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Is it safe to use antifungal cream while breastfeeding?

Understanding the Safety of Antifungal Creams During Breastfeeding
As many new mothers navigate the challenges of breastfeeding, concerns about medication safety often arise, particularly when it comes to antifungal creams. These topical treatments are commonly used to address fungal infections, such as yeast infections, which can be particularly prevalent during the postpartum period due to hormonal changes and the physical demands of breastfeeding.
General Safety Considerations
The consensus among healthcare professionals is that many antifungal creams, including those containing clotrimazole, are generally considered safe for use while breastfeeding. According to guidance from reputable health sources, the systemic absorption of topical antifungals is minimal, which significantly reduces the risk of adverse effects on the breastfeeding infant. This means that the amount of medication that could potentially enter the breast milk is very low, making it unlikely to affect the infant’s health or development.
Specific Antifungal Agents
1. Clotrimazole: This antifungal is often recommended for treating localized infections. Studies indicate that clotrimazole is safe for breastfeeding mothers, with no significant effects reported on breastfed infants. The NHS also supports its use, emphasizing that the benefits of treating a fungal infection typically outweigh any potential risks.
2. Terbinafine: Another antifungal option, terbinafine, has been evaluated for safety during lactation. While it is also deemed safe, mothers should consult their healthcare provider to ensure it is appropriate for their specific situation.
3. Fluconazole: In cases where topical treatments are insufficient, oral antifungals like fluconazole may be prescribed. Research suggests that fluconazole is safe for breastfeeding mothers, although it is usually reserved for more severe infections.
Potential Risks and Precautions
While the use of antifungal creams is largely considered safe, it is essential for breastfeeding mothers to follow a few precautions:
– Consult Healthcare Providers: Before starting any medication, including antifungal creams, mothers should discuss their options with a healthcare professional. This ensures that the chosen treatment is appropriate for their specific condition and circumstances.
– Monitor for Reactions: Mothers should observe their infants for any unusual reactions after applying antifungal creams. Although rare, any signs of irritation or allergic reactions should prompt immediate consultation with a pediatrician.
– Application Techniques: When applying antifungal creams, mothers should take care to avoid direct contact with the infant’s mouth or skin to minimize any potential exposure.
Conclusion
In summary, antifungal creams are generally safe for breastfeeding mothers, with minimal risk to infants when used as directed. Clotrimazole and terbinafine are among the commonly recommended options, while fluconazole may be considered for more severe cases. As always, the best course of action is to consult with a healthcare provider to ensure the safety and well-being of both mother and child.

Do I need to wipe off antifungal cream before breastfeeding?

»»Apply antifungal cream or gel as directed to both nipples, after each feed during the day, for at least seven days. »»The gel or cream should be applied thinly and does not need to be wiped off before the next breastfeed.

Can I use Lotrimin while breastfeeding?

Breastfeeding while using clotrimazole:
There are no studies looking at clotrimazole use during breastfeeding. However, because only small amounts of the medication are expected to pass into breastmilk when clotrimazole is used topically, it is not expected to cause side effects in a nursing child.

How do you treat fungal infections while breastfeeding?

Breast and nipple thrush is treated with antifungal medicine and antifungal nipple gel/creams. Treat any other site of fungal infection in the whole family, i.e. vagina, nappy rash, feet. Keep your nipples dry by frequently changing breast pads as thrush grows well in a moist and warm environment.

What ointment is good for fungal infection under breast?

Clotrimazole cream, spray and solution Brand name: Canesten.

What is the safest antifungal cream for pregnancy?

Other antifungal medicines are available, but clotrimazole is usually the first choice for use in pregnancy as it is considered to be the safest option.

Does nystatin cream need to be washed off before nursing?

When using it on your breasts, wash it off your breasts or nipples, then wash your hands before feeding your baby. It’s usually better to use cream rather than ointment when breastfeeding, as it’s easier to wash off.

How to treat an athlete’s foot while breastfeeding?

How to get rid of athlete’s foot while breastfeeding? Topical antifungal treatments for athlete’s foot have been deemed to pose a negligible risk to a breast-feeding baby.

What antifungal cream can I use under my breast?

How to Treat a Yeast Infection Under the Breasts

  • Ecoza (econazole)
  • Lamisil (terbinafine)
  • Lotramim (clotrimazole)
  • Monistat-Derm (miconazole)
  • Nizoral (ketoconazole)
  • Nyata (nystatin)

Can you use antifungal cream on your breast?

Treatment for a yeast infection under your breasts may include an antifungal medication. Your healthcare provider may recommend an antifungal cream, ointment or other solution. You can buy many antifungal creams over-the-counter. Your healthcare provider may prescribe a stronger antifungal option if necessary.

What antifungal cream is safe while breastfeeding?

It’s OK to use clotrimazole while you’re breastfeeding. It is very unlikely that any will get into your breast milk. When using the cream, spray or solution, be careful that your baby does not come into contact with the areas of your body you have put it on.

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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