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What antibiotics are safe for breastfeeding?

Understanding Antibiotics and Breastfeeding
Breastfeeding mothers often face the dilemma of needing antibiotics while being concerned about the safety of these medications for their infants. Fortunately, many antibiotics are considered safe for use during breastfeeding, allowing mothers to treat infections without compromising their nursing relationship.
Safe Antibiotics for Breastfeeding Mothers
Most antibiotics are compatible with breastfeeding. Beta-lactam antibiotics, which include penicillins and cephalosporins, are widely regarded as safe options. These medications are effective against a variety of bacterial infections and are commonly prescribed to nursing mothers. For instance, penicillins and erythromycin are frequently recommended due to their low risk of adverse effects on breastfeeding infants.
Additionally, gentamicin and meropenem, although administered intravenously, are also considered safe. These antibiotics are poorly absorbed from the gut, meaning that even if they do pass into breast milk, the quantities are unlikely to affect the baby significantly. This characteristic allows mothers to continue breastfeeding without concern for their infant’s safety.
Considerations and Precautions
While many antibiotics are safe, it is essential for breastfeeding mothers to consult healthcare providers before starting any medication. The specific circumstances of the infection, the type of antibiotic prescribed, and the overall health of both mother and baby should be taken into account. For example, while most antibiotics are safe, some, like metronidazole, have been associated with potential side effects such as gastrointestinal disturbances in infants.
Moreover, the timing of medication can also play a role. Taking antibiotics just before breastfeeding can minimize the amount that enters breast milk during feeding. This strategy can help further reduce any potential exposure for the infant.
Conclusion
In summary, breastfeeding mothers can generally take a variety of antibiotics without significant risk to their infants. Beta-lactam antibiotics, such as penicillins and erythromycin, are particularly safe choices. However, it is crucial for mothers to engage in open discussions with their healthcare providers to ensure the best outcomes for both themselves and their babies. By doing so, they can effectively manage infections while maintaining their breastfeeding routine.

Is Zpack safe for breastfeeding?

Azithromycin and breastfeeding
If your doctor or health visitor says that your baby is healthy, it’s OK to take azithromycin while breastfeeding. Azithromycin passes into breast milk in small amounts. It has not been known to cause any side effects in breastfed babies.

Can you pass an infection through breast milk?

Breast milk can occasionally transmit serious viral and bacterial infections to preterm infants. We present three cases of late-onset neonatal sepsis, including one that resulted in death, occurring in preterm infants. The likely source of the microorganisms in all three cases was expressed breast milk.

What antibiotics can breastfeeding mothers take?

Here are some antibiotics thought of as safe to take while pregnant: Penicillins, including amoxicillin (Amoxil, Larotid) and ampicillin. Cephalosporins, including cefaclor and cephalexin.

Is amoxicillin breastfeeding friendly?

Amoxicillin is safe for use in women who are breastfeeding. Its physical characteristics, including low fat solubility, low protein binding, and acidic pH, limit its transfer into breastmilk. The American Academy of Pediatrics considers this drug to be safe to take when breastfeeding.

Is doxycycline safe while breastfeeding?

If your doctor or health visitor says your baby is healthy, you can take doxycycline for a short time (less than 3 weeks) while breastfeeding. Doxycycline passes into breast milk in fairly small amounts. However, the calcium in your milk sticks to the doxycycline so the baby cannot absorb very much.

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

What is the safest antibiotic during pregnancy?

Thankfully, there are several safe antibiotics during pregnancy. Penicillins, most cephalosporins, and azithromycin are considered first-choice options during pregnancy. Antibiotics like tetracyclines and fluoroquinolones shouldn’t be used in pregnancy in most cases.

Which antibiotics are not used in breastfeeding?

Antibiotics to Avoid While Breastfeeding
Clindamycin: Clindamycin can sometimes cause mild gastrointestinal (GI) effects like diarrhea, vomiting, diaper rash, or thrush in a breastfed baby2. Co-trimoxazole: Rarely prescribed to breastfeeding parents of newborns because of an association with increased jaundice3.

Can you still breastfeed while on antibiotics for mastitis?

If you feel unwell or your breast is red, you should see your doctor as soon as possible. When you make the appointment, tell them you think you have mastitis. If your doctor gives you antibiotics, follow the instructions. It is safe to breastfeed when you take these antibiotics.

Who should not take a Z pack?

ever had an allergic reaction to azithromycin or any other medicine. liver or kidney problems. heart problems, including irregular heartbeats (arrhythmia) ever had diarrhoea when you have taken antibiotics before.

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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