Can rituximab be taken by breastfeeding women with rheumatoid arthritis (RA)?

Updated: May 11, 2018
  • Author: Katherine K Temprano, MD; Chief Editor: Christine Isaacs, MD  more...
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Answer

Answer

Although it is unknown whether rituximab is excreted in human milk, immunoglobulin G is present in human milk, and rituximab has been detected in the milk of monkeys. [44, 48, 49]  According to EULAR recommendations, when rituximab is administered before 22 weeks, vaccinations can be performed according to local guidelines (live vaccines included). When administered later in pregnancy, live vaccines should be avoided till 6 months of age. Due to the lack of data, lactation should be avoided. [18] &nbsp


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