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Is acyclovir safe while breastfeeding?

Acyclovir and Breastfeeding: Safety Considerations
Acyclovir, an antiviral medication commonly used to treat infections caused by certain types of viruses, raises important questions regarding its safety for breastfeeding mothers. As many new mothers face the challenge of managing health issues while ensuring the safety of their infants, understanding the implications of acyclovir use during lactation is crucial.
Minimal Transfer to Breast Milk
Research indicates that acyclovir is generally considered safe for use while breastfeeding. Studies show that even at the highest maternal dosages, the concentration of acyclovir in breast milk is only about 1% of a typical infant dosage. This low level suggests that it is unlikely to cause any adverse effects in breastfed infants. The drug can be taken orally or applied topically, with both methods showing minimal risk to nursing babies.
No Significant Adverse Effects
The available literature supports the notion that acyclovir does not pose significant risks during breastfeeding. For instance, a review of the data indicates that the medication does not lead to harmful side effects in infants, even when mothers are on high doses. Furthermore, acyclovir has been classified as FDA Pregnancy Category B, meaning there is no proven risk in humans, which extends to its use during breastfeeding.
Topical Use Considerations
For mothers using topical acyclovir, such as creams or ointments, the risk is even lower. When applied to small areas of the body away from the breast, it is not expected to affect the infant at all. This makes topical formulations a viable option for nursing mothers dealing with localized viral infections.
Guidance from Health Authorities
Health organizations, including the CDC, affirm that acyclovir is safe for breastfeeding mothers, particularly in cases where the mother has active herpes simplex virus lesions. In such scenarios, prompt treatment with acyclovir is recommended, and breastfeeding can continue. This guidance underscores the importance of treating infections effectively while maintaining the breastfeeding relationship.
Conclusion
In summary, acyclovir is deemed safe for breastfeeding mothers, with minimal transfer to breast milk and no significant adverse effects reported in infants. Mothers should always consult with their healthcare providers to discuss their specific circumstances and ensure the best outcomes for both themselves and their babies. As with any medication, individual health considerations and potential risks should be evaluated in consultation with a medical professional.

Why do you need to drink lots of water with acyclovir?

You can take aciclovir tablets or liquid with or without food. Drink plenty of water while taking this medicine to help keep your kidneys working well. Swallow the tablets whole with a drink of water. If you find tablets difficult to swallow, you can dissolve them in water.

Who cannot take acyclovir?

have ever had an allergic reaction to aciclovir or any other medicine. have kidney problems. are over 65 years old. are pregnant, trying to get pregnant or breastfeeding.

Which drugs Cannot be taken when breastfeeding?

ANSWER: Only a few drugs pose a clinically significant risk to breastfed babies. In general, antineoplastics, drugs of abuse, some anticonvulsants, ergot alkaloids, and radiopharmaceuticals should not be taken, and levels of amiodarone, cyclosporine, and lithium should be monitored.

Can breastfeeding moms take acyclovir?

Herpes can be a serious, life-threatening infection for a newborn. Cold sores occur commonly around the time of delivery, so it is important to treat cold sores aggressively to prevent transmission to a newborn baby. Aciclovir cream, aciclovir or valaciclovir tablets are all considered safe while breastfeeding.

Who should not take acyclovir?

have ever had an allergic reaction to aciclovir or any other medicine. have kidney problems. are over 65 years old. are pregnant, trying to get pregnant or breastfeeding.

Is it safe to take valacyclovir while breastfeeding?

There is limited published evidence of use in breastfeeding. Valaciclovir is a prodrug that is rapidly converted to aciclovir in the body and therefore valaciclovir is not expected to be excreted into breast milk.

Can you still breastfeed with HSV?

Women with herpes lesions may transmit HSV to their infants by direct or indirect contact with the lesions. For mothers with active lesions, breastfeeding is acceptable if: No lesions are present on the breasts, and, Active lesions elsewhere on the mother are carefully and fully covered.

What are the effects of acyclovir on a baby?

Common acyclovir side effects include nausea, vomiting, and diarrhea. These symptoms usually disappear as your child’s body adjusts to the medication. Other common side effects include loss of appetite and headache.

What are the side effects of acyclovir nursing?

Adverse Reactions/Side Effects
GI: diarrhea, nausea, vomiting, elevated liver enzymes, hyperbilirubinemia, abdominal pain, anorexia. GU: RENAL FAILURE, crystalluria, hematuria, renal pain. Derm: acne, hives, skin rashes, unusual sweating, STEVENS-JOHNSON SYNDROME.

Does valacyclovir affect baby?

Answer Studies have shown that the use of acyclovir or valacyclovir is not associated with an increase in birth defects.

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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