeps a lot. I have been taking Carbamazepine and Eslicarbazepine tablets for partial seizures. Are these tablets safe while breastfeeding? When I consulted my neurologist, he said that they are safe as long as your baby is healthy and developing normally. But, I am worried about his sleep patterns. Should I think about switching to formula milk?

Answer 1

Hi,

Welcome to icliniq.com.

Your doctor is right. Carbamazepine can get secreted in breast milk and it is the safest antiepileptic during lactation.
1-month-old baby sleeps a lot. They can sleep for about 18 to 20 hours a day. They will wake up only for feeds.
As long as the baby is gaining weight, it is fine.
Also, note that keeping your baby on breast milk has many advantages over formula. Breast milk has enzymes, which help in better digestion.
Breast milk also contains various antibodies produced in your body, which provide immunity to the newborn.
It is recommended that you breastfeed your baby for at least up to 6 months of age.