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Are any antibiotics safe while breastfeeding?

Understanding Antibiotics and Breastfeeding
The question of whether antibiotics are safe during breastfeeding is a common concern for new mothers facing health issues that require medication. The good news is that most antibiotics are generally considered safe for breastfeeding mothers. However, there are important nuances to consider regarding specific medications and their potential effects on infants.
Safety of Antibiotics While Breastfeeding
According to health experts, the majority of antibiotics do not pose a significant risk to breastfeeding infants. Many antibiotics are poorly absorbed from the gut, meaning that even if they do pass into breast milk, the amounts are often too low to affect the baby adversely. For instance, antibiotics like gentamycin and meropenem are typically administered intravenously due to their poor absorption, which further minimizes any potential risk to the nursing child.
Moreover, while some antibiotics can lead to mild side effects in infants, such as short-term loose stools or diarrhea, these effects are usually not severe. The consensus among healthcare providers is that if a mother needs to take an antibiotic, it is often safe to continue breastfeeding, provided that the medication has been prescribed with knowledge of her breastfeeding status.
Considerations and Recommendations
While the general outlook is positive, it is crucial for breastfeeding mothers to consult with their healthcare providers before starting any antibiotic treatment. This is particularly important because some antibiotics may have specific contraindications or may not be the best choice depending on the mother’s health condition.
Additionally, healthcare professionals often recommend that breastfeeding mothers be cautious with certain antibiotics that could disrupt the natural gut flora of both the mother and the infant. This disruption can lead to gastrointestinal issues, which is why alternative treatments may be suggested in some cases.
Conclusion
In summary, most antibiotics are safe for breastfeeding mothers, and the benefits of continuing to breastfeed while on these medications typically outweigh the risks. However, it is always best practice for mothers to discuss their specific situation with a healthcare provider to ensure the chosen antibiotic is appropriate and to address any potential concerns regarding their infant’s health. This proactive approach helps ensure both the mother’s recovery and the baby’s well-being during the breastfeeding period.

What are the side effects of amoxicillin while breastfeeding?

Breastfeeding while taking amoxicillin and clavulanic acid:
In a study of 67 breastfeeding infants, there were no serious side effects from this medication in the breast milk. Some babies had rash, diarrhea, irritability, or constipation, but these reactions did not last long.

How long after antibiotics can I breastfeed?

In most cases, you can safely breastfeed after you have been taking antibiotics for about two weeks and have been told by your doctor that you are no longer infectious.

Which antibiotics are not used in breastfeeding?

Antibiotics to Avoid While Breastfeeding
Clindamycin: Clindamycin can sometimes cause mild gastrointestinal (GI) effects like diarrhea, vomiting, diaper rash, or thrush in a breastfed baby2. Co-trimoxazole: Rarely prescribed to breastfeeding parents of newborns because of an association with increased jaundice3.

Which drug is usually avoided with breastfeeding?

Table. Examples of drugs contraindicated in breastfeeding.

Drug Comment
Iodine High doses (>150 micrograms daily) lead to risk of infant hypothyroidism
Lithium Breastfeeding only feasible with rigorous monitoring
Radiopharmaceuticals Contact obstetric information service
Retinoids (oral) Potential for serious adverse effects

Is a zpack safe while breastfeeding?

Azithromycin and breastfeeding
If your doctor or health visitor says that your baby is healthy, it’s OK to take azithromycin while breastfeeding. Azithromycin passes into breast milk in small amounts. It has not been known to cause any side effects in breastfed babies.

Which antibiotics should not be taken with milk?

Dairy products such as milk, yogurt, and cheese can interfere with certain medications, including antibiotics such as tetracycline, doxycycline, and ciprofloxacin.

What antibiotics are safe while breastfeeding?

All penicillin antibiotics can be used during breastfeeding with precautionary infant monitoring. Flucloxacillin, phenoxymethylpenicillin (penicillin V) and the broad-spectrum penicillins, such as amoxicillin and ampicillin, are the preferred choices as there is more evidence and experience to support their use.

Which antibiotics avoid milk?

Do not take the liquid or tablets with dairy products (such as milk, cheese and yoghurt) or drinks with added calcium (such as some dairy-free milks). They stop ciprofloxacin entering the body from the stomach. Leave a gap of at least 2 hours between taking ciprofloxacin and having this type of food and drink.

Do antibiotics hurt milk supply?

In most cases, antibiotics are safe for breastfeeding parents and their babies. “Antibiotics are one of the most common medications mothers are prescribed, and all pass in some degree into milk,” explains the Academy of American Pediatrics (AAP).

How long does it take for antibiotics to get into breast milk?

Aim to avoid breast feeding when milk drug concentrations are at their peak. In general, this occurs 1-2 hours following oral medication. As a general principle, advising the administration of medication immediately following a breast feed is the safest option for the baby but this is not true for all drugs.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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