Commonly Used Anesthetics: Suitability in Lactation

Commonly Used Anesthetics: Suitability in Lactation
Drug Name Half-Life Adult Dose Relative Infant Dose Lactation Risk Category
ATROPINE 4.3 h 0.6-1.2 mg every 6 h Unknown L3 - No Data-Presumed Compatible
BUPIVACAINE 2.7 h (Exparel longer) 2.5 mg/kg max dose 0.14% - 2.92% L2 - Limited Data-Probably Compatible
DEXAMETHASONE 3.3 h 0.5-9 mg daily Unknown L3 - No Data-Presumed Compatible
DEXMEDETOMI- DINE 2 h 1 µg/kg over 10 min., then 0.2-0.7 µg/kg/hour Unknown L2 - Limited Data-Probably Compatible
DIAZEPAM 43 h 2-10 mg 2-4 times a day as needed 0.88%-7.14% L3 - Limited Data-Presumed Compatible
GLYCOPYRROLATE 1.7 h 10-20 mcg/kg Unknown L3 - No Data-Presumed Compatible
KETAMINE 2.5 h IV Varies, 0.5-1 mg/kg IV 0.29% - 0.95% L3 - No Data-Presumed Compatible
KETOROLAC 2.5 h 15 mg every 6 h 0.14% - 0.2% L2 - Limited Data-Probably Compatible
LIDOCAINE 1.8 h 4 mg/kg max dose 0.5% - 3.1% L2 - Limited Data-Probably Compatible
LORAZEPAM 12 h 1 mg 2-3 times a day as needed 2.6% - 2.9% L3 - Limited Data-Presumed Compatible
MEPERIDINE 2-4 h; active metabo- lite 15-30 h 50-100 mg every 3-4 h as needed 1.1% - 13.3% L4 - Limited Data-Possibly Hazardous
MIDAZOLAM 3 h 1-2.5 mg IV (varies by indication and route) 0.63% L2 - Limited Data-Probably Compatible
ONDANSETRON 3-4 h 8 mg twice daily 1.6% - 3.3% L2 - Limited Data-Probably Compatible
ROPIVACAINE 4.2 h (epidural) 3 mg/kg max dose Unknown L2 - Limited Data-Probably Compatible
SEVOFLURANE 1.8-3.8 h Variable Unknown L3 - No Data-Presumed Compatible