Last update: Aug. 20, 2017
Moderately safe. Probably compatible.
Mild risk possible. Follow up recommended.
Read the Comment.
Glucagon-like peptide 1 analogue that stimulates endogenous insulin secretion.
Used to treat obesity and type 2 diabetes in combination with other oral antidiabetics, especially metformin.
The most common side effects are nausea, vomiting and diarrhea. Low risk of hypoglycemia in monotherapy.
Since the last update we have not found published data on its excretion in breast milk.
Its pharmacokinetic data (high molecular weight and high percentage of plasma protein binding) make it very unlikely that significant amounts will pass into breast milk (Serrano 2014).
Due to its protein nature, it deteriorates in the gastrointestinal tract, not being absorbed (Serrano 2014). This low oral bioavailability would make it difficult for it to pass to the infant’s plasma ingesting breast milk, except in preterm infants and in the immediate neonatal period when there may be increased intestinal permeability.
Diet, exercise, and breastfeeding improve blood sugar levels.
Suggestions made at e-lactancia are done by APILAM´s pediatricians and pharmacists, and are based on updated scientific publications.
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