HomeHealthHealthRemedies prohibited and allowed in breastfeeding

Remedies prohibited and allowed in breastfeeding

Most drugs pass into breast milk, but many are transferred in small amounts and, even when present in milk, may not be absorbed from the baby’s gastrointestinal tract. However, whenever it is necessary to take a drug while breastfeeding, the woman should first talk to the doctor, to check whether the drug is dangerous, whether to avoid it, whether it is necessary to stop breastfeeding or whether it can be used safely .

In general, breastfeeding mothers should avoid the use of medications, however, if necessary, they should opt for the safest ones and those that have already been studied and that are little excreted in breast milk, in order to avoid risks for the baby’s health. Medications for long-term use by the mother generally carry a greater risk to the baby, due to the levels they can reach in breast milk.

Medicines that women cannot take

Some examples of drugs that should not, at any time, be used during lactation are:

Acetylsalicylic acid

Bromides

diazepam

isotretinoin

Propoxyphene

acitretin

Bromocriptine

diethylstilbestrol

Lithium

Chemotherapy Medicines

Alfalutropin

Cabergoline

disulfiram

Linezolid

Iodine-based remedies

Amiodarone

Carisoprodol

Domperidone

Lisuride

Reserpine

Alfalutropin

Ketorolac

doxepin

meperidine

selegiline

amfepramone

Cyclophosphamide

Ergotamine

Metoclopramide

simvastatin

Amphetamines

Cyclosporine

Estradiol or ethinylestradiol

methotrexate

Tamoxifen

Combined Oral Contraceptives

Chloramphenicol

Etretinate

Mifepristone or Misoprostol

Tretinoin

anticoagulants

clomiphene

phenindione

Oxycodone

gold salts

antipyrine

Codeine

Ganciclovir

pentazocine

Verteporfin

Atenolol

nasal decongestants

Leuprolide

Pseudoephedrine

zonisamide

In case it is necessary to carry out the treatment with any of these remedies, the use should only be made with medical indication and guidance, being necessary to stop breastfeeding.

Other remedies that require interruption of breastfeeding are radiological contrasts of iodine, copper, gallium, indium, technetium or radioactive sodium, and lactation should be interrupted according to medical advice.

In addition, some medicinal plants should not be used during breastfeeding such as chamomile, borage, comfrey, black cohosh or St. Kitts’ weed, kombucha, kava-kava, echinacea, ginseng, ginkgo biloba, hypericum or St. John’s wort, fenugreek or valerian.

Medicines that can be used while breastfeeding

Medicines that can be used safely in breastfeeding are paracetamol or ibuprofen, to treat cold or flu symptoms such as fever, malaise or pain in the body, for example. However, none of them should be used without medical advice.

In addition, some antibiotics or antidepressants can be prescribed by the doctor who must guide the correct times to take and the need or not to stop breastfeeding during its use.

Also know which teas are allowed and prohibited in breastfeeding.

Is dipyrone indicated for breastfeeding?

Dipyrone is not indicated for use during breastfeeding, as it is present in the milk for up to 48 hours after a dose and passes in large quantities to the baby through breast milk, which can lead to adverse reactions in the baby such as cyanosis, which is a bluish discoloration of the skin, nails, or mouth; or agranulocytosis, which is a decrease in the amount of white blood cells in the blood. Understand better what agranulocytosis is.

Therefore, dipyrone is not recommended for use in breastfeeding unless recommended by your doctor.

What to do before taking a medicine while breastfeeding?

Before deciding to use a drug during lactation, a woman should:

  • Check with the doctor whether it is necessary to take the drug, as the physician must assess the benefits and risks;
  • Prefer studied medications that are safe in children or that are poorly excreted in breast milk;
  • Prefer locally applied remedies, when possible;
  • Define well the times of use of the drug, in order to avoid concentration peaks in the blood and milk, which coincide with the time of feedings;
  • When possible, opt for medicines containing only one active substance, avoiding those that have many components, such as anti-flu, preferring to treat the more evident symptoms, with paracetamol, to relieve pain or fever, or cetirizine to treat sneezing and nasal congestion, for example;
  • watch the baby, if the woman needs to use any medication, in order to detect possible side effects, such as changes in eating patterns, sleep habits, agitation or gastrointestinal disturbances, for example;
  • Avoid long-acting medications, as they are more difficult to eliminate by the body;
  • Remove milk in advance and store in the freezer to feed the baby in case of temporary interruption of breastfeeding. Know how to store breast milk correctly.

These precautions must be adopted whenever the doctor indicates some medicine for the woman during the breastfeeding period, so that they are used safely and side effects detected in the baby.

It is important to emphasize that the use of drugs during lactation should only be done with medical advice, avoiding their use on their own.

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