Loxapine and Breastfeeding

Summary of use during lactation

Because no information is available on the use of loxapine during breastfeeding, an alternate drug may be preferred, especially while nursing a newborn or preterm infant.

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

Loxapine can elevate serum prolactin.[1] The hyperprolactinemia is caused by the drug's dopamine-blocking action in the tuberoinfundibular pathway.[2] The prolactin level in a mother with established lactation may not affect her ability to breastfeed.

Alternative drugs to consider

Haloperidol, Olanzapine, Quetiapine, Risperidone

References

1. MeltzerHY FangVS GoodeDJ Prolactin and neuroleptics: Clinical implications for efficacy and toxicity. The effect of neuroleptics and alpha-methyl-para-tyrosine on serum prolactin levels in laboratory animals and man. Psychopharmacol Bull 1978 14 5 7 625539
2. MaguireGA Prolactin elevation with antipsychotic medications: Mechanisms of action and clinical consequences. J Clin Psychiatry 2002 63 Suppl 4 56 62 11913677 PubMed