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Which gastric medicine is safe during breastfeeding?

Understanding Safe Gastric Medications During Breastfeeding
Breastfeeding mothers often face the challenge of managing their health while ensuring the safety of their infants. When it comes to gastric medications, the question of safety is paramount. Fortunately, there are several options that are generally considered safe for breastfeeding mothers.
Common Safe Gastric Medications
1. Antacids: Medications like calcium carbonate (Tums) and magnesium hydroxide (Maalox) are typically safe during breastfeeding. These antacids work by neutralizing stomach acid and are not absorbed into the bloodstream in significant amounts, making them a good choice for occasional heartburn relief.
2. H2 Blockers: Drugs such as ranitidine (Zantac) and famotidine (Pepcid) are also deemed safe. These medications reduce stomach acid production and have been shown to have minimal effects on breast milk composition. However, it’s essential to consult with a healthcare provider before starting any new medication.
3. Proton Pump Inhibitors (PPIs): Medications like omeprazole (Prilosec) and lansoprazole (Prevacid) are generally considered safe for breastfeeding mothers. They are effective for treating conditions like gastroesophageal reflux disease (GERD) and have low levels in breast milk, posing minimal risk to the infant.
Considerations and Precautions
While many gastric medications are safe, it’s crucial for breastfeeding mothers to be cautious. Some medications can potentially decrease milk supply or have other side effects. For instance, pseudoephedrine, commonly found in cold medications, can reduce milk production, although it is still considered compatible with breastfeeding in small doses.
Moreover, mothers should avoid certain medications that are known to be contraindicated during breastfeeding. For example, medications containing alcohol or those that are not well-studied in breastfeeding contexts should be approached with caution.
Consultation with Healthcare Providers
The best course of action for breastfeeding mothers is to consult with healthcare providers before taking any medication. This ensures that they receive personalized advice based on their specific health needs and circumstances. Healthcare professionals can provide guidance on the safest options and monitor any potential effects on both the mother and the infant.
In summary, while many gastric medications are safe for breastfeeding mothers, individual circumstances can vary. Antacids, H2 blockers, and PPIs are generally safe choices, but it is always wise to seek professional advice to ensure the health and safety of both mother and child.

What can I take for a stomach bug while breastfeeding?

Some people are prescribed (or buy) prochlorperazine (Buccastem ®, Stemetil ®) tablets to relieve the nausea and vomiting, loperamide (Imodium®) to reduce the symptoms of diarrhoea and rehydrating sachets (Dioralyte ®) to prevent dehydration. These drugs are suitable to take and carry on breastfeeding as normal.

Can I use Preparation H while breastfeeding?

Products to treat haemorrhoids can be used by breastfeeding mothers without affecting breastfeeding. The absorption of the ingredient drugs from the rectum will not produce significant levels in breastmilk and can be used as necessary for the mother’s comfort (morning and night and after bowel motions).

Can omeprazole affect my baby?

Omeprazole is safe to take during pregnancy. However, it may be better to try to treat indigestion without taking medicine. You could try eating smaller meals more often, and avoiding fatty and spicy foods.

Can I take gastric medicine during breastfeeding?

Antacid and alginate preparations
There is extensive experience of use of antacids during breastfeeding and they are considered first-line options for managing heartburn or dyspepsia. Alginates and simeticone are also considered acceptable for use during breastfeeding.

Is hydrocortisone better than Preparation H?

Hydrocortisone topical has an average rating of 7.0 out of 10 from a total of 62 ratings on Drugs.com. 59% of reviewers reported a positive effect, while 22% reported a negative effect. Preparation H Maximum Strength has an average rating of 5.0 out of 10 from a total of 8 ratings on Drugs.com.

Which drug is usually avoided with breastfeeding?

Table. Examples of drugs contraindicated in breastfeeding.

Drug Comment
Antineoplastics Leukopenia, bone marrow suppression
Gold salts Rash, nephritis, haematological abnormalities
Iodine High doses (>150 micrograms daily) lead to risk of infant hypothyroidism
Lithium Breastfeeding only feasible with rigorous monitoring

What gas medicine is safe while breastfeeding?

Medicines to treat gas and bloating, such as Gas-X, Maalox, Mylanta, and others, are safe to take while breastfeeding. They contain simethicone, which is sometimes given to infants. It is also not absorbed into the mother’s system, so wouldn’t be transmitted in breast milk.

What is the quickest way to get rid of a stomach bug baby?

You can treat stomach bugs at home by making sure your child keeps drinking fluids and gets plenty of rest. The best way to keep your child well hydrated is with an electrolyte-containing solution such as Pedialyte®. Have your child take small sips frequently — meaning every five minutes or so — throughout the day.

Can I take omeprazole while breastfeeding?

Omeprazole and breastfeeding
If your doctor or health visitor says your baby is healthy it is OK to take omeprazole while you’re breastfeeding. There is a little information available which shows that omeprazole passes into breast milk in tiny amounts, but your baby will not absorb a lot into their body.

Can I take Pepcid while breastfeeding?

Famotidine doses in breastmilk result in infant dosages that are lower than those used in newborn infants. Famotidine would not be expected to cause any adverse effects in breastfed infants. No special precautions are required.

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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