Atracurium and Breastfeeding

Summary of use during lactation

No information is available on the use of atracurium during breastfeeding. Because it is short acting, highly polar and poorly absorbed orally, it is not likely to reach the breastmilk in high concentration or to reach the bloodstream of the infant.[1,2] When a combination of anesthetic agents is used for a procedure, follow the recommendations for the most problematic medication used during the procedure. Consider using an atracurium product that has no benzyl alcohol preservative.

Drug levels in milk and infant serum

Maternal Levels. Relevant published information was not found as of the revision date. Infant Levels. Relevant published information was not found as of the revision date.

Effects in breastfed infants

Relevant published information was not found as of the revision date.

Effects on lactation and breastmilk

Relevant published information was not found as of the revision date.

Alternative drugs to consider

Cisatracurium, Rocuronium

References

1. SpigsetO. Anaesthetic agents and excretion in breast milk. Acta Anaesthesiol Scand 1994 38 94 103 8171959 PubMed
2. DalalPG BosakJ BerlinC Safety of the breast-feeding infant after maternal anesthesia. Paediatr Anaesth 2014 24 359 71 24372776 PubMed