Leitura clínica
Comentário
A epilepsia não contraindica a amamentação materna. A Sociedade Espanhola de Neurologia, a Academia Americana de Neurologia, a Sociedade Americana de Epilepsia e a Academia Americana de Pediatria, entre outras sociedades científicas de peso, apoiam a amamentação em mulheres afetadas de epilepsia que tomam antiepilépticos. Muitos fármacos antiepilépticos são compatíveis com a amamentação e não causam problemas nos bebês que mamam. Convém evitar fenobarbital, primidona e etosuximida, que podem causar sedação excessiva e o felbamato por risco de toxicidade hematológica e hepática. Veja cada fármaco antiepiléptico em concreto. Como muitos fármacos passam em pequenas quantidades ao leite, ao desmamar pode ocorrer síndrome de privação em bebês que mamam, portanto em caso de desmame, este deve ser progressivo. Há mais risco de convulsões neonatais por queda brusca de níveis fetais em crianças que não recebem amamentação materna. Convém que a mãe afetada de epilepsia amamente deitada ou acompanhada por se sofrer uma crise com queda. Pode consultar abaixo a informação deste grupo relacionado: ATC N03: Antiepilépticos
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Bibliografia
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