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Can amoxicillin affect breast milk supply?

Understanding Amoxicillin and Its Impact on Breast Milk Supply
Amoxicillin, a commonly prescribed antibiotic, raises important questions for breastfeeding mothers regarding its safety and potential effects on breast milk supply. As many new mothers navigate the challenges of breastfeeding while managing health issues, understanding the implications of medication use is crucial.
Safety of Amoxicillin During Breastfeeding
Research indicates that amoxicillin is generally considered safe for breastfeeding mothers. The drug is known to produce low levels in breast milk, which are not expected to cause adverse effects in breastfed infants. The American Academy of Pediatrics supports this view, categorizing amoxicillin as a safe option for nursing mothers due to its physical properties, such as low fat solubility and low protein binding, which limit its transfer into breast milk.
However, while the risk of significant adverse effects is low, some minor issues have been reported. For instance, infants may experience gastrointestinal disturbances, such as diarrhea or thrush, due to the disruption of their gut flora. Additionally, there are occasional reports of skin rashes in infants, although these are not common.
Effects on Milk Supply
When it comes to breast milk supply specifically, the evidence suggests that amoxicillin does not negatively impact lactation. The antibiotic does not appear to interfere with the production of breast milk or its composition in a way that would diminish supply. In fact, many healthcare providers encourage breastfeeding to continue while taking amoxicillin, as the benefits of breastfeeding often outweigh the potential risks associated with the medication.
Considerations for Mothers
While amoxicillin is deemed safe, mothers should remain vigilant about any changes in their infants’ behavior or health after starting the medication. If any concerning symptoms arise, such as persistent diarrhea or unusual rashes, it is advisable to consult a healthcare professional. Additionally, mothers should be aware that while the antibiotic is safe, it is always best to discuss any medications with a doctor to ensure they are appropriate for individual circumstances.
In conclusion, amoxicillin is a safe choice for breastfeeding mothers, with minimal risk of affecting breast milk supply or causing harm to infants. As always, maintaining open communication with healthcare providers can help mothers navigate their health needs while ensuring the well-being of their babies.

Can antibiotics make your milk supply drop?

Occasionally women are given medications that can interfere with their milk supply. A common clinical scenario is a woman who has an overwhelming allergic reaction to something, such as an antibiotic given to her for mastitis.

What medications can decrease milk supply?

For example, antihistamines like Benadryl, Zyrtec, Allegra, etc, or decongestants like Sudafed, can decrease your milk supply. So please call us if you are breastfeeding and need clarification on the safety of a medication or to see if a medication you are taking may be affecting your milk supply while breastfeeding.

What are the side effects of antibiotics while breastfeeding?

Most antibiotics can produce excessively loose motions in the baby, with the appearance of diarrhoea. Some infants appear more unsettled with tummy aches or colic. These effects are not clinically significant and do not require treatment. The value of continued breastfeeding outweighs the temporary inconvenience.

How does amoxicillin affect breast milk?

Amoxicillin and clavulanic acid enter the breast milk in small amounts. These small amounts are not expected to cause side effects for most nursing infants. In a study of 67 breastfeeding infants, there were no serious side effects from this medication in the breast milk.

What antibiotics are not safe while 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.

How long does amoxicillin stay in your system?

Amoxicillin typically stays in your system for 8 to 12 hours after your most recent dose. It’s possible to continue experiencing some effects of amoxicillin after you stop taking the drug, especially during this 8-hour to 12-hour period.

How to tell if breast milk is drying up?

The following are signs your baby isn’t getting enough milk:

  1. Poor weight gain. It’s normal for newborns to lose 5% to 7% of their birth weight in the first few days – some lose up to 10%.
  2. Insufficient, wet or dirty nappies.
  3. Dehydration.

What effect do antibiotics have on milk production?

Effects in dairy industry: Existence of ARs in milk, even in very low concentration is of great concern in dairy industries. The residues of antibiotics can interfere with the fermentation process during production of cheese and yogurt by inhibiting the starter cultures [16].

What causes a drastic drop in milk supply?

A decrease in milk supply can be caused by a variety of different factors. A very common (and solvable) problem is not pumping or feeding enough. Because milk production works on a supply and demand basis, not pumping on a frequent schedule will signal to your body that it does not need to produce milk.

What medications dry up milk?

To prevent your body naturally producing breast milk after the birth of your baby, we can prescribe you a medication called Cabergoline. Cabergoline works by stopping your body’s production of prolactin (a hormone that the body releases to help maintain the milk supply).

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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