The Basics

What is Norepinephrine?

Can treat low blood pressure and heart failure.

Brand names for Norepinephrine

Levophed

How Norepinephrine is classified

Adrenergic Agonists, Adrenergic Alpha-Agonists, Catecholamines, Sympathomimetics, Vasoconstrictor Agents

Norepinephrine During Pregnancy

Norepinephrine pregnancy category

Category CNote that the FDA has deprecated the use of pregnancy categories, so for some medications, this information isn’t available. We still think it’s useful to list historical info, however, given what a common proxy this has been in the past.

What we know about taking Norepinephrine while pregnant

N/A

Taking Norepinephrine While Breastfeeding

What are recommendations for lactation if you're taking Norepinephrine?

No information is available on the use of norepinephrine during breastfeeding. Because of its poor oral bioavailability and short half-life, any norepinephrine in milk is unlikely to affect the infant. High intravenous doses of norepinephrine might reduce milk production or milk letdown.

Maternal / infant drug levels

No information is available on the use of norepinephrine during breastfeeding. Because of its poor oral bioavailability and short half-life, any norepinephrine in milk is unlikely to affect the infant. High intravenous doses of norepinephrine might reduce milk production or milk letdown.

Possible effects of Norepinephrine on milk supply

Relevant published information in nursing mothers was not found as of the revision date. Animal data indicate that norepinephrine can decrease serum prolactin and reduce milk production,[1] as well as inhibit the release of oxytocin, which inhibits milk ejection.[2]

Possible alternatives to Norepinephrine

List of References

Lactation sources: Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK501922/1. Thomas GB, Cummins JT, Doughton BW et al. Direct pituitary inhibition of prolactin secretion by dopamine and noradrenaline in sheep. J Endocrinol. 1989;123:393-402. PMID: 2607250
2. Song SL, Crowley WR, Grosvenor CE. Evidence for involvement of an adrenal catecholamine in the beta-adrenergic inhibition of oxytocin release in lactating rats. Brain Res. 1988;457:303-9. PMID: 2851365

Disclaimer: This material is provided for educational purposes only and is not intended for medical advice, diagnosis, or treatment. Consult your healthcare provider with any questions.

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