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NHS medicines information on gabapentin and whether you can take it while pregnant or breastfeeding. Gabapentin This sheet is about exposure to gabapentin in pregnancy and while breastfeeding. This information is based on available published literature. It should not take the place of medical care and advice from your healthcare provider. Gabapentin Pregnancy and Breastfeeding Warnings Brand names: Fanatrex, Gabarone, Gralise, Neurontin Medically reviewed by Drugs.com. Last updated on Jun 24, 2025. Pregnancy Warnings Breastfeeding Warnings Gabapentin Pregnancy Warnings Benefits should clearly outweigh risks AU TGA pregnancy category: B3 US FDA pregnancy category: Not assigned Risk Summary: There are no data on the developmental Gabapentin and breastfeeding: understand the potential risks and benefits. Learn about safety guidelines, possible side effects, and what to discuss with your doctor. Advice for mothers using Gabapentin while breastfeeding. Includes possible effects on breastfed infants and lactation. Gabapentin Maternal doses of gabapentin up to 2.1 g/day produce relatively low levels in infant serum. A single oral dose of either 300 or 600 mg given to the mother before cesarean section appeared to have no effect on breastfeeding initiation. This sheet is about exposure to gabapentin in pregnancy and while breastfeeding. This information is based on available published literature. It should not take the place of medical care and advice from your healthcare provider. Gabapentin This sheet is about exposure to gabapentin in pregnancy and while breastfeeding. This information is based on available published literature. It should not take the place of medical care and advice from your healthcare provider. Gabapentin is a Pregnancy Category C drug and Animal studies suggest that it can harm an unborn child and therefore should be avoided during pregnancy. Off-label uses for gabapentin include the treatment of nerve pain, tremors, fibromyalgia, restless leg syndrome, alcohol dependence, and hot flashes in perimenopausal or menopausal women. While side effects of gabapentin in women are similar to those experienced by men, hormonal variations and metabolism may cause some differences. This sheet is about exposure to gabapentin in pregnancy and while breastfeeding. This information is based on available published literature. It should not take the place of medical care and advice from your healthcare provider. What is gabapentin? Gabapentin is a medication that has been used to prevent and control partial seizures, treat some forms [] The aim of this study was to describe the milk-plasma ratio and relative infant dose of gabapentin in a breastfeeding mother and to determine the well-being of her exposed infant. The mother-infant pair was studied over a 24-hour dose interval at steady state. Gabapentin concentrations were quantifi The manufacturers of gabapentin recommend it should be used with caution in breastfeeding and only used where the benefits clearly outweigh the risks. (3) The manufacturers of pregabalin do not recommend use of pregabalin whilst breastfeeding. (4) This raises the question of the true compatibility of gabapentin and pregabalin whilst breastfeeding. Gabapentin or pregabalin can be taken during breastfeeding and with infant monitoring. Recommendations apply to full term and healthy infants only. In this study with over 4000 infants exposed to gabapentin, the information is reassuring. While we cannot rule out the possibility of a small increase in risk of cardiovascular malformations in gabapentin-exposed infants, gabapentin does not appear to be a major teratogen. Limited data suggest that gabapentin usage while breastfeeding is compatible, with no significant adverse effects reported in infants. However, it is advisable to consult a healthcare provider before taking gabapentin, especially if the mother has specific health concerns. Monitoring for any potential adverse effects in the breastfeeding infant during gabapentin usage is recommended. Key DrLact safety Score for Neurontin is 1 out of 8 which is considered Safe as per our analyses. A safety Score of 1 indicates that usage of Neurontin is mostly safe during lactation for breastfed baby. Our study of different scientific research also indicates that Neurontin does not cause any serious side effects in breastfeeding mothers. Most of scientific studies and research papers declaring Key Takeaway While gabapentin can pass into breast milk in small amounts, it is often considered relatively safe for use during breastfeeding if the potential benefits to the mother outweigh the risks to the infant. Gabapentinand breastfeeding gabapentin is considered compatible with breastfeeding, but should be used with caution and infant monitoring (1) published evidence for the use of gabapentin during breastfeeding is very limited. Data is from 10 mothers using gabapentin doses up to 2.1g daily limited information indicates that maternal doses of gabapentin up to 2.1 grams daily produce relatively Therefore, gabapentin, lamotrigine, oxcarbazepine, vigabatrin, tiagabine, pregabalin, leviracetam and topiramate are compatible with breastfeeding with a less documented safety profile. Ethosuximide, zonisamide and the continue use of clonazepam and diazepam are contraindicated during breastfeeding. Conclusions
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