Can you use topical steroids while breastfeeding?

Can You Use Topical Steroids While Breastfeeding?
The use of topical steroids during breastfeeding is a topic of considerable interest for nursing mothers dealing with skin conditions. Understanding the safety and implications of these medications is crucial for both the mother and the infant.
Safety of Topical Corticosteroids
Topical corticosteroids, commonly used to treat various skin conditions, are generally considered safe for breastfeeding mothers. Most studies indicate that the risk of significant systemic absorption and subsequent transfer to breast milk is low, particularly with short-term use of lower-potency steroids. For instance, while some topical steroids have not been extensively studied in breastfeeding contexts, it is believed that only extensive application of the most potent corticosteroids could lead to systemic effects in the mother, which might pose a risk to the breastfed infant.
Guidelines for Use
Current guidelines suggest that topical corticosteroids can be applied to the skin, including sensitive areas like the nipples, just after nursing. This practice minimizes the risk of the infant coming into contact with the medication. It is recommended that mothers gently clean the area before the next feeding to further reduce any potential exposure. Additionally, using water-miscible cream or gel formulations is advised over ointments, as ointments may expose the infant to higher levels of the medication.
Considerations for Potency and Area of Application
The potency of the topical steroid and the area of application are important factors to consider. Most topical corticosteroids are deemed safe during breastfeeding, but caution is warranted with high-potency steroids applied over large body areas. In such cases, the potential for systemic absorption increases, which could lead to higher concentrations in breast milk. Therefore, mothers should consult healthcare providers to determine the most appropriate treatment options based on their specific conditions.
Conclusion
In summary, while topical steroids can be used during breastfeeding, it is essential for mothers to follow guidelines and consult with healthcare professionals to ensure safe application. The general consensus is that with proper use, the benefits of treating skin conditions with topical corticosteroids outweigh the risks, allowing mothers to manage their health effectively while nursing.

Is clobetasol cream safe while breastfeeding?

Clobetasol and breastfeeding
If your doctor says you need to, you can use clobetasol products while you are breastfeeding. It is not known how much passes into breast milk but it’s likely to be a tiny amount.

How long after taking steroids can I breastfeed?

Summary of Use during Lactation
No adverse effect have been reported in breastfed infants with maternal use of any corticosteroid during breastfeeding. Although it is often recommended to avoid breastfeeding for 4 hours after a dose this maneuver is not necessary because prednisone milk levels are very low.

Do steroids dry up milk supply?

High doses steroids can cause a transient decrease in milk production. When antenatal corticosteroids are given in cases of preterm birth, lactogenesis II can be delayed (1). For all steroid preparations there is no absolute indication to pump and dump.

What anti itch cream can I use while breastfeeding?

It’s usually better to use cream rather than ointment when breastfeeding, as it’s easier to wash off. Skin treatments containing hydrocortisone may also contain other ingredients such as antibacterials and antifungals. It’s still OK to use them while breastfeeding.

Can topical creams get into breast milk?

Breastfeeding mothers may need to apply a variety of cream and ointments to their skin whilst they are breastfeeding. There is very little absorption of these products into breastmilk and most products can be applied without interruption of breastfeeding.

Which steroid is safe in breastfeeding?

Methylprednisolone is probably suitable to use during breastfeeding as long as it is taken in low-moderate doses (do not exceed 80 mg daily). If high doses are needed pump and dump for 8-12 hours. A one time injection in your back will probably not effect your milk supply, but cannot say for sure everyone is different.

Can you use topical steroids when breastfeeding?

Most topical corticosteroids are considered safe to use during pregnancy or breastfeeding. Your doctor will consider the area of skin where you need to use it, how often you’ll use it and the condition of your skin. You should wash off any steroid cream applied to your breasts before feeding your baby.

Is topical steroid cream safe during pregnancy?

Answer Pregnant women can be reassured that there is no apparent increased risk of adverse fetal effects when using topical corticosteroids during pregnancy, although some data do suggest fetal growth restriction with more potent topical corticosteroids.

Can I use 1% hydrocortisone while breastfeeding?

Hi, thanks for your post. Yes, it should be safe to use OTC hydrocotrisone on a small area while breastfeeding. Very little topical hydrocortisone passes into the bloodstream and even less into the milk. Be careful to wash your hands before breastfeeding so that you don’t get any residual cream on the baby.