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Can a breastfeeding mom take loperamide?

Can a Breastfeeding Mom Take Loperamide?
For breastfeeding mothers dealing with diarrhea, the question of whether to take loperamide, commonly known by the brand name Imodium, often arises. Understanding the safety and implications of using this medication while nursing is crucial for both the mother and her infant.
Minimal Transfer to Breast Milk
Research indicates that loperamide is excreted into breast milk in non-significant levels. This means that only tiny amounts of the drug pass into breast milk, making it unlikely for a breastfeeding infant to absorb a substantial quantity. The American Academy of Pediatrics has classified loperamide as compatible with breastfeeding, suggesting that its use is generally safe for nursing mothers .
Limited Studies on Maternal Use
While loperamide itself has not been extensively studied in breastfeeding women, a related compound, loperamide oxide, has undergone some investigation. In a study involving six women who were 18 to 47 hours postpartum, two doses of 4 mg were administered 12 hours apart. The findings from this limited study support the notion that loperamide is unlikely to pose a risk to breastfeeding infants.
Considerations for Use
Despite the reassuring data, it is essential for mothers to weigh the benefits of taking loperamide against any potential risks. The decision should ideally involve a discussion with a healthcare provider, who can provide personalized advice based on the mother’s health status and the severity of her symptoms.
Conclusion
In summary, breastfeeding mothers can generally take loperamide with minimal concern for their infants. The low levels of the drug that transfer into breast milk, combined with its classification as compatible with breastfeeding, suggest that it is a viable option for managing diarrhea. However, as with any medication, consulting with a healthcare professional is always recommended to ensure the best outcomes for both mother and child.

Can a breastfeeding mom pass diarrhea to a baby?

Breastfeeding with travelers’ diarrhea
However, she should also increase her own fluid intake to prevent dehydration (loss of too much water in the body). The organisms that cause travelers’ diarrhea do not pass through breast milk.

Who Cannot take loperamide?

Do not take loperamide if you: have severe diarrhoea after taking antibiotics. are having a flare-up of an inflammatory bowel condition like ulcerative colitis. are constipated or your stomach looks swollen.

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

How to stop diarrhea in breastfed babies fast?

Breastfed Babies with Frequent, Watery Diarrhea:

  1. Give your baby breastmilk more often.
  2. Also, give extra fluid if breast milk isn’t keeping up with the fluid losses. You can use formula or ORS (Pedialyte).
  3. Solid foods: If on baby foods, continue them. Cereals are best.

What can I take for motion sickness while breastfeeding?

Hyoscine hydrobromide is used in infants over 1 month old and is the preferred medicine for motion sickness during breastfeeding.

What can I take for diarrhea while breastfeeding?

Breastfeeding mothers can take loperamide and/or rehydrating solutions and feed as normal. Acute diarrhoea is a sudden onset or loose and/or frequent bowel motions. It may be caused by infections e.g. food poisoning or a virus.

Is loperamide safe for pregnant?

The only pregnancy-safe medication for diarrhea during pregnancy is loperamide (Imodium®). But note that it shouldn’t be taken after the first trimester and shouldn’t be taken for more than 24 hours.

What can I take for a stomach bug while breastfeeding?

Some people are prescribed (or buy) prochlorperazine (Buccastem ®, Stemetil ®) tablets to relieve the nausea and vomiting, loperamide (Imodium®) to reduce the symptoms of diarrhoea and rehydrating sachets (Dioralyte ®) to prevent dehydration. These drugs are suitable to take and carry on breastfeeding as normal.

Is loperamide safe while breastfeeding?

It’s OK to take loperamide while you’re breastfeeding. Only tiny amounts of loperamide pass into breast milk, and your baby will not be able to absorb a lot into their body from breastfeeding. It’s not expected to cause any side effects in your baby.

Which antidiarrheal drugs are safe in lactation?

Given the safety profile of metformin, as compared with sulfonylureas, it is advisable to consider metformin as first-line treatment during lactation if this drug is appropriate for the particular patient. Nevertheless, second-generation sulfonylureas are also likely to be safe during lactation.

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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