**9. Breast feeding by transplant recipients**

Sparse data is available on recommendations for breast feeding from immunosuppressant mothers. Study published on cyclosporine levels in breast milk reveals cyA levels in milk equivalent to mother's serum. (Moretti 2003) This leads to conclusion that females who are on cyclosporine should not fed their babies, whereas the fact that small amounts of azathiaprine and Prednisolone are excreted in milk (Coulam 1982) can provide an opportunity to consider feeding those babies whose mothers are on these two agents only. French et al. reported the first case of measurement of tacrolimus levels in human milk; suggest that maternal therapy with tacrolimus may be compatible with breast-feeding. (French 2003). Level of Tacrolimus was calculated in breast milk in this case but this was single case report. Data on other drugs is still lacking.
