Can oxycodone be transferred through breast milk?

Oxycodone and Breastfeeding: Understanding the Risks
Oxycodone, a powerful opioid pain medication, has raised concerns regarding its safety for breastfeeding mothers and their infants. Research indicates that small amounts of oxycodone can indeed transfer into breast milk, which poses potential risks to nursing babies.
Transfer of Oxycodone into Breast Milk
Studies show that when a mother takes oxycodone, the drug can be concentrated in her breast milk. This transfer can occur up to 72 hours postpartum, with breastfed infants potentially receiving more than 10% of a therapeutic dose intended for infants. This is particularly concerning given that newborns are especially sensitive to the effects of opioids, which can lead to serious side effects.
Potential Effects on Infants
The presence of oxycodone in breast milk can lead to various adverse effects in infants. Reports have documented cases of infant drowsiness, which can escalate to severe central nervous system depression. Other potential side effects include breathing difficulties, excessive sleepiness, and feeding problems. These risks highlight the importance of careful consideration when prescribing oxycodone to breastfeeding mothers.
Medical Guidance and Recommendations
Given the risks associated with oxycodone use during breastfeeding, medical professionals often advise caution. While the drug may be necessary for managing severe pain, healthcare providers typically recommend that mothers discuss their options thoroughly. This includes evaluating the necessity of oxycodone against the potential risks to the infant.
In summary, while oxycodone can be an effective pain management tool, its transfer through breast milk poses significant risks to infants. Mothers should consult with their healthcare providers to explore safer alternatives or to develop a plan that minimizes risks while addressing their pain management needs.

What drugs don’t go into breast milk?

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 soon after narcotics can you breastfeed?

A breastfeeding plan
If you do use drugs such as amphetamines or heroin as a one-off, you will need to express your breast milk in the 24 hours afterwards and throw it away before you breastfeed again. After using drugs, it is not safe for you to care for or breastfeed your baby.

What drugs can pass through a mother’s breast milk and harm a nursing baby?

Drugs

• If you use amphetamines, ecstasy, cocaine or heroin, you should not breastfeed for 24 hours after use.
• If you smoke cannabis or tobacco you should breastfeed your baby before you smoke, and smoke outside and away from the baby. Do not have your baby in the same room as the smoke.

What painkillers are safe while breastfeeding?

Most over-the-counter (also called OTC) medicine, like pain relievers and cold medicine, are OK to take when you’re breastfeeding. For example, OTC pain relievers like ibuprofen (Advil®) or acetaminophen (Tylenol®) are safe to use when breastfeeding.

Is oxycodone safe postpartum?

Oxycodone used around the time of delivery can affect the baby after birth. The baby may be ‘jittery’, have feeding problems, and initially need some help with breathing. These problems usually settle within the first few days.

Can you crush oxycodone nursing?

Instruct patients to swallow OXYCONTIN tablets whole; crushing, chewing, or dissolving OXYCONTIN tablets can cause rapid release and absorption of a potentially fatal dose of oxycodone [see Warnings and Precautions (5.3)].

What is the safest narcotic while breastfeeding?

Morphine is the strong opioid analgesic of choice for treating pain in breastfeeding. Recommendations apply to full term and healthy infants only.

Do opioids transfer through breast milk?

Yes. If you take opioids, your milk will have opioids in it. The amount that is in your milk depends on how much you take, which opioid you take and the amount of time that has passed since taking it. Opioids levels are at their highest in your milk 1-3 hours after taking them.

Can oxycodone get into breast milk?

Oxycodone and breastfeeding
Although only small amounts of oxycodone pass into breast milk, it may still cause side effects in your baby such as breathing problems, being very sleepy, or difficulty feeding. Because of this potential risk, your doctor may recommend a different painkiller while you’re breastfeeding.

Can you take oxycodone with milk?

Do not lie down for at least 10 minutes after taking a dose. To help prevent stomach upset, take it with food or milk. If you have nausea, ask your doctor or pharmacist about ways to decrease nausea (such as lying down for 1 to 2 hours with as little head movement as possible).