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Is amoxicillin safe in breastfeeding?

Understanding Amoxicillin Safety During Breastfeeding
When it comes to the safety of medications during breastfeeding, amoxicillin, a commonly prescribed antibiotic, often raises questions among new mothers. The good news is that amoxicillin is generally considered safe for use while breastfeeding.
How Amoxicillin Affects Breast Milk
Research indicates that amoxicillin has low fat solubility and low protein binding, which significantly limits its transfer into breast milk. This means that the levels of the drug that do enter breast milk are minimal and are not expected to cause adverse effects in breastfed infants. The American Academy of Pediatrics has classified amoxicillin as a medication that is safe for breastfeeding mothers, reinforcing its acceptability in this context.
Potential Side Effects in Infants
While the risk is low, some studies have noted that there can be occasional side effects in infants, such as rash or gastrointestinal disturbances like diarrhea or thrush. These effects are relatively rare and are typically mild . It is important for breastfeeding mothers to monitor their infants for any unusual symptoms, especially when starting a new medication.
Recommendations for Use
Healthcare professionals often recommend amoxicillin as a first-line treatment for bacterial infections in breastfeeding mothers due to its safety profile. However, as with any medication, it is crucial for mothers to consult with their healthcare provider before starting treatment. This ensures that the benefits of the antibiotic outweigh any potential risks, and allows for appropriate monitoring of the infant.
Conclusion
In summary, amoxicillin is a safe option for breastfeeding mothers. Its low transfer rate into breast milk and the minimal risk of adverse effects make it a preferred choice for treating infections during this critical period. As always, open communication with healthcare providers is essential to ensure the health and safety of both mother and child.

What are the side effects of giving a baby amoxicillin?

Beyond the temporary soreness following a vaginal or cesarean delivery, there are other side effects to be aware of after childbirth: Contractions – You might feel menstrual cramp-like contractions in the early days after delivery, particularly if you’re breastfeeding.

Can antibiotics mess with my milk supply?

In most cases, antibiotics are safe for breastfeeding parents and their babies. “Antibiotics are one of the most common medications mothers are prescribed, and all pass in some degree into milk,” explains the Academy of American Pediatrics (AAP).

What are the side effects of amoxicillin in breastfed babies?

These small amounts are not expected to cause side effects for most nursing infants. In a study of 67 breastfeeding infants, there were no serious side effects from this medication in the breast milk. Some babies had rash, diarrhea, irritability, or constipation, but these reactions did not last long.

How much amoxicillin is safe while breastfeeding?

It is OK to take amoxicillin while breastfeeding. Information shows that only tiny amounts of amoxicillin get into breast milk. Such levels would not be expected to cause side effects in your baby.

What are the side effects of amoxicillin during pregnancy?

A small study found an increased chance of preterm birth and low birth weight for babies exposed in the womb to amoxicillin, however, larger, more reliable studies have not agreed with these findings.

Which antibiotics are safe while breastfeeding?

All penicillin antibiotics can be used during breastfeeding with precautionary infant monitoring. Flucloxacillin, phenoxymethylpenicillin (penicillin V) and the broad-spectrum penicillins, such as amoxicillin and ampicillin, are the preferred choices as there is more evidence and experience to support their use.

Can amoxicillin affect a newborn?

There can be side effects to any medication. However, short and long term side effects of amoxicillin and gentamicin are very rare in newborns, which is one of the reasons why these antibiotics are commonly used. It is important to report any concerns to the midwife, nurse or paediatric doctor.

Can you mix amoxicillin with breastmilk?

Amoxicillin can be reconstituted with breast milk for use in infants.

How long does amoxicillin stay in your system?

Amoxicillin typically stays in your system for 8 to 12 hours after your most recent dose. It’s possible to continue experiencing some effects of amoxicillin after you stop taking the drug, especially during this 8-hour to 12-hour period.

What are the side effects of amoxicillin in babies?

Call your child’s health-care provider right away or take your child to Emergency if your child has any of these side effects:

  • severe skin rash, or hives (raised, red itchy areas on the skin)
  • trouble breathing, wheezing or shortness of breath.
  • swelling of face, lips, tongue or throat.
  • unusual tiredness or weakness.
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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