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This review provides a synopsis for clinicians on the use of antiepileptic drugs (AEDs) in the breastfeeding mother. For each AED, we collected all retrievable data from Hale’s “Medications and Mother Milk” (2012), from the LactMed database (2013) 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. The developmental and health benefits of breastfeeding should be considered along with the mother’s clinical need for gabapentin and any potential adverse effects on the breastfed infant from gabapentin or from the underlying maternal condition. If your doctor or health visitor says your baby is healthy, you can take gabapentin while breastfeeding. It's important to keep taking gabapentin to keep you well. Gabapentin passes into breast milk in small amounts. It has not been known to cause any side effects in breastfed babies. Medicine concerns while breastfeeding Medicine use while breastfeeding is common. You may need medicines to treat current or new health conditions during this time. There are concerns around medicine use during breastfeeding. Fortunately, many medicines have no effect on a breastfed baby and are safe to take while breastfeeding. Breastfeeding while taking gabapentin: Gabapentin enters breastmilk in low levels. Blood tests on breastfed infants found low levels or levels too low to be detected. There are reports of infants exposed to gabapentin through breastmilk; no side effects were noted. This sheet discusses gabapentin use during pregnancy and breastfeeding, offering guidance on potential risks and safety considerations. Summary of Use during Lactation Limited information indicates that maternal doses of gabapentin up to 2.1 grams daily produce relatively low levels in infant serum. Monitor the infant for drowsiness, adequate weight gain, and developmental milestones, especially in younger, exclusively breastfed infants and when using combinations of anticonvulsant or psychotropic drugs. A single oral dose of Usually, healthy, full-term newborns safely tolerate the amounts of gabapentin (Neurontin) they are exposed to through the breastmilk. If your physician believes that taking gabapentin while breastfeeding is more beneficial, be sure to monitor for possible side effects on your infant. What are the risk associated with Gabapentin | Nucare Pharmaceuticals,inc. usage while breastfeeding? What precautions shall I take while using it in breastfeeding? 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 This article summarizes the current literature regarding gabapentin use during pregnancy and related prenatal and neonatal exposure outcomes with special consideration for interactions between gabapentin and opioid use. It is generally safe to take gabapentin while breastfeeding. If you are prescribed gabapentin, be sure to tell your medical provider that you are breastfeeding and make a plan with them to monitor yourself and your baby for any adverse effects. If gabapentin or pregabalin is used by a breastfeeding mother, monitor the infant for gastrointestinal adverse effects, appetite changes, adequate weight gain, drowsiness and normal developmental milestones. 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. A single oral dose of either 300 mg or 600 mg given to the mother before cesarean section appeared to have no effect on breastfeeding initiation. [1] An expert consensus guideline indicates that gabapentin is an acceptable choice for refractory restless leg syndrome during lactation. [2] Pregnancy-related problems, such as preterm delivery (birth before week 37) or low birth weight (weighing less than 5 pounds, 8 ounces [2500 grams] at birth) have been reported in some studies looking at the use of gabapentin during pregnancy. The NHS advises that while gabapentin is not typically recommended during pregnancy due to insufficient safety data, its use during breastfeeding is approached with more flexibility, provided that the benefits outweigh the risks. Gabapentin is considered compatible with breastfeeding, but should be used with caution and infant monitoring. 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. 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
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