migraines and bf - can i take zomig?

[bossykate]

hi everyone

i've been having worse and worse headaches over the last few months which i believe are common migraines. otc painkillers are not working and i want to get a prescription painkiller. my sister takes zomig and recommends it. however, i've just been researching it on the net and it is not recommended for bf mothers. as far as i can gather, this is because they have not studied it, not because they have studied it and found it harmful iyswim.

since i went back to work 3 wks ago i'm only doing one bf per day, in the morning. so could i take zomig on this basis? if i did take it, say in the evening, could i just formula feed in the morning instead?

these headaches have got to be a real problem and i really need help.

thanks in advance

[zebra]

Hale puts it into risk category L3, which is to say, moderately safe. Says that no pediatric concerns have been reported, no data on its penetration into humanmilk.

HOWEVER, he also says that sumatriptan is a preferred alternative.

Of sumatriptan, he says (turning pages)..

[zebra]

Sumatriptan Succinate (Imitrex, Imigran) has approval of American Academy of Pediatricians for breastfeeding mothers... could go into more detail, but that would be a pretty good endoresement for me!

Here's a reference for your Chemist, GP:
Brit. J. Cin. Pharamacol. (1995) 41:217-221. That's a real study of 6 breastfeeding mothers, they reckoned that the infant's dose would only be 0.49% of maternal dose... which is "pretty good".

[bossykate]

thank you thank you thank you thank you

i have been sitting here at work with my head in my hands practically in tears with the pain today.

thank you

[zebra]

good luck, if you have any trouble I can photocopy relevant pages in Hales 4 you. -Z XX

[bossykate]

zebra, thank you so much for your help yesterday

managed to get imigran from gp today