{"id":630105,"date":"2024-10-15T15:27:40","date_gmt":"2024-10-15T19:27:40","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=630105"},"modified":"2024-10-25T09:41:27","modified_gmt":"2024-10-25T13:41:27","slug":"aimovig-and-breastfeeding","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/aimovig-and-breastfeeding\/","title":{"rendered":"Can you use Aimovig while breastfeeding?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/aimovig\/what-is\"><span style=\"font-weight: 400;\">Aimovig<\/span><\/a><span style=\"font-weight: 400;\"> (erenumab) is a brand-name medication that&rsquo;s <\/span><a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-approves-novel-preventive-treatment-migraine\"><span style=\"font-weight: 400;\">approved by the Food and Drug Administration (FDA)<\/span><\/a><span style=\"font-weight: 400;\"> to help prevent migraine. It&rsquo;s given once a month by subcutaneous (under the skin) self-injection. Aimovig belongs to a class of medications called <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/cgrp-inhibitors\"><span style=\"font-weight: 400;\">calcitonin gene-related peptide receptor (CGRP) inhibitors<\/span><\/a><span style=\"font-weight: 400;\">. It<\/span> <a href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a618029.html\"><span style=\"font-weight: 400;\">works by<\/span><\/a><span style=\"font-weight: 400;\"> blocking the action of substances in the body that cause migraine headaches.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Migraine headaches and <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/migraine-types\/\"><span style=\"font-weight: 400;\">chronic migraine<\/span><\/a><span style=\"font-weight: 400;\"> can be debilitating conditions. People who live with migraine rely on medication to prevent migraine attacks from interfering with their quality of life. But what happens when you become a parent? Many parents specifically want to know if you can use Aimovig while breastfeeding.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here, we&rsquo;ll take a close look at Aimovig and breastfeeding, including what the experts say, what possible risks may be, and alternative migraine treatments.&nbsp;<\/span><\/p>\n<h2 id=\"can-you-use-aimovig-while-breastfeeding\"><span style=\"font-weight: 400;\">Can you use Aimovig while breastfeeding?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Unfortunately, there simply <\/span><a href=\"https:\/\/www.pi.amgen.com\/-\/media\/Project\/Amgen\/Repository\/pi-amgen-com\/Aimovig\/aimovig_pi_hcp_english.pdf\"><span style=\"font-weight: 400;\">isn&rsquo;t robust data on the safety of Aimovig and breastfeeding<\/span><\/a><span style=\"font-weight: 400;\">, including how it might affect babies or milk production. For this reason, many providers don&rsquo;t readily recommend Aimovig while breastfeeding, though exceptions are possible.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&ldquo;There isn&#8217;t a lot of solid data on the safety of taking this drug during lactation,&rdquo; says<\/span> <a href=\"https:\/\/www.linkedin.com\/in\/andrew-youssouf-md\/\"><span style=\"font-weight: 400;\">Andrew Youssouf, MD<\/span><\/a><span style=\"font-weight: 400;\">, who is double board-certified in addiction medicine and emergency medicine and is the medical director of Ikon Recovery. Because of this, Dr. Youssouf says he recommends exploring other options before using Aimovig while breastfeeding. &ldquo;Due to the lack of extensive research, I generally recommend caution, especially during the early postpartum period or when nursing a newborn or preterm infant,&rdquo; he explains. &ldquo;If you&rsquo;re considering Aimovig, it&rsquo;s best to have a detailed conversation with your healthcare provider to weigh the benefits against any potential risks.&rdquo;<\/span><\/p>\n<p><a href=\"https:\/\/www.northwell.edu\/find-care\/find-a-doctor\/dr-noah-l-rosen-md-11317544\"><span style=\"font-weight: 400;\">Noah Rosen, MD<\/span><\/a><span style=\"font-weight: 400;\">, a neurologist with Northwell Health, has a similar recommendation. &ldquo;It is still not known whether Aimovig is safe in breastfeeding,&rdquo; Dr. Rosen says. However, there may be some indications that it may be safe. &ldquo;There are preclinical animal studies of other similar large molecules that suggest the amount of antibody likely to pass would be very low and that is likely to be degraded in the gastrointestinal system of the baby.&rdquo;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Still, Dr. Rosen says there simply aren&rsquo;t enough clinical trials on Aimovig and breastfeeding for healthcare professionals to recommend it. In<\/span> <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK513061\/\"><span style=\"font-weight: 400;\">two published cases<\/span><\/a><span style=\"font-weight: 400;\">, blood levels of Aimovig in the breastfed infant were negligible, &ldquo;but that is not enough to make the case for all women using this medicine,&rdquo; he says. &ldquo;I currently hold off on the use of CGRP antibodies for now in these cases, provided other options for prevention can be used.&rdquo;&nbsp;<\/span><\/p>\n<h2 id=\"what-are-the-risks-of-using-aimovig-while-breastfeeding\"><span style=\"font-weight: 400;\">What are the risks of using Aimovig while breastfeeding?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Like any medication, Aimovig can have adverse effects at times. Some possible <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/aimovig-side-effects\/\"><span style=\"font-weight: 400;\">side effects of Aimovig<\/span><\/a><span style=\"font-weight: 400;\"> include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Injection site soreness, pain, redness, and itchiness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Constipation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Muscle spasms<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increased blood pressure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cramping<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Allergic reactions<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">There are certain people who shouldn&rsquo;t use Aimovig, including people with a hypersensitivity to erenumab or a history of allergic reactions to it. Similar to breastfeeding, when it comes to pregnancy, there isn&rsquo;t enough data to know whether using Aimovig during pregnancy presents issues to babies. But the little data we have is promising.<\/span> <span style=\"font-weight: 400;\">When pregnant monkeys were given Aimovig, <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=b998ed05-94b0-47fd-b28f-cddd1e128fd8\"><span style=\"font-weight: 400;\">no adverse effects were seen in their offspring<\/span><\/a><span style=\"font-weight: 400;\">. However, we do not yet know for sure that these findings translate to humans.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As for breastfeeding, the bottom line is that we lack any meaningful data on the risk of using Aimovig while breastfeeding. &ldquo;Some case reports suggest minimal risk, with no observed adverse effects in infants whose mothers used Aimovig during breastfeeding,&rdquo; says Dr. Youssouf. As such, he says the safest approach is to only use it when absolutely necessary and when the benefits outweigh the potential risks.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That being said, there is no evidence as of yet that using Aimovig while breastfeeding poses any risk to the baby, or that it reduces milk supply. &ldquo;However, the long-term implications of infant exposure are still not known,&rdquo; Dr. Rosen says. &ldquo;Risks may be negligible and no significant short-term dangers have been described, but enough is still not known.&rdquo;<\/span><\/p>\n<h2 id=\"what-can-i-take-instead-of-aimovig-while-breastfeeding\"><span style=\"font-weight: 400;\">What can I take instead of Aimovig while breastfeeding?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Ultimately, the decision whether to use Aimovig or not while breastfeeding will be between you and your healthcare provider.<\/span> <a href=\"https:\/\/www.cdc.gov\/breastfeeding-special-circumstances\/hcp\/vaccine-medication-drugs\/prescriptions.html\"><span style=\"font-weight: 400;\">According to the Centers for Disease Control and Prevention<\/span><\/a><span style=\"font-weight: 400;\">, most prescription medications are safe for breastfeeding parents to use. The<\/span> <a href=\"https:\/\/publications.aap.org\/pediatrics\/article\/132\/3\/e796\/31630\/The-Transfer-of-Drugs-and-Therapeutics-Into-Human?autologincheck=redirected\"><span style=\"font-weight: 400;\">American Academy of Pediatrics (AAP)<\/span><\/a><span style=\"font-weight: 400;\"> gives the same advice, emphasizing that whether or not to take a medication is something you and your healthcare provider will discuss, weighing factors like:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How necessary the drug is for the mother<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Any potential adverse effects<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How much of it is excreted into breast milk<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How well it&rsquo;s absorbed by the baby<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How old the baby is<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How frequently the baby breastfeeds<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If your healthcare provider decides that the risks of using Aimovig outweigh any benefits, you have other options for migraine relief. There are several<\/span> <a href=\"https:\/\/www.singlecare.com\/blog\/aimovig-alternatives\/\"><span style=\"font-weight: 400;\">Aimovig alternatives<\/span><\/a><span style=\"font-weight: 400;\"> you may be able to try that may be more breastfeeding-friendly.&nbsp;&nbsp;<\/span><\/p>\n<h3 id=\"pain-relievers-and-preventive-medications\"><span style=\"font-weight: 400;\">Pain relievers and preventive medications<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">According to Dr. Youssouf, certain <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/analgesics\"><span style=\"font-weight: 400;\">pain relievers<\/span><\/a><span style=\"font-weight: 400;\"> can be used to treat the pain and discomfort associated with migraine. &ldquo;If you are wanting migraine relief during breastfeeding, safer options include acetaminophen and ibuprofen,&rdquo; he says. &ldquo;Other options like propranolol, a beta blocker, can also be considered under medical advisement.&rdquo; While drugs like acetaminophen or ibuprofen can help with migraine pain as it occurs, beta blockers are used to prevent migraine.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Both<\/span> <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK501194\/\"><span style=\"font-weight: 400;\">acetaminophen<\/span><\/a><span style=\"font-weight: 400;\"> and<\/span> <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK500986\/\"><span style=\"font-weight: 400;\">ibuprofen<\/span><\/a><span style=\"font-weight: 400;\"> are breastfeeding-friendly, according to LactMed, a drugs and lactation database from the National Library of Medicine.<\/span> <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK501162\/\"><span style=\"font-weight: 400;\">Propranolol<\/span><\/a><span style=\"font-weight: 400;\"> is excreted in low levels in breast milk and studies haven&rsquo;t found adverse reactions among breastfed babies whose mothers have taken it.<\/span><\/p>\n<h3 id=\"serotonin-receptor-agonists-triptans\"><span style=\"font-weight: 400;\">Serotonin receptor agonists (triptans)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Selective serotonin receptor agonists, also known as triptans, can be useful in treating the symptoms of migraine and chronic migraine. &ldquo;The use of subcutaneous <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/imitrex\"><span style=\"font-weight: 400;\">Imitrex (sumatriptan)<\/span><\/a><span style=\"font-weight: 400;\"> had been studied in breastfeeding and showed some expression in breast milk,&rdquo; Dr. Rosen says. But the levels of sumatriptan excreted into breast milk are small, and <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK501255\/\"><span style=\"font-weight: 400;\">it&rsquo;s poorly absorbed by babies<\/span><\/a><span style=\"font-weight: 400;\">. Previously, mothers were instructed to pump their breast milk and then dispose of it after using sumatriptan, but Dr. Rosen said that is no longer the recommendation. &ldquo;Now it is more common to simply limit dosing,&rdquo; he explains.&nbsp;<\/span><\/p>\n<h3 id=\"anti-nausea-medications\"><span style=\"font-weight: 400;\">Anti-nausea medications<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Migraine attacks aren&rsquo;t just painful. They can include a whole host of unpleasant bodily symptoms. One prominent symptom is nausea. As such, taking anti-nausea medication can be helpful during migraine attacks. According to Dr. Rosen, some of these medications are safe during breastfeeding. One such medication is Zofran (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ondansetron-hcl\/what-is\"><span style=\"font-weight: 400;\">ondansetron<\/span><\/a><span style=\"font-weight: 400;\">). <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK500798\/\"><span style=\"font-weight: 400;\">No adverse effects in babies have been seen<\/span><\/a><span style=\"font-weight: 400;\"> with the use of Zofran while breastfeeding.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As with all of these medications, you should only take them after consulting your healthcare provider. You also can&rsquo;t overestimate the power of lifestyle modifications on migraine. Working on eliminating migraine triggers can be a powerful way to prevent migraine attacks. Here are recommendations from Dr. Rosen and Dr. Youssouf:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prioritize getting enough quality sleep and sticking to a regular sleep schedule, even on the weekends<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stay well-hydrated<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Practice stress management<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Try acupuncture<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Track your dietary triggers and try to adjust your diet based on that<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Consider massage<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Try meditation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Use progressive muscle relaxation<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you have any further questions about Aimovig and breastfeeding, don&rsquo;t hesitate to reach out to your healthcare provider. Each person&#8217;s situation unit is unique, and only your healthcare provider will be able to determine whether this medication is safe for you and your baby.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Aimovig (erenumab) is a brand-name medication that&rsquo;s approved by the Food and Drug Administration (FDA) to help prevent migraine. It&rsquo;s given once a month by subcutaneous (under the skin) self-injection. Aimovig belongs to a class of medications called calcitonin gene-related peptide receptor (CGRP) inhibitors. It works by blocking the action of substances in the body [&hellip;]<\/p>\n","protected":false},"author":149,"featured_media":630107,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[8970,788],"coauthors":[20899],"class_list":["post-630105","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-breastfeeding","tag-drug-safety","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Can you use Aimovig while breastfeeding?<\/title>\n<meta name=\"description\" content=\"You shouldn\u2019t use Aimovig while breastfeeding unless your healthcare provider determines the benefits outweigh any risks, as there\u2019s a lack of current safety data.\" \/>\n<meta name=\"robots\" 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