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Why cant you use tretinoin while breastfeeding?

Understanding Tretinoin and Breastfeeding
Tretinoin, a derivative of vitamin A commonly used in skincare for its anti-aging and acne-fighting properties, raises significant concerns when it comes to breastfeeding. The primary reason for caution is the lack of comprehensive studies examining its effects during lactation. While topical tretinoin is poorly absorbed into the bloodstream, which suggests a lower risk to nursing infants, the absence of definitive research means that healthcare providers often recommend avoiding its use altogether.
The Risks of Tretinoin During Lactation
According to available literature, tretinoin has not been adequately studied in breastfeeding women. This gap in research leads to a cautious approach among medical professionals. For instance, while topical application is considered to pose a low risk due to minimal systemic absorption, there are still recommendations against applying it directly to areas that may come into contact with the infant, such as the nipples. This precaution is vital because even small amounts of the medication could potentially be transferred to the baby through breast milk.
Moreover, oral forms of tretinoin are explicitly discouraged during breastfeeding. The guidelines suggest that breastfeeding should be avoided during oral use and for at least one week after the last dose, highlighting the potential for higher systemic absorption and subsequent transfer to the infant.
The Bottom Line
In summary, while topical tretinoin may be deemed low risk due to its poor absorption, the lack of extensive research on its safety during breastfeeding leads to a general recommendation against its use. Mothers are encouraged to consult with their healthcare providers to explore safer alternatives for skincare during this sensitive period. The priority remains the health and safety of both the mother and the nursing infant, making it essential to err on the side of caution when it comes to medications like tretinoin.

Does topical tretinoin enter the bloodstream?

More tretinoin could be absorbed into the person’s bloodstream if tretinoin is used on skin that is broken or irritated, or when it is used more than needed, or when used over a large area of the body. In general, the less tretinoin that is used on the skin, the less likely there will be risks to the fetus.

Does topical tretinoin affect birth control?

Tretinoin can make certain birth control pills less effective. Ask your doctor about the best method of birth control to prevent pregnancy while taking tretinoin. You must use effective birth control while you are taking tretinoin unless you have had a hysterectomy and no longer have a uterus.

Can I use topical tretinoin while pregnant?

There is currently no good evidence that topical tretinoin exposure is associated with increased risks of miscarriage, low birth weight, preterm delivery or intrauterine death. These data are, however, too limited to definitively exclude a fetal risk and use during pregnancy is therefore not generally recommended.

Does topical tretinoin get absorbed systemically?

Conclusion: Minimal percutaneous absorption of tretinoin was obtained after its topical application in cream formulations. Neither single-dose nor long-term treatment with topical tretinoin formulations appeared to affect the endogenous levels of tretinoin or its metabolites.

What happens if you use retinol while breastfeeding?

Retinol is not safe for use by breastfeeding moms because it can be absorbed into your bloodstream through your skin – and if Retinol does pass into your bloodstream, from there it can also pass into your breast milk. This means that your baby could potentially ingest Retinol through your breast milk.

What wrinkle treatments are safe while breastfeeding?

Laser therapies, including treatments for skin resurfacing, fine lines, and acne scars, are generally safe during breastfeeding. These treatments do not interfere with breast milk production or alter its quality, making them suitable for cosmetic facial improvements while nursing.

Is tretinoin bad while breastfeeding?

Summary of Use during Lactation
Tretinoin has not been studied during breastfeeding. Breastfeeding should be avoided during oral use and for 1 week after the last dose. Because it is poorly absorbed after topical application, it is considered a low risk to the nursing infant.

Can I use tretinoin on my face while breastfeeding?

Acne therapies
Topical therapies: benzoyl peroxide, azelaic acid, and topical retinoids (tretinoin, isotretinoin, adapalene) are probably low risk when breastfeeding however direct contact with the infant’s skin should be avoided. Oral isotretinoin: contraindicated when breastfeeding.

What to use instead of tretinoin during pregnancy?

What are the safe alternatives to retinol to use during pregnancy?

  • glycolic acid, an alpha-hydroxy acid that exfoliates the skin and has acne benefits.
  • azelaic acid, another acne treatment that contains anti-inflammatory and antimicrobial properties.
  • hyaluronic acid, which can help reduce wrinkles and hydrate skin.

Does tretinoin make hormonal acne worse?

Tretinoin: this retinoid increases cell turnover, unclogs pores and reduces inflammation. Tretinoin can not only treat hormonal acne but also improves scarring, texture and fades hyperpigmentation.

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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