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Can we use azelaic acid during breastfeeding?

Understanding Azelaic Acid and Breastfeeding
As more mothers seek effective skincare solutions during breastfeeding, the safety of various topical treatments comes into question. One such treatment is azelaic acid, a compound known for its benefits in treating acne and rosacea. The question arises: Is it safe to use azelaic acid while breastfeeding?
Safety Profile of Azelaic Acid
Current research indicates that topical azelaic acid is considered low risk for nursing infants. Although there have been no specific studies conducted on its use during breastfeeding, the pharmacokinetics of azelaic acid provide reassuring insights. When applied topically, only about 4% of the dose is absorbed into the bloodstream. This minimal absorption suggests that the amount that could potentially enter breast milk is negligible.
Moreover, azelaic acid is a naturally occurring substance found in various foods, which means it is already present in the bloodstream and breast milk at low levels. This further supports the notion that its use is unlikely to pose any significant risk to breastfeeding infants.
Expert Consensus
Several health resources and experts agree on the compatibility of azelaic acid with breastfeeding. For instance, the E-lactation database categorizes azelaic acid as compatible with breastfeeding, indicating that it is not considered risky for nursing mothers or their infants. Similarly, the LactMed database, which provides information on drugs and lactation, reiterates that the low absorption rate and natural occurrence of azelaic acid in food make it a safe option for mothers who need to manage skin conditions.
Practical Considerations
While the consensus leans towards safety, it is always prudent for breastfeeding mothers to consult with their healthcare providers before starting any new treatment. Individual circumstances, such as the severity of skin conditions and any potential allergies, should be taken into account. If azelaic acid is deemed necessary for the mother’s skincare regimen, it is generally not a reason to discontinue breastfeeding.
Conclusion
In summary, azelaic acid is considered safe for use during breastfeeding. Its low absorption rate and natural presence in food and breast milk contribute to its low-risk profile. However, as with any medication or treatment, personal consultation with a healthcare professional is recommended to ensure the best outcomes for both mother and child.

What face acids are safe while breastfeeding?

While glycolic acid isn’t recommended in large quantities during pregnancy, it’s likely safe in the small amounts commonly found in OTC beauty products – and it’s generally safe to use while nursing.

What skincare to stay away from while breastfeeding?

Some harmful skincare ingredients to avoid while breastfeeding include parabens, retinoids (such as retinol), salicylic acid, and certain essential oils. These ingredients can potentially be absorbed into breast milk and may harm your baby. It is recommended to opt for breastfeeding-safe skincare alternatives.

Is azelaic acid safe while breastfeeding?

Azelex (azelaic acid) is another topical acne treatment that is not likely to enter milk or cause problems in a breastfed baby. Per Hale, it is minimally absorbed and rapidly metabolized. Small amounts of azelaic acid are normally found in whole grains, animal products and in human milk.

Who Cannot use azelaic acid?

Before using azelaic acid,
tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while using azelaic acid, call your doctor. you should know that azelaic acid may cause changes in your skin color, especially if you have a dark complexion.

Is azelaic acid safe for babies?

Pediatric. Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of azelaic acid topical cream in children 12 years of age and older. Safety and efficacy in children younger than 12 years of age have not been established.

Is azelaic acid cream safe in pregnancy?

Azelaic acid: This is thought to be safe to use during pregnancy. In animal studies, researchers haven’t seen birth defects. Benzoyl peroxide: Often found in acne treatment you can buy without a prescription, experts say it’s safe to use in limited amounts.

Is the ordinary azelaic acid safe during pregnancy?

“The Ordinary has a brightening cream with azelaic acid in it that’s good for acne and is safe for use during pregnancy.”

What can I use for acne while breastfeeding?

If you’re breastfeeding/chestfeeding, your provider may recommend benzoyl peroxide products or salicylic acid medication to clear up acne. But some products, such as retinoids, aren’t safe to use during pregnancy or while nursing. If you have pimples on your chest, avoid using acne-fighting creams or gels in that area.

When should you not use azelaic acid?

Be extra careful with azelaic acid if you have dark skin, because it can cause changes in skin color. Talk to your doctor right away if your skin becomes lighter in some areas. Other, stronger side effects include: Crusting.

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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