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Medications and Mother's Milk
Many medications are safe for breastfeeding and alternatives are
usually
available for those that are not so it is unusual to have to
stop breastfeeding
due to a short term drug regimen. Thomas Hale, PHD is
the foremost authority
on medications and mothers milk and his book is
vital for nursing mothers and
health care professionals alike. This
information is intended for reference only
and is in no way to take the
place of the individualized care of a qualified physician.
Below is a
list of some common medications which are approved by the
AAP for use in breastfeeding mothers:
ACNE - Clindamycin (topical), Erythromycin (oral)
ALLERGIC RHINITIS - Triprolidine
ANESTHETIC - Bupivacaine, Fentanyl, Halothane, Ketorolac, Lidocaine, Lorazepam,
Metoclopramide, Morphine, Thiopental Sodium
ANGINA PECTORIS - Metoprolol, Nifedipine, Propranolol, Verapamil
ANTICOAGULATION THERAPY - Warfarin
ANXIETY DISORDERS - Clomipramine, Propranolol
ASTHMA - Terbutaline, Theophylline, Methylprednisolone
BIPOLAR DISORDER - Carbamazepine, Valproic Acid, Verapamil
CARDIAC
ARRHYTHMIAS - Atenolol, Digoxin, Disopyramide, Lidocaine, Metoprolol,
Mexiletine HCL, Phenytoin, Procainamide, Propranolol, Quinidine,
Sotalol, Verapamil, Warfarin
CONGESTIVE HEART FAILURE - Captopril, Digoxin, Enalapril Maleate, Hydralazine,
Metoprolol, Nifedipine, Verapamil
CONJUNCTIVITIS - Ceftriaxone, Erythromiacin, Tetracycline (short term)
CONTRACEPTION - Levonorgestrel
COUGH - Cisapride, Codeine
DEPRESSION - Clomipramine
DIABETES - Tolbutamide
FEVER - Acetaminophen, Ibuprofen
GASTROESOPHAGEAL REFLUX - Cisapride
GLAUCOMA - Acetazolamide, Timolol
HEADACHE/PAIN, GENERAL - Acetaminophen, Codeine, Ibuprofen, Naproxen
HYPERTENSION
- Atenolol, Captopril, Enalapril Maleate, Hydralazine, Labetalol,
Metaprolol, Nifedipine, Propranolol, Sotalol, Verapamil
HYPERTHYROIDISM - Methimazole, Proprnolol, Propylthiouracil,
INFLAMMATORY BOWEL DISEASE - Prednisone
INSUFFICIENT MILK SUPPLY - Metoclopramide (Reglan: short term only -
use for less than 2 months), Domperidone
LOW BACK PAIN - Acetaminophen, Codeine, Ibuprofen, Naproxen
MASTITIS - Cefazolin, Cephalexin, Clindamycin
METABOLIC BONE DISEASE - Fluoride, Vitamin D
MIGRAINE - Butorphanol, Ketorolac, Metoprolol, Nifedipine, Propranolol,
Valproic Acid, Verapamil
MUSCLE SPASTICITY - Quinine
NIPPLE VASOSPASM - Captopril, Methyldopa, Nifedipine, Terbutaline
PELVIC INFLAMMATORY DISEASE - Ceftriaxone, Cefoxitin
PEPTIC ULCER DISEASE - Amoxicillin, Tetracycline (short term)
RADIOPAQUE/RADIOCONTRAST
AGENTS - Trade names: Conray, Chlolebrine,
Telepaque, Oragrafin,
Bilivist, Hypaque, Gastrografin, Renovue-Dip, Angiovist, Optiray
RADIOACTIVE
PROCEDURES - The following are approved with temporary
cessation of
breastfeeding: Technetium-99M Pertechnetate (pump and dump for 24
hours),
Iodine 123 (pump and dump for 24 hours), Thallium 201 (pump and
dump for 2 weeks)
RAYNAUD'S PHENOMENON - Catopril, Methyldopa, Nifedipine, Terbutaline
RHEUMATOID ARTHRITIS - Hydroxychloroquine, Ibuprofen, Ketorolac, Piroxicam,
Prednisone
ROSACEA - Clindamycin lotion/gel, Erythromycin, Tetracycline (short term)
SEIZURE DISORDERS - Carbamazepine, Ethosuximide, Phenitoin, Valproic Acid
URINARY TRACT INFECTION - Trimethoprim
VENOUS THROMBOEMBOLISM - Warfarin,
Infectious Disease Medications Approved for use In Lactation Women
Acute Sinusitis - Amoxicillin+ Clavulanate, Cefprozil, Co-Trimoxazole
Chlamydia - Erythromycin
Gonorrhea - Ceftriaxone
Herpes Simplex - Acyclovir
Lyme Disease - Amoxicilin, Ceftriaxone, Penicillin G
Malaria - Chloroquine, Hydroxychloroquine, Quinidine, Quinine
Salmonellosis - Cefotaxime, Ceftriaxone, Co-Trimoxazole
Tuberculosis - Cycloserine, Ethambutol, Isoniazid, Rifampin, Streptomycin
Medications to Avoid During Lactation
Amiodarone
Antineoplastic Agents
Chloramphenicol
Ergotamine
Gold Salts
Lithium
Phenindione
Radiopharmaceuticals
Retinoids
Tetracyclines (chronic use over three weeks may cause infant bone changes)
Pseudoephedrine (preliminary unpublished studies indicate inhibition of
prolactin and milk production)
If copying this information for publication, please include references
at the bottom
and a link to our web site: https://www.lactationconnection.com
References:
Clinical Therapy in Breastfeeding Patients, Thomas W Hale,
PHD;
Medications and Mother's Milk 10th Edition, Thomas W Hale, PHD
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