Seizure meds and breastfeeding

[cluelesspro]

Looking for some advice/experiences. I've been ebf my little girl since day one and we also co-sleep. She is 9m and eating pretty well and now only really needs 2 feeds a day but feeds at night for comfort. Long story short I recently suffered a head injury and have started having seizures and need to start meds. I don't want to stop breastfeeding for lots of reasons but really worried about adverse effects. Neurologist says I can breastfeed but some books etc say no. Any tips on decreasing risks. Drug choices I have are lamotrigine or levetericetam (keppra). Thanks for any advice x

I'm on pregabalin and only BF at the beginning with my DS as all the advice was don't.

Pg again and have researched a bit more and there's quite a bit saying that the benefits outweigh the risks.

Sorry, not sure about advice on decreasing risks, I think the only way to do that would be to wean as soon as you can unfortunately.

I expressed milk for dd 1 for a few weeks when I was on lamotrogine. With dd2 I bf and was taking topiramate. Midwife looked into it and said only small amounts cross into breast milk and only effect it will have is slght tiredness in baby - I certainly didn't have that effect in my babies! Good luck

Oh and I suddenly stopped feeding with no averse affects

Take your neurologist's advice. No one can give AEDs a clean bill of health because no one can do a prospective study and randomly ask some mothers to bf on AEDs and others not to. But Keppra and lamotrigine are both pretty well known and very very widely used AEDs so their safety records are much better understood than other drugs. If your baby is 9m I would imagine the risk is tiny - the only adverse case reports concern teeny newborns and even then the worst outcome is the sleepiness Sanna mentions.

Sorry about the seizures though. Hope the meds work quickly. I started taking Keppra when my DD was 10m with no probs at all.