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Is tretinoin cream safe while breastfeeding?

Understanding Tretinoin Cream and Breastfeeding Safety
Tretinoin, a topical retinoid commonly used for treating acne and skin aging, has raised questions regarding its safety for breastfeeding mothers. As many new mothers seek to maintain their skincare routines, understanding the implications of using such products during lactation is crucial.
Limited Research on Tretinoin and Breastfeeding
Currently, tretinoin has not been extensively studied in breastfeeding women. This lack of research leaves many mothers uncertain about its safety. However, experts suggest that when applied topically, tretinoin is poorly absorbed into the bloodstream, which implies that only a minimal amount would likely enter breast milk. Consequently, the risk to a nursing infant is considered low.
Recommendations for Use
While the topical application of tretinoin is generally viewed as low risk, it is still advised that mothers exercise caution. Specifically, direct application to the nipple should be avoided to prevent any potential exposure to the infant. Additionally, some healthcare professionals recommend that if a mother chooses to use tretinoin, it should be applied at times when she is not nursing, such as at night.
Expert Opinions
Various health resources echo similar sentiments. For instance, while some sources caution against the use of tretinoin during breastfeeding due to the potential risks associated with absorption, others emphasize that the amount transferred to breast milk is likely negligible. Ultimately, the decision to use tretinoin should be made in consultation with a healthcare provider, weighing the benefits against any potential risks.
Conclusion
In summary, while tretinoin cream is not definitively proven to be unsafe during breastfeeding, the consensus among experts is to approach its use with caution. Mothers should consult with their healthcare providers to make informed decisions tailored to their specific circumstances. As always, prioritizing the health and safety of both mother and child is paramount.

Does tretinoin affect breast milk?

Tretinoin use during breastfeeding has not been studied. However, when used on your skin, very little tretinoin passes into your body, and so the amount in breast milk would probably be small. Be sure to talk to your healthcare provider about all of your breastfeeding questions.

Does topical tretinoin get absorbed systemically?

Conclusion: Minimal percutaneous absorption of tretinoin was obtained after its topical application in cream formulations. Neither single-dose nor long-term treatment with topical tretinoin formulations appeared to affect the endogenous levels of tretinoin or its metabolites.

Is there any skincare to avoid while breastfeeding?

Retinol is a vitamin that can cause aggravation, inflammation, irritation, and stinging when it comes into contact with your baby’s baby-soft skin. Thus, it is simply best to refrain from using retinol on your face and neck when nursing. In order to block UV light, sunscreens often contain the chemical oxybenzone.

Is tretinoin safe during breastfeeding?

Summary of Use during Lactation
Because it is poorly absorbed after topical application, it is considered a low risk to the nursing infant. [1] Do not apply tretinoin directly to the nipple and areola and ensure that the infant’s skin does not come into direct contact with the areas of skin that have been treated.

Who should not use tretinoin cream?

Tretinoin must not be taken by patients who are pregnant or who may become pregnant. There is a high risk that tretinoin will cause the baby to be born with birth defects (physical problems that are present at birth). If you can become pregnant, you will need to avoid pregnancy during your treatment with tretinoin.

What happens if you use tretinoin while breastfeeding?

Summary of Use during Lactation
Because it is poorly absorbed after topical application, it is considered a low risk to the nursing infant. [1] Do not apply tretinoin directly to the nipple and areola and ensure that the infant’s skin does not come into direct contact with the areas of skin that have been treated.

Does topical tretinoin enter the bloodstream?

More tretinoin could be absorbed into the person’s bloodstream if tretinoin is used on skin that is broken or irritated, or when it is used more than needed, or when used over a large area of the body. In general, the less tretinoin that is used on the skin, the less likely there will be risks to the fetus.

Can I use retinol cream while breastfeeding?

Retinol is not safe for use by breastfeeding moms because it can be absorbed into your bloodstream through your skin – and if Retinol does pass into your bloodstream, from there it can also pass into your breast milk. This means that your baby could potentially ingest Retinol through your breast milk.

Does topical tretinoin affect birth control?

Tretinoin can make certain birth control pills less effective. Ask your doctor about the best method of birth control to prevent pregnancy while taking tretinoin. You must use effective birth control while you are taking tretinoin unless you have had a hysterectomy and no longer have a uterus.

Can tretinoin affect babies?

Case reports have described miscarriage, intrauterine fetal death, low birth weight, and preterm delivery following oral tretinoin exposure; however, an impact of the underlying condition cannot be excluded. The risk-benefit balance between maternal and fetal wellbeing must be addressed on an individual basis.

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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