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Are asthma inhalers safe while breastfeeding?

Are Asthma Inhalers Safe While Breastfeeding?
Breastfeeding mothers often face a myriad of questions regarding the safety of medications, particularly when it comes to managing chronic conditions like asthma. The good news is that asthma inhalers are generally considered safe for use during breastfeeding.
Safety of Asthma Medications
Research indicates that most asthma medications, especially inhalers, are safe for breastfeeding mothers. The inhaled medications, such as short-acting bronchodilators like albuterol, have low systemic absorption, meaning that only a minimal amount of the drug enters the bloodstream and subsequently into breast milk. Experts agree that the levels of medication that might transfer into breast milk are significantly lower than what a breastfeeding infant would receive through other means.
According to health guidelines, inhaled medications do not produce significant levels of drugs in the blood, and therefore, they are safe to use as normal during breastfeeding. This is crucial because controlling asthma is vital for the health of the mother, which indirectly benefits the baby as well. Uncontrolled asthma can lead to serious health risks for both the mother and child.
Expert Consensus
Organizations and health professionals emphasize that breastfeeding mothers should not neglect their asthma management. The consensus is clear: it is safe to continue using asthma inhalers while breastfeeding. The potential transfer of medication into breast milk is minimal and does not pose harmful effects to the infant. In fact, the amount of medication that a breastfeeding baby might receive is estimated to be between 10 and 1000 times less than what they would have received in utero.
Conclusion
In summary, breastfeeding mothers can confidently use asthma inhalers without significant concern for their baby’s health. Maintaining effective asthma control is essential, and the benefits of managing asthma symptoms far outweigh the minimal risks associated with medication transfer through breast milk. As always, mothers should consult with their healthcare providers to ensure they are using the most appropriate treatment for their condition while breastfeeding.

Are steroid inhalers safe while breastfeeding?

Most ICSs have not been studied for use during breastfeeding. However, the amount of medication that passes into breast milk following inhalation is likely small and not expected to cause problems for a breastfeeding infant.

Can I use my asthma inhaler while breastfeeding?

Asthma medicine will not harm your baby. Taking medicine is safer for you and your baby than having asthma that is not under control.

Is asthma worse postpartum?

The risk of an asthma exacerbation is high immediately postpartum, but the severity of asthma usually returns to the preconception level after delivery and often follows a similar course during subsequent pregnancies.

Can I pass asthma to my baby?

Yes, asthma can be inherited, but that isn’t always the case. What’s passed down is a higher tendency towards developing asthma. If one or both parents have asthma, a child’s likelihood of developing asthma is greater, but it’s not guaranteed that they will get it.

What is the safest asthma inhaler during pregnancy?

Common inhaled steroids used during pregnancy include: Pulmicort® (budesonide); Arnuity Elipta®(fluticasone furoate); Flovent® (fluticasone propionate); Qvar® (beclomethasone); Asmanex® (mometasone); and Aerospan® (flunisolide).

What is the 1/3 rule for asthma in pregnancy?

As a general rule, the more severe the asthma was before pregnancy, the more likely it is to worsen during pregnancy. Another third experience no change and one third even notice an improvement in symptoms. There are several explanations for why asthma may worsen during pregnancy.

Is it hard to give birth with asthma?

Asthma and giving birth
It is very rare to have an asthma attack during labour. If you have asthma symptoms during labour it’s safe to use your reliever inhaler as normal. Make sure you tell your midwife and the hospital staff about any allergies you have.

How do you treat asthma without an asthma pump?

Caught without an inhaler during an asthma attack?

  1. Sit upright. Stop whatever you are doing and sit upright.
  2. Take long, deep breaths. This helps to slow down your breathing and prevent hyperventilation.
  3. Stay calm.
  4. Get away from the trigger.
  5. Take a hot caffeinated beverage.
  6. Seek emergency medical help.

Does albuterol affect breast milk supply?

There have not been any studies of people taking albuterol while breastfeeding. However, using an albuterol inhaler is not thought to cause high enough levels in the person’s bloodstream to pass into breast milk in large amounts. Inhaled bronchodilators are generally considered acceptable for use during breastfeeding.

Do steroids pass through breast milk?

Prednisolone and breastfeeding
Prednisolone passes into breast milk in small amounts. It has been used for many years in breastfeeding women without side effects in their babies. If you’re taking a dose of more than 40mg of prednisolone each day for a long time, your baby may need extra monitoring.

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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