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Breastfeeding and the effect of medicines. Which are safe?

Breastfeeding and the effect of medicines. Which are safe?

Many mothers who breastfeed their children wonder about the influence of drugs on breastfeeding. Specialists say that you can take medicines even if you are breast-feeding, but with certain precautions. In fact, there are very few types of drugs that are strictly forbidden during breastfeeding because they can have side effects for the baby or stop lactation.

In some cases, the question arises whether a breastfeeding mother who needs certain medications can take and breast feed her baby without the risk of side effects. Although there are many exceptions to the rule, a basic principle is that 1% of the dose of any drug will help the baby with milk.

However, you should consult a specialist doctor before taking any kind of medicine when you are breast-feeding.

Groups of medicines depending on the level of compatibility with breastfeeding

Medications compatible with breastfeeding

In most cases these medicines are safe when used in the short term (if you have to use a medicine for more than two weeks it is advisable to tell your doctor).
This category includes the following drugs:

  • acetaminophen;
  • medicines for asthma (chromolyn, inhalers);
  • Kaopectate;
  • acyclovir;
  • barium;
  • laxatives;
  • local anesthetics (eg dental);
  • chloroquine;
  • muscles relaxation medicines;
  • drugs for gastric acidity;
  • cortisone;
  • medicines for common intestinal parasites (eg oxygens);
  • antibiotics (tetracycline * and sulfa **);
  • decongestants;
  • propranolol;
  • anticoagulants;
  • digitalis;
  • propylthiouracil;
  • anticonvulsants;
  • diuretics;
  • silicone from implants;
  • antihistamines;
  • ibuprofen;
  • medicines for thyroid problems;
  • aspartame;
  • insulin;
  • vaccines;
  • vitamins.

* Avoid taking tetracycline for more than ten days.
** Avoid sulfa in baby's first month of life.

Medications compatible in some cases with breastfeeding, but with possible side effects

These are medicines that your doctor may prescribe if you need them, but under careful observation of the side effects that may occur in your baby.
If such side effects occur, you may need to either stop breastfeeding or treatment, depending on which action is a priority, or you may be prescribed an alternative treatment.
If you have to continue treatment and stop breastfeeding, you can continue feeding your stored baby's milk before starting treatment (it is always good to make reservations) that when you finish treatment you should start breastfeeding again. As you continue your treatment, you will need to use a breast pump and discard the milk.
This category includes the following drugs:

  • those containing alcohol;
  • general anesthetics *;
  • morphine;
  • antidepressants;
  • indomethacin;
  • oral contraceptives;
  • aspirin;
  • isoniazid;
  • Paxil;
  • codeine;
  • Lithium **;
  • phenobarbitol;
  • demerol;
  • metoclopramide;
  • Prozac;
  • ergots;
  • metronidazole (Flagyl) ***;
  • Valium;
  • Zoloft;

* It is generally safe to breastfeed 6-10 hours after a general anesthetic.

** Some specialists believe that lithium is strictly contraindicated in breastfeeding, others believe it can be administered, but under careful monitoring of the level of lithium in the baby's blood.

*** Specialists recommend that the mother take a single dose of two grams of metronidazole and stop breastfeeding for 12 or 24 hours.

Medicines incompatible with breastfeeding

If you are taking these drugs you should use a breast pump and discard the milk.

Medications and substances you are not allowed to take when breastfeeding

  • amphetamines;
  • heroin;
  • Mysoline;
  • drugs used to treat cancer;
  • Lindane;
  • nicotine;
  • cocaine;
  • marijuana;
  • Parlodel;
  • cyclosporin;
  • methotrexate;
  • CFP;
  • radioactive drugs for diagnostic tests *.

* Syou may not need to temporarily stop breastfeeding.

Breastfeeding Tags Breastfeeding drugs