Last update Jan. 22, 2025

Deflazacort

Likely Compatibility

Fairly safe. Mild or unlikely adverse effects. Compatible under certain circumstances. Follow-up recommended. Read Commentary.

It is an oxazolinic corticosteroid derivative of prednisolone with mainly glucocorticoid activity equivalent to prednisolone. It is used in rheumatic, collagen, allergic and immune-based diseases. Oral administration.

At the time of last update, we found no published data on its excretion in breast milk. 

Its moderately high molecular weight, its wide distribution volume and rapid elimination make it probably safe during breastfeeding, especially in non-chronic use. 

It does not interfere with prolactin secretion. (Barbieri 1985)

Until more data on this drug in relation to breastfeeding are known, safer alternatives may be preferable, especially during the neonatal period and in case of prematurity.


 

Alternatives

  • Methylprednisolone (Safe product and/or breastfeeding is the best option.)
  • Prednisolone (Safe product and/or breastfeeding is the best option.)
  • Prednisone (Safe product and/or breastfeeding is the best option.)

Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it. The pharmaceutical industry contraindicates breastfeeding, mistakenly and without scientific reasons, in most of the drug data sheets.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.

Thank you for helping to protect and promote breastfeeding.

José María Paricio, founder of e-lactancia.

Other names

Deflazacort is also known as


Deflazacort in other languages or writings:

Group

Deflazacort belongs to this group or family:

Tradenames

Main tradenames from several countries containing Deflazacort in its composition:

Pharmacokinetics

Variable Value Unit
Oral Bioavail. 68 %
Molecular weight 442 daltons
Protein Binding 40 %
VD 2.9 ± 1.2 l/Kg
pKa 14.74 -
Tmax 1.5 - 2 hours
1 - 2 hours

References

  1. eMC. Deflazacort. Drug Summary 2015 Full text (in our servers)
  2. AEMPS. Deflazacort. Ficha técnica. 2010 Full text (in our servers)
  3. Möllmann H, Hochhaus G, Rohatagi S, Barth J, Derendorf H. Pharmacokinetic/pharmacodynamic evaluation of deflazacort in comparison to methylprednisolone and prednisolone. Pharm Res. 1995 Abstract
  4. Barbieri C, Baruto C, Sala M, Bigatti G, Parodi M, Bellini P, Bevilacqua M. Lack of effect of deflazacort, a novel glucocorticoid, on basal and TRH-stimulated prolactin and thyrotropin levels in healthy subjects. Eur J Clin Pharmacol. 1985 Abstract

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