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Breastfeeding and medications is the description of the medications that can be used by a breastfeeding mother, and the balance between maternal health and the safety of the breastfeeding infant. [ 1 ] [ 2 ] Medications, when administered to breastfeeding mothers, almost always are transferred to breast milk, albeit usually in small quantities ...
Contraindications to breastfeeding are those conditions that could compromise the health of the infant if breast milk from their mother is consumed. Examples include galactosemia , untreated HIV , untreated active tuberculosis , Human T-lymphotropic virus 1 or II , uses illicit drugs , or mothers undergoing chemotherapy or radiation treatment .
Lithium is teratogenic and can cause birth defects at high doses, especially during the first trimester of pregnancy. The use of lithium while breastfeeding is controversial; however, many international health authorities advise against it, and the long-term outcomes of perinatal lithium exposure have not been studied. [6]
Use of clindamycin during pregnancy is generally considered safe. [49] Clindamycin is classified as compatible with breastfeeding by the American Academy of Pediatrics, [50] however, the WHO categorizes it as "avoid if possible". [51] It is classified as L2 probably compatible with breastfeeding according to Medications and Mothers' Milk. [52]
[15] [9] Use is not recommended in the third trimester of pregnancy. [9] It is likely safe during breastfeeding. [15] Diclofenac is believed to work by decreasing the production of prostaglandins, like other drugs in this class. [16] In 2022, it was the 51st most commonly prescribed medication in the United States, with more than 12 million ...
Use appears to be safe in pregnancy and breastfeeding. [6] How it works is unclear but is believed to involve binding to the ulcer and protecting it from further damage. [3] [6] Sucralfate was approved for medical use in the United States in 1981. [3] It is available as a generic medication.
Erythromycin also appears to be safe to use during pregnancy. [2] While generally regarded as safe during breastfeeding, its use by the mother during the first two weeks of life may increase the risk of pyloric stenosis in the baby. [5] [6] This risk also applies if taken directly by the baby during this age. [7]
Mothers with all types of diabetes mellitus normally use insulin to control their blood sugar, as the safety of other antidiabetic drugs while breastfeeding is unknown. [ 265 ] Women with polycystic ovary syndrome , which is associated with some hormonal differences and obesity, may have greater difficulty with producing a sufficient supply to ...