Kadian and Breastfeeding
Due to the morphine component of Kadian, breastfeeding problems could potentially occur if the drug is used while breastfeeding. Morphine passes through breast milk and can cause drowsiness, constipation, and difficulty breathing in an infant. Before using Kadian, breastfeeding women should talk to their healthcare providers about the benefits and potential risks.
Kadian® (morphine sulfate ER) passes through breast milk. If you are breastfeeding or are thinking about breastfeeding, talk with your healthcare provider before taking Kadian. The manufacturer does not recommend using this medication while breastfeeding.
Morphine (the active ingredient of Kadian) passes through breast milk. As a narcotic, morphine could cause significant problems in a nursing infant. Possible problems could include drowsiness, poor feeding (due to drowsiness or stomach upset), constipation, or even difficulty breathing. Despite these potential problems, morphine is often considered to be compatible with breastfeeding, especially in the immediate postpartum period (right after the baby is born).
Even though morphine is often considered to be compatible with breastfeeding, Kadian is not appropriate for most breastfeeding mothers. Kadian is approved only for long-term, around-the-clock use to treat chronic pain. It should not be used to treat pain related to childbirth. Because Kadian provides a continuous release of morphine, it is likely that a breastfed infant would be exposed to a larger dose of morphine (compared to short-acting morphine products).
You should talk with your healthcare provider about Kadian and breastfeeding. 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 about Kadian and breastfeeding that is right for you.