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What medicine should be avoided with the nursing mother?

Understanding Medication Safety for Nursing Mothers
When it comes to medication use during breastfeeding, the health and safety of both the mother and the infant are paramount. Nursing mothers must navigate the complex landscape of pharmaceuticals, weighing the benefits of treatment against potential risks to their breastfeeding child. Certain medications can pose significant risks and should be avoided to ensure the well-being of the infant.
Medications to Avoid
1. Certain Antibiotics: While many antibiotics are considered safe during breastfeeding, some, such as chloramphenicol, can be harmful. This antibiotic has been associated with serious side effects in infants, including “gray baby syndrome,” which can be fatal.
2. Antidepressants: Some selective serotonin reuptake inhibitors (SSRIs) may be safe, but others, like paroxetine, have been linked to potential risks in breastfeeding infants. It’s crucial for nursing mothers to consult with healthcare providers to find the safest options.
3. Antihistamines: Medications like diphenhydramine can reduce milk supply and may cause sedation in the infant. Therefore, nursing mothers are often advised to avoid these unless absolutely necessary.
4. Hormonal Contraceptives: Certain hormonal contraceptives, particularly those containing estrogen, can affect milk production. Progestin-only options are generally recommended for breastfeeding mothers.
5. Chemotherapy Drugs: These are highly contraindicated during breastfeeding due to their potential to cause severe harm to the infant. The risk of exposure through breast milk is significant, and mothers undergoing such treatments are typically advised to stop breastfeeding.
6. Some Over-the-Counter Medications: Common medications like aspirin and ibuprofen are generally safe, but high doses or prolonged use can pose risks. Additionally, herbal supplements and certain cold medications may not be safe and should be approached with caution.
The Importance of Consultation
The decision to use any medication while breastfeeding should always involve a thorough discussion with a healthcare provider. This conversation should include an assessment of the mother’s health needs, the potential risks to the infant, and the availability of safer alternatives.
Healthcare professionals often rely on resources that evaluate the safety of medications during breastfeeding, ensuring that mothers receive the most accurate and up-to-date information. The goal is to balance the mother’s health needs with the safety of the infant, making informed choices that prioritize both.
Conclusion
In summary, while many medications are safe for nursing mothers, several should be avoided due to potential risks to the infant. It is essential for breastfeeding mothers to engage in open dialogue with their healthcare providers to navigate these challenges effectively. By doing so, they can ensure that both their health and their baby’s health are safeguarded during this critical period.

Which of the following should be avoided by a lactating mother?

Caffeine. It’s not just tea and coffee that contains caffeine – it’s in chocolate, and various energy drinks and soft drinks. It’s sensible to cut caffeine out while breastfeeding because it’s a stimulant so can make your baby restless. If you do drink caffeine, try not to have more than 300mg a day.

Is there anything to avoid while breastfeeding?

Avoiding certain foods, such as garlic, onions or cabbage, might help. Remember, there’s no need to go on a special diet while you’re breastfeeding. Simply focus on making healthy choices — and you and your baby will reap the rewards.

What medications affect milk supply?

Remember, there are also many medications that can reduce your milk supply. For example, antihistamines like Benadryl, Zyrtec, Allegra, etc, or decongestants like Sudafed, can decrease your milk supply.

What meds should I avoid while breastfeeding?

Common medicines that are not recommended when you’re breastfeeding include:

  • codeine phosphate.
  • decongestants that come as tablets, liquids or powders that you swallow.
  • some nasal decongestants that come as nose sprays or drops – check with a GP or pharmacist before using them.
  • aspirin for pain relief.

What is always contraindicated with breastfeeding?

The only true contraindications to breastfeeding are the following: Infants with classic galactosemia (galactose 1-phosphate uridyltransferase deficiency) Mothers, in the US, who are infected with human immunodeficiency virus (HIV), untreated brucellosis, or suspected or confirmed Ebola virus disease.

Can I take ibuprofen while breastfeeding?

You can take ibuprofen or use it on your skin while breastfeeding. It is one of the painkillers that’s usually recommended if you’re breastfeeding. Only tiny amounts get into breast milk and it’s unlikely to cause side effects in your baby. Many people have used it while breastfeeding without any problems.

Which drug is generally not recommended for lactating mothers?

Drugs contraindicated during breastfeeding include anticancer drugs, lithium, oral retinoids, iodine, amiodarone and gold salts.

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.

What vitamins should you not take while breastfeeding?

Daily ingestion of 400mg of vitamin B-2 (riboflavin) should be avoided due to safety concerns for the infant. A high dose of vitamin B-6, such as 200mg-600mg daily for many months/years can increase the risk of neuropathy in the mother.

What meds can decrease milk supply?

High dose steroids (such as Solumedrol) Strong antihistamines such as diphenhydramine (Benadryl) Testosterone. Estrogen.

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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