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What drugs dont affect breast milk?

Understanding Drug Safety in Breastfeeding
Breastfeeding is a crucial aspect of infant care, and many new mothers often worry about the impact of medications on their breast milk and, consequently, their babies. The good news is that most commonly used medications are relatively safe for breastfeeding mothers and their infants. The amount of medication that passes into breast milk is typically small, often much less than the doses that would be administered directly to neonates and infants.
Factors Influencing Drug Transfer to Breast Milk
The transfer of drugs into breast milk is influenced by several factors, including the drug’s molecular weight, protein binding, and lipid solubility. Medications that are highly protein-bound, have large molecular weights, or are poorly lipid-soluble tend to enter breast milk in minimal amounts. This means that many medications can be safely taken by breastfeeding mothers without significant risk to their babies.
Medications Generally Considered Safe
While specific medications should always be discussed with a healthcare provider, many common drugs are deemed safe during breastfeeding. For instance, over-the-counter pain relievers like acetaminophen and ibuprofen are typically safe. Additionally, certain antibiotics and antihistamines are also considered safe for breastfeeding mothers.
Medications to Approach with Caution
However, not all medications are created equal. Some drugs, particularly those that may suppress milk production, such as high-dose estrogen found in some oral contraceptives, can be problematic. If a breastfeeding mother must take a medication that poses a risk to her baby, it is often recommended that she temporarily stop breastfeeding until the drug is cleared from her system.
Conclusion
In summary, while many medications are safe for breastfeeding mothers, it is essential to consult healthcare professionals regarding specific drugs. Understanding the factors that influence drug transfer into breast milk can help mothers make informed decisions about their medication use while ensuring the health and safety of their infants. Always prioritize open communication with healthcare providers to navigate the complexities of medication use during breastfeeding effectively.

When should mothers not breastfeed?

Women who actively use drugs or do not control their alcohol intake, or who have a history of these situations, also may be advised not to breastfeed. Infants who have galactosemia—a rare metabolic disorder in which the body cannot digest the sugar galactose—should not be breastfed.

What medications decrease milk supply?

For example, antihistamines like Benadryl, Zyrtec, Allegra, etc, or decongestants like Sudafed, can decrease your milk supply. So please call us if you are breastfeeding and need clarification on the safety of a medication or to see if a medication you are taking may be affecting your milk supply while breastfeeding.

How can I reduce my baby’s exposure to drugs in breast milk?

Timing of feeds

  1. give the mother’s dose immediately after the infant has been fed with the aim of avoiding feeding at peak milk concentrations; or.
  2. withhold breastfeeding until after a suitable washout period of the medicine. This is most appropriate for short courses of a hazardous medicine.

What drugs can pass through a mother’s breast milk and harm a nursing baby?

Drugs

  • If you use amphetamines, ecstasy, cocaine or heroin, you should not breastfeed for 24 hours after use.
  • If you smoke cannabis or tobacco you should breastfeed your baby before you smoke, and smoke outside and away from the baby. Do not have your baby in the same room as the smoke.

What drugs don’t go into breast milk?

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

Should I stop breastfeeding if I vape?

Mothers who use tobacco or e-cigarettes can breastfeed their infants but should be encouraged to quit. If they are unable to quit, breastfeeding still provides numerous health benefits, and breast milk remains the recommended food for an infant.

What substances can pass through breast milk?

A woman’s lifestyle may affect her breast milk, and have an impact on the baby. During breastfeeding, it is important for a woman not to consume alcohol, smoke, or take drugs. These substances are known to pass through the breast milk.

What drugs show up in breast milk?

If you do use drugs such as amphetamines or heroin as a one-off, you will need to express your breast milk in the 24 hours afterwards and throw it away before you breastfeed again. After using drugs, it is not safe for you to care for or breastfeed your baby.

What medications are safe to take while breastfeeding?

Medicines that can be taken while breastfeeding include:

  • most antibiotics.
  • asthma inhalers.
  • vitamins (but only at the recommended dose)
  • the painkiller paracetamol – you should check with a GP or midwife before taking paracetamol if it’s combined with other medicines.

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.

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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