Can you take guanfacine while breastfeeding?
What LactMed says
The National Library of Medicine’s own summary, quoted in full. We do not write a verdict of our own on this question, and we do not compress theirs into a label.
Because no information is available on the use of guanfacine during breastfeeding and its possible negative effects on lactation, other agents may be preferred, especially while nursing a newborn or preterm infant.
Quoted from Guanfacine — Drugs and Lactation Database (LactMed®), National Institute of Child Health and Human Development, revised November 15, 2024.
What LactMed would consider instead
LactMed ends this record by naming the drugs it would consider in place of guanfacine. Whether any of them fits depends on what you are treating — this is the database’s list, not a recommendation from us.
How much guanfacine gets into breastmilk
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.
What has been seen in breastfed infants
Relevant published information was not found as of the revision date.
Effects on milk supply
Published information on the effects of guanfacine on serum prolactin or on lactation in nursing mothers was not found as of the revision date. Guanfacine decreases basal serum prolactin in men and nonnursing women. Serum prolactin continues to decrease for at least 7 years during continuous use. The prolactin level in a mother with established lactation may not affect her ability to breastfeed.
Frequently asked questions
Can you take guanfacine while breastfeeding?
What the NIH's Drugs and Lactation Database says about Guanfacine while breastfeeding — quoted in full. The full record is quoted on this page, and the decision is one to make with the person who prescribed it — LactMed itself states it is not a substitute for professional judgement.
What can I take instead of guanfacine while breastfeeding?
LactMed lists Amphetamine, Dextroamphetamine, Lisdexamfetamine, Methylphenidate, Candesartan, Captopril, Benazepril, Enalapril, Lisinopril, Quinapril, Hydrochlorothiazide, Methyldopa, Propranolol as alternate drugs to consider. That is the database's own list for this drug — whether any of them suits you depends on what you are treating.
Does guanfacine pass into breastmilk?
LactMed's measured drug levels for guanfacine are quoted in full on this page, under "How much gets into breastmilk".
Do I need to pump and dump after taking guanfacine?
LactMed does not frame its records that way — it reports measured drug levels in milk and what has been observed in breastfed infants, which is what this page quotes. "Pump and dump" advice for a specific drug and dose should come from your clinician or a pharmacist, not from a general rule.
More on guanfacine
LactMed states that the information it presents is not a substitute for professional judgement, and that you should consult your healthcare provider for breastfeeding advice related to your particular situation. Nothing on this page is medical advice.