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Aubagio and Breastfeeding

Because it is unknown whether Aubagio (teriflunomide) passes through breast milk, the manufacturer of the drug recommends women not breastfeed during treatment. It is thought that this drug may pass through breast milk to some extent, and may lead to side effects like poor feeding, diarrhea, and other problems. Talk to your healthcare provider before taking Aubagio while nursing.

Can Breastfeeding Women Take Aubagio?

Aubagio® (teriflunomide) is a prescription medication used to treat people with multiple sclerosis (MS). At this time, it is unknown if Aubagio passes through breast milk in humans. The manufacturer of the medication recommends that women either choose to breastfeed or choose to take Aubagio, but not do both.
If you are breastfeeding or planning to start, talk with your healthcare provider before taking this medication.

More Information on Aubagio and Breastfeeding

Aubagio has been shown to pass through the breast milk of rats. However, the medication has not been studied in breastfeeding women or nursing children. Therefore, it is not known whether the drug passes through human breast milk, or if it would harm a nursing child. Based on the properties of the drug, it is expected to pass through breast milk to some extent.
Aubagio is associated with potentially serious side effects, including liver problems and infections. Because there is the potential that the drug could pass through breast milk and cause these and other problems in a nursing child, the manufacturer recommends women avoid breastfeeding during Aubagio treatment.
If your healthcare provider recommends breastfeeding while taking Aubagio, make sure to watch for any possible Aubagio side effects in your nursing child. Such side effects may include:
  • Unexplained or persistent crying
  • Diarrhea
  • Poor feeding
  • Fever
  • Breathing difficulty
  • Skin rash
  • Anything else that just doesn't seem right.
It is also important to note that it can take up to two years for Aubagio to be completely removed from your bloodstream after you stop taking it. Therefore, if you have taken the medication in the past two years and would like to breastfeed, talk to your healthcare provider. He or she can do blood tests to determine if Aubagio is still present in your blood, and can give you certain medicines to remove the medication from your body more quickly. 
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