Mirapex ER and Breastfeeding

According to the manufacturer of Mirapex ER (pramipexole ER), women should not use this medication while nursing. Research studies have shown that pramipexole does pass through breast milk in rats and may affect milk supply. Before using Mirapex ER, breastfeeding women should ask their healthcare providers about the potential risks.

Is Taking Mirapex ER While Breastfeeding Safe?

At this time, it is unknown if Mirapex® ER™ (pramipexole ER) passes through breast milk in humans. The manufacturer of Mirapex ER recommends that women not use this medication while breastfeeding. Therefore, if you are nursing a child, talk with your healthcare provider before taking Mirapex ER.

More Information on Breastfeeding and Mirapex ER

No studies have been done to see if pramipexole (the active ingredient in Mirapex ER) passes through breast milk in women. However, studies have shown that the drug passes through breast milk in rats. It is not known if Mirapex ER could have any negative effects on an infant if it does pass through breast milk in humans.
Studies have shown that pramipexole can lower prolactin levels in humans. Because prolactin is a hormone that is important for breastfeeding, Mirapex ER could negatively affect a woman's milk supply. This is particularly important in the early weeks of breastfeeding and is probably less important for mothers who have been breastfeeding for quite a while (as prolactin becomes less important over time).

Talking With Your Healthcare Provider

You should discuss breastfeeding and Mirapex ER with your healthcare provider. Each woman's situation is different, and you and your healthcare provider understand your situation best. After considering what you want and expect, as well as your current health situation, the two of you can make a shared decision that is right for you.
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Mirapex ER Medication Information

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