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Which antibiotics are safe while breastfeeding?

Understanding Antibiotics and Breastfeeding Safety
When it comes to breastfeeding mothers needing antibiotics, the primary concern is the safety of the medication for the nursing infant. Fortunately, many antibiotics are considered safe to use during this period, allowing mothers to treat infections without the added stress of compromising their baby’s health.
Safe Antibiotics for Breastfeeding Mothers
According to medical experts, most antibiotics are compatible with breastfeeding. Commonly prescribed antibiotics, such as penicillins (like amoxicillin) and erythromycin, are generally regarded as safe for nursing mothers. These medications have been extensively studied and are known to pass into breast milk in minimal amounts, which are unlikely to affect the infant adversely.
Additionally, beta-lactam antibiotics, which include penicillins and cephalosporins, are frequently used and are also deemed safe for breastfeeding mothers. They are effective against a variety of infections and have a long history of safe use in lactating women.
Considerations for Specific Antibiotics
While many antibiotics are safe, some require caution. For instance, gentamicin and meropenem, which are often administered intravenously, are poorly absorbed from the gut. This means that even if they do enter breast milk, the quantities are so low that they are unlikely to be absorbed by the baby. Therefore, there is typically no need to stop breastfeeding when these medications are prescribed.
On the other hand, certain antibiotics like sulfa-based drugs, ciprofloxacin, and nitrofurantoin have also been found to be safe during breastfeeding, although they may be less commonly prescribed.
Monitoring and Consultation
Despite the general safety of many antibiotics, it is crucial for breastfeeding mothers to consult with their healthcare providers before starting any medication. This ensures that the chosen antibiotic is appropriate for their specific condition and that any potential risks are adequately assessed.
Healthcare professionals can provide guidance on the best options available, taking into account the mother’s health needs and the safety of the infant. They can also monitor for any side effects or reactions in both the mother and the baby during the course of treatment.
Conclusion
In summary, while the need for antibiotics can be a source of concern for breastfeeding mothers, many options are available that are safe for both mother and child. By working closely with healthcare providers, mothers can effectively manage their health while continuing to breastfeed without unnecessary worry.

Can you mix amoxicillin with breastmilk?

Amoxicillin can be reconstituted with breast milk for use in infants.

Why is azithromycin no longer recommended?

However, in recent years, the cardiac safety of azithromycin has been questioned, primarily because of increasing concerns regarding the potential for QT interval prolongation, torsades de pointes, and cardiovascular death.

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.

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.

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.

Can I take a zpack while 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.

What are the side effects of amoxicillin for breastfed babies?

These small amounts are not expected to cause side effects for most nursing infants. In a study of 67 breastfeeding infants, there were no serious side effects from this medication in the breast milk. Some babies had rash, diarrhea, irritability, or constipation, but these reactions did not last long.

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 drugs can be passed through breast milk?

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.

Which antibiotics Cannot be taken with milk?

Calcium-Rich Foods + Antibiotics
Dairy products such as milk, yogurt, and cheese can interfere with certain medications, including antibiotics such as tetracycline, doxycycline, and ciprofloxacin.

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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