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Is it safe to take steroids while breastfeeding?

Understanding the Safety of Steroids While Breastfeeding
The question of whether it is safe to take steroids while breastfeeding is a significant concern for many new mothers. The use of corticosteroids, such as prednisone and prednisolone, has been a topic of extensive research, and the consensus among healthcare professionals is generally reassuring.
Corticosteroids and Breastfeeding
Corticosteroids can indeed be used during breastfeeding, but it is crucial to approach their use with caution. The primary recommendation is to use the lowest effective dose for the shortest duration possible. This guideline is particularly applicable to mothers with full-term, healthy infants.
Research indicates that the levels of corticosteroids in breast milk are typically low. For instance, maternal doses of prednisolone up to 40 mg produce minimal amounts in breast milk, which are unlikely to cause adverse effects in breastfed infants. Moreover, studies have shown that no significant negative outcomes have been reported in infants whose mothers used corticosteroids while breastfeeding.
Timing and Dosage Considerations
Timing can play a role in minimizing the infant’s exposure to the medication. It is often suggested that mothers wait about four hours after taking a dose of prednisone or prednisolone before breastfeeding. This practice can help limit the amount of medication that the baby receives through breast milk. However, experts note that this waiting period may not be necessary for everyone, as the actual levels of the drug in breast milk are quite low.
Conclusion: A Balanced Approach
In summary, while the use of corticosteroids during breastfeeding is generally considered safe, it is essential for mothers to consult with their healthcare providers to tailor the approach to their specific circumstances. The key is to balance the need for medication with the health and safety of the breastfeeding infant. By adhering to recommended dosages and timing, mothers can effectively manage their health conditions while continuing to breastfeed.

How long do steroids stay in your system?

If taken orally, steroids can show up in a urine test for up to 14 days. If injected, steroids can show up for up to 1 month. How long a drug can be detected for depends on how much is taken and which testing kit is used. This is only a general guide.

What is not recommended for breastfeeding?

Medical Contraindications for Breastfeeding
There are a few medical contraindications to breastfeeding, and these include: An infant who has the metabolic disorder of classic galactosemia (galactose 1-phosphate uridyltransferase deficiency). A mother living with human T-cell lymphotrophic virus type I or type II.

What do steroids do nursing?

Oral prednisone prevents the release of substances in the body that cause inflammation. It also suppresses the immune system. Methylprednisolone IV prevents the release of substances in the body that cause inflammation. It also suppresses the immune system.

What medications should be avoided while breastfeeding?

Common medicines that are not recommended when you’re breastfeeding include:

  • codeine phosphate.
  • decongestants that come as tablets, liquids or powders that you swallow.
  • some nasal decongestants that come as nose sprays or drops – check with a GP or pharmacist before using them.
  • aspirin for pain relief.

What drugs can be passed through breast milk?

Most drug molecules, including alcohol, nicotine and caffeine, are small enough to enter milk. Exceptions are drugs with high molecular weights such as heparins and insulin.

Can I breastfeed if I got a steroid shot?

You can have hydrocortisone injections if you’re breastfeeding. It’s not known how much hydrocortisone passes into breast milk, but because most of it stays in your joint, it’s likely to be a tiny amount. It’s unlikely to cause any side effects in your baby.

Do steroids increase lactate?

Corticosteroids cause a marked increase in gluconeogenesis from protein, with consequent increased glucose utilization and increased formation of lactate (2). There have been case reports describing a similar effect in patients with lymphoma who are treated with steroids.

What can steroids do to babies?

One of the potential side effects of corticosteroid medicine is mood change, such as irritability, and this can lead to difficult behaviour in some children. When used short-term, it can increase blood pressure and blood sugar levels, causing some children to become hyperactive.

Can I take steroids while breastfeeding?

Prednisolone and breastfeeding
If your doctor or health visitor says that your baby is healthy, it’s OK to take prednisolone while breastfeeding. Prednisolone passes into breast milk in small amounts. It has been used for many years in breastfeeding women without side effects in their babies.

Can taking steroids affect having a baby?

In addition, prolonged steroid use can lead to pregnancy complications, as well as interruptions to a woman’s menstrual cycle and overall chances of conceiving. Even cases of cervical cancer may arise, which has a serious impact on one’s overall ability to achieve pregnancy and plan for the future.

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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