General Practice 2022

Reméprohibited and permitted breastfeedingção

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Reméprohibited and permitted breastfeedingção
Reméprohibited and permitted breastfeedingção

Most medicines pass into breast milk, however, many of them are transferred in small amounts and, even when present in milk, may not be absorbed in the baby's gastrointestinal tract. However, whenever it is necessary to take a medicine while breastfeeding, the woman should first speak to the doctor, to verify if the medicine is dangerous, if it should be avoided, if it is necessary to stop breastfeeding or if it can be used safely..

In general, breastfeeding mothers should avoid the use of medications, however, if necessary, they should opt for the safest ones and for those that have already been studied and that are poorly excreted in breast milk, so to avoid risks to the baby's he alth.Drugs for prolonged use by the mother generally carry a greater risk to the baby, due to the levels they can reach in breast milk.

Medicines that a woman cannot take

Some examples of remedies that should not, at any time, be used during lactation are:

Acetylsalicylic acid Carisoprodol Etretinato Propoxyphene
Acitretin Ketorolac Fenindiona Chemotherapy drugs
Alfalutropin Cyclophosphamide Ganciclovir Iodine-based remedies
Amiodarone Cyclosporin Leuprolide Reserpine
Alfalutropin Cloramphenicol Isotretinoin Selegiline
Anfepramone Clomiphene Lithium Simvastatin
Amphetamines Codeine Linezolid Tamoxifen
Combined oral contraceptives Nose decongestants Lisurida Tretinoin
Anticoagulants Diazepam Meperidine Gold s alts
Antipyrine Diethylstilbestrol Methotrexate Verteporfina
Atenolol Disulfiram Mifepristone or Misoprostol Zonisamide
Bromets Doxepin Oxycodone
Bromocryptine Ergotamine Pentazocine
Cabergolina Estradiol or ethinylestradiol Pseudoephedrine

In case it is necessary to carry out treatment with any of these remedies, use should only be done with medical advice and guidance, and it is necessary to stop breastfeeding.

Other drugs that need to stop breastfeeding are radiological contrast agents with iodine, copper, gallium, indium, technetium or radioactive sodium, and lactation should be interrupted according to medical advice.

Also, some medicinal plants should not be used during breastfeeding such as chamomile, borage, comfrey, black cohosh or St. Kitts wort, kombucha, kava-kava, echinacea, ginseng, ginkgo biloba, Saint John, Fenugreek or Valerian.

Medicines that can be used while breastfeeding

Medicines that can be used in breastfeeding safely are paracetamol or ibuprofen, for the treatment of flu or cold symptoms such as fever, malaise or body pain, for example. However, none of them should be used without medical advice.

In addition, some antibiotics or antidepressants may be prescribed by the doctor, who should guide the correct times to take them and the need or not to stop breastfeeding during their use.

Also know which teas are allowed and prohibited in breastfeeding.

Is dipyrone indicated for breastfeeding?

Dipyrone is not indicated for use during breastfeeding, as it is present in milk for up to 48 hours after a dose and passes in large amounts to the baby through breast milk, which can lead to adverse reactions in the baby such as cyanosis, which is a bluish discoloration of the skin, nails, or mouth, or agranulocytosis, which is a decrease in the amount of white blood cells. Understand better what agranulocytosis is.

Therefore, dipyrone is not recommended for use in breastfeeding unless recommended by a doctor.

What to do before taking medicine while breastfeeding?

Before deciding to use a medication during lactation, a woman should:

  • Check with the doctor if it is necessary to take the medication, as the doctor must weigh the benefits and risks;
  • Prefer studied drugs that are safe in children or that are poorly excreted in breast milk;
  • Prefer locally applied remedies when possible;
  • Set the medication use schedule well, in order to avoid peaks in blood and milk concentration, which coincide with the time of breastfeeding;
  • Opt, when possible, for medicines containing only one active substance, avoiding those that have many components, such as anti-flu, preferring to treat the most evident symptoms with paracetamol, to relieve pain or fever, or cetirizine to treat sneezing and nasal congestion, for example;
  • Observe the baby, if the woman needs to use any medication, in order to detect possible side effects, such as changes in eating patterns, sleep habits, restlessness or gastrointestinal disorders, for example;
  • Avoid long-acting medications, as they are more difficult to eliminate by the body;
  • Express milk in advance and store in the freezer to feed the baby in case of temporary interruption of breastfeeding. Learn how to store breast milk correctly.

These precautions should be adopted whenever the doctor recommends any medication to the woman during the breastfeeding period, so that they are used safely and side effects are detected in the baby.

It is important to emphasize that the use of medication during lactation should only be done with medical advice, avoiding self-use.

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