Pain Home > Nucynta and Breastfeeding

Due to a lack of research on the topic, it is unknown if Nucynta (tapentadol) passes through breast milk; however, it is believed to do so. If it does, the medication could cause problems (such as sedation and difficulty feeding) in nursing infants, especially newborns. Therefore, the manufacturer does not recommend using Nucynta if you are breastfeeding.

Is It Safe to Take Nucynta While Breastfeeding?

At this time, it is unknown if Nucynta™ (tapentadol) passes through breast milk. It could cause problems for nursing infants, and the manufacturer recommends that breastfeeding women not take Nucynta. If you are breastfeeding a child, talk with your healthcare provider before taking this drug.

What Are the Risks?

Although no definitive research has been done at this time, it is predicted that the medication probably will pass through breast milk. Nucynta could cause sedation, breathing problems, and difficulty feeding in infants, especially newborns.
In addition, if you are having difficulties establishing breastfeeding and are taking Nucynta (or other opioids), it is a good idea to ask your healthcare provider about different pain control options that are less likely to impair your baby's ability to nurse.
Let your child's healthcare provider know immediately if you notice any Nucynta-related problems in your baby, such as unusual drowsiness, breastfeeding difficulties, slow or irregular breathing, or limpness.

Talking With Your Healthcare Provider

You should discuss breastfeeding while taking Nucynta with your healthcare provider. 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 that is right for you.
Written by/reviewed by:
Last reviewed by: Kristi Monson, PharmD;
Last updated/reviewed:
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