Can you breastfeed with Accutane?

Understanding Accutane and Breastfeeding
Accutane, known generically as isotretinoin, is a powerful medication primarily used to treat severe acne. While it has proven efficacy, it also carries significant risks and potential side effects. One major concern for breastfeeding mothers is whether it is safe to use Accutane while nursing.
The Risks of Accutane During Breastfeeding
Accutane is known to be highly teratogenic, meaning it can cause severe birth defects if taken during pregnancy. Because of this, women who are pregnant or planning to become pregnant are strongly advised against using this medication. However, the implications of taking Accutane while breastfeeding are less clear but equally concerning.
Research indicates that isotretinoin can be excreted in breast milk. Although the exact concentration is not fully established, small amounts of the drug can pass into breast milk. This raises important questions about the safety of breastfeeding while on treatment, particularly for infants who are highly sensitive to medications.
Health Implications for Infants
The potential health implications for breastfeeding infants exposed to Accutane through breast milk are serious. Isotretinoin can lead to various developmental issues in infants, including neurological and cognitive impairments. Given the critical nature of early development, many healthcare professionals recommend that breastfeeding mothers avoid Accutane altogether to eliminate any risk.
Recommendations from Health Authorities
The consensus among health authorities, including the American Academy of Pediatrics, is generally cautious. While some studies have suggested the levels of isotretinoin in breast milk are low and might not pose an immediate risk, the potential for adverse effects cannot be discounted. As a result, the best practice is to avoid breastfeeding while taking Accutane.
Healthcare providers often suggest alternative treatment options for acne that are safer during breastfeeding or recommend ceasing breastfeeding during the course of treatment and for a certain period afterward to ensure that the drug is cleared from the mother’s system.
Conclusion
In summary, while Accutane is an effective treatment for severe acne, it poses significant risks when it comes to breastfeeding. The potential for isotretinoin to pass into breast milk and affect infants suggests that avoiding breastfeeding during treatment is the safest choice. Mothers on Accutane should consult with their healthcare providers to explore alternative therapies and discuss the timing of breastfeeding in relation to their treatment plan.
Ultimately, the health and safety of both mother and child should always be the top priority in any medical decision-making process.

Does Accutane ruin fertility?

Accutane does not appear to affect fertility. However, scientists have found a link between Accutane and sexual side effects, such as: erectile dysfunction. loss of libido.

How long does Accutane stay in your system pregnancy?

Thus, Accutane will fully leave your system within 4-5 days.
In fact, you should not get pregnant for at least 4 weeks after stopping the medication. Several other side effects can persist for a period of around 4 weeks after your last dose.

What can you not do on Accutane?

What may interact with this medication?

• Alcohol.
• Benzoyl peroxide, salicylic acid, or other drying medications used for acne.
• Medications for seizures.
• Orlistat.
• Other medications that make you more sensitive to the sun such as sulfa medications.
• Progestin-only birth control hormones.
• St. John’s Wort.

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 clear 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.

Can I breastfeed while on Accutane?

Do not take isotretinoin capsules if you’re trying for a baby, or you are or may be pregnant, or if you’re breastfeeding.

How long do you have to wait to have a baby after Accutane?

To not get pregnant for at least 1 month before you start taking the medicine, while you’re taking the medicine or for at least 1 month after you stop taking the medicine.

Will Accutane affect future pregnancies?

While concerns about fertility are understandable, current research suggests that Accutane does not have long-term negative effects on fertility for either men or women.

What acne medication is safe while breastfeeding?

Benzoyl peroxide, a widely used topical treatment, has shown efficacy in reducing acne lesions. It is considered safe for use during pregnancy and lactation because of its minimal systemic absorption.

Why do you have to wait 6 months after Accutane?

Your skin may remain fragile / delicate for up to 6 months after you have finished your Isotretinoin. Waxing, dermabrasion, laser treatment, non-urgent skin surgery, body piercings and tattoos should still be avoided.