Hi there, my first post here! I'm 37yrs old, have had RA since I was 24yrs. Came off of my Enbrel when concieving my first son and when pregnant, and went back on it when he was 2months old as I had a post-partum flare and he was difficult to breastfeed anyway and went onto bottles so I could go back on meds. I then stopped the medication when conceiving 2nd son, and when pregnant. He is now 7months old and I am flaring badly. He is fully breastfed and my specialist nurse has ordered my Enbrel and all I need to do is call her when he is onto bottles. BUT, he does not want to take a bottle, AND I don't want to stop breastfeeding (several reasons but that's a whole different story). The thing is, I have researched and although Wyeth Pharmaceuticals won't endorse the use of Enbrel for pregnant or nursing mums, the facts are that the protein molecules in the drug are too large to pass through to the breast milk AND even if they did digestive enzymes in the baby's tummy would render them ineffective and harmless - this is why Enbrel has to be administered as an injection. What to do? I can call my Nurse tomorrow and ask if I can have the Enbrel and continue nursing, but I know she's not allowed to say yes - or is she, provided I take responsibility? The alternative is to be underhand and tell her he is now on bottles and just take the Enbrel anyway - but that's not really the sort of person I am plus I like and respect her so it feels wrong.
Has anyone on here been in this position, and been allowed to take a biological when breastfeeding? I can find a tonne of Americans who have, but I know thats kind of meaningless as their system is so different.
Thanks in advance