I am currently pregnant (35 weeks) and have taken Asacol and Rowasa throughout the entire pregnancy. I also had a four week taper of Prednisone for a flare during the first trimester. I was hoping to breastfeed and did A TON of research on it. I did my own independent research and also consulted my GI, OB, and three Pediatricians. Every single one of them said it was not a good idea to breastfeed on Asacol or Rowasa. The mesalamine is secreted through the breastmilk, and it is ingested by the baby. They all advised against it.
Dr. Hale's book, Medications and Mother's Milk, is a great resource. I was able to get it from my public library, so hopefully, you can do that, too. Dr. Hale has researched many, many medications, and mesalamine is one of them. His research showed that mesalamine is secreted through breastmilk, and there were some babies who had adverse reactions.
All of that being said, I will tell you that there are a ton of different opinions on this topic! There are many women who have breastfed on mesalamine medications, and their babies are perfectly healthy. There are many women who have breastfed on other medications, such as Remicade, and their babies are healthy. Then there are women who breastfed and their babies had problems. And, of course, there are the women who chose not to breastfeed while on their medications.
In my opinion, the best thing to do is to conduct your own research and consider everyone's opinions and all of the possibilities. Once you digest all of that, you have to make a decision that you and the father are most comfortable with. For us, we decided not to risk it, so I will not be breastfeeding. That may not be the best decision for you and your baby. Unfortunately, there is not a clear, black and white answer on this issue.
Good luck to you!
- Asacol (4 pills, 3x per day)
- Rowasa (1 enema daily, as needed)
- Folic Acid (1 mg, 1x per day)
- Calcium (600 mg, 2x per day)
- Prenatal Vitamin (1x per day)
- Iron (2x per day)