Can you take prucalopride 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.
No published experience exists with prucalopride during breastfeeding. However, the manufacturer reports an unpublished study that indicates a relatively low amount of drug in breastmilk. Until more data become available, monitor the breastfed infant for diarrhea.
Quoted from Prucalopride — Drugs and Lactation Database (LactMed®), National Institute of Child Health and Human Development, revised July 20, 2020.
What LactMed would consider instead
LactMed ends this record by naming the drugs it would consider in place of prucalopride. Whether any of them fits depends on what you are treating — this is the database’s list, not a recommendation from us.
How much prucalopride gets into breastmilk
Maternal Levels. The manufacturer reports an unpublished study in 8 healthy lactating women who were weaning their infants and given prucalopride 2 mg daily for 4 days. Plasma and milk samples were collected at predose (day 1 and 4), and at 2, 4, 8, 12, and 24 hours after the dose on day 4. The dose to the breastfed infant was estimated to be 1.74 mcg/kg daily, which is about 6% of the weight-adjusted maternal dose.
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
Relevant published information was not found as of the revision date.
Frequently asked questions
Can you take prucalopride while breastfeeding?
No published experience exists with prucalopride during breastfeeding. 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 prucalopride while breastfeeding?
LactMed lists Linaclotide, Lubiprostone, Plecanatide, Psyllium 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 prucalopride pass into breastmilk?
LactMed's measured drug levels for prucalopride are quoted in full on this page, under "How much gets into breastmilk".
Do I need to pump and dump after taking prucalopride?
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 prucalopride
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.