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Is Lasix safe during breastfeeding?

Understanding the Safety of Lasix During Breastfeeding
Lasix, known generically as furosemide, is a diuretic commonly prescribed to manage conditions such as fluid retention due to heart failure, liver disease, or kidney disorders. For breastfeeding mothers, the question of whether it is safe to use Lasix while nursing is crucial, as it directly impacts both maternal health and infant safety.
Current Guidelines and Research Findings
According to the available medical literature, including resources from the NHS and LactMed, the use of furosemide during breastfeeding is generally considered to be safe, but with some important caveats. The drug does pass into breast milk, albeit in small amounts. Studies indicate that low doses of furosemide (around 20 mg daily) do not significantly suppress lactation, which is a critical consideration for nursing mothers.
However, the limited data available suggests that while furosemide is not contraindicated, it may be preferable to consider alternative medications, especially for mothers nursing newborns or preterm infants. This caution stems from the potential for any medication to affect a developing infant, particularly in the early stages of life when their systems are still maturing.
Potential Side Effects and Considerations
While furosemide is effective in treating fluid retention, breastfeeding mothers should be aware of possible side effects that could indirectly affect their infants. For instance, diuretics can lead to dehydration or electrolyte imbalances in the mother, which could impact milk production and quality. Therefore, it is essential for mothers to stay well-hydrated and monitor their health closely while on this medication.
Moreover, healthcare providers often recommend that mothers discuss their specific circumstances with a doctor before starting furosemide. Individual health conditions, the dosage prescribed, and the age of the infant can all influence the safety and appropriateness of using Lasix during breastfeeding.
Conclusion
In summary, while Lasix (furosemide) can be used by breastfeeding mothers, it is crucial to approach its use with caution. Consulting with a healthcare professional is essential to ensure that both the mother’s health needs and the infant’s safety are adequately addressed. By doing so, mothers can make informed decisions about their treatment options while continuing to provide for their infants.

What are the side effects of Lasix in nursing patients?

Lasix may cause serious side effects including:

  • lightheadedness,
  • ringing in your ears,
  • hearing loss,
  • muscle spasms or contractions,
  • pale skin,
  • easy bruising,
  • unusual bleeding,
  • increased thirst,

Can I take Lasix if breastfeeding?

Furosemide and breastfeeding
It would not be expected to cause any side effects in your baby, but furosemide may reduce the amount of milk you produce. If you’re breastfeeding, or planning to breastfeed, talk to your doctor or pharmacist as other medicines might be better while breastfeeding.

Who should avoid Lasix?

High doses of furosemide may cause irreversible hearing loss. Before using Lasix, tell your doctor if you have kidney disease, enlarged prostate, urination problems, cirrhosis or other liver disease, an electrolyte imbalance, high cholesterol, gout, lupus, diabetes, or an allergy to sulfa drugs.

Is it okay to take diuretics while breastfeeding?

Diuretics and beta blockers, commonly preferred antihypertensives, are safe for use in lactating women, with some precautions. In general, it is preferable to avoid high dosages of any one medication by either changing medications or adding an additional agent.

How long does it take Lasix to remove fluid?

by Drugs.com
The onset of increased urine production (diuresis) after taking Lasix orally is within 1 hour. The peak diuretic effect occurs within the first or second hour, which then reduces over the next 6 to 8 hours.

Is it safe to take Lasix while pregnant?

LASIX should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Treatment during pregnancy requires monitoring of fetal growth because of the potential for higher birth weights.

Which drug is usually avoided with breastfeeding?

Table. Examples of drugs contraindicated in breastfeeding.

Drug Comment
Iodine High doses (>150 micrograms daily) lead to risk of infant hypothyroidism
Lithium Breastfeeding only feasible with rigorous monitoring
Radiopharmaceuticals Contact obstetric information service
Retinoids (oral) Potential for serious adverse effects

How long does it take Lasix to remove fluid from legs?

Furosemide is a fast-acting and powerful diuretic that starts working within 1 hour. The effects of the medicine last for 6-8 hours. You should not take a dose of furosemide sooner than 6-8 hours after a previous dose, as this can increase the risk of severe fluid and electrolyte abnormalities.

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.

Which drug decreases milk supply?

Certain medications can suppress lactation (reduce milk production) in breastfeeding moms. Some of the medications that can decrease milk supply include: Antihistamines like diphenhydramine (Benadryl) and cetirizine (Zyrtec). Decongestants like pseudoephedrine (Sudafed, Claritin-D, Zyrtec-D, and Allegra-D).

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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