Breastfeeding and medicines are descriptions of drugs that can be used by nursing mothers with little or no consequences and recommended medications to avoid. Some drugs are excreted in breast milk. Almost all drugs enter into breast milk in small amounts. Some have no effect on infants and can be used while breastfeeding. The National Institutes of Medicine (US) maintains a database containing information about medicines and other chemicals that mothers who are breastfeeding can be affected. This includes information about levels of substances as in breast milk and baby blood, and possible side effects in breastfed babies. Suggested therapeutic alternatives for such drugs are provided, if required. All data comes from a reliable source. Some medications and herbal supplements can be of concern. This can happen because drugs can accumulate in breast milk or have an effect on the baby and the mother. Drugs of concern are the drugs used to treat substance and alcohol addiction. Other drugs of concern are the drugs used to quit smoking. Pain medications and antidepressants require evaluation.
Video Breastfeeding and medications
Evaluating potential adverse effects
Determination of drug safety can be evaluated by considering the following:
- If and how many drugs are present in breast milk.
- Age and maturity of the baby. Infants are more mature enough to metabolize drugs than premature babies.
- Baby weight.
- The amount and percentage of breast milk consumed by the baby. Babies who consume solid foods with breastfeeding will receive lower doses of the drug.
- General health of infants and general maternal health.
- The nature of maternal illness, if any.
- General information about other literature drugs documenting studies relating to medicine and breastfeeding.
- Duration of drug therapy.
- Is the medicine acting short? Short-term drug form can be a better choice for breastfeeding mothers than longer acting forms that remain in the mother's system for longer periods.
- How to administer medicine?
- Does the drug interfere with lactation?
Maps Breastfeeding and medications
Category of lactation risk
Drugs can be categorized in one of five categories to determine how safe they are for breastfeeding:
L1 Compatible
"Drugs taken by large numbers of breastfeeding mothers with no observed improvement in adverse effects in infants Controlled studies of lactating women fail to demonstrate the risk to infants and the likelihood of harm to breastfeeding infants is remote, or these products are not available orally to infants. "
L2 May Be Compatible
"Drugs that have been studied in a number of breastfeeding women without increased adverse effects on infants and/or, evidence of the risks shown that are likely to follow the use of these drugs in women breastfeeding considerably."
L3 May Be Compatible
"There is no controlled study in breastfeeding women, but the risk of undesirable effects on breastfed infants is possible, or, controlled studies only show non-threatening side effects." Drugs should be given only if potential benefits justify the potential risks of the baby. which have absolutely no published data are automatically categorized in this category, regardless of how secure they are.) "
L4 May be Hazardous
"There is positive evidence of the risks in breastfed infants or breastfeeding production, but the benefits of use on breastfeeding mothers are acceptable even if there is a risk to the baby (eg if the drug is needed in a life-threatening situation or for a serious illness which is safer not usable or ineffective). "
L5 Harmful
"Studies in breastfeeding mothers have shown that there is significant and documented risk for infants based on human experience, or it is a drug that has a high risk of causing significant damage to the baby.The risk of drug use in breastfeeding women clearly outweighs the possible benefits of breastfeeding. this is contraindicated in women who breastfeed babies. "
Over the counter medications
Over-the-counter medicines are drugs that do not require a prescription to be purchased in the US. Medicines that require a prescription for purchase in the US may be available in other countries without a prescription. The following guidelines are recommended:
- taking oral medication after breastfeeding than before will allow some medications to leave the mother's body through her kidney among children.
- in most women without kidney disease, nonsteroidal anti-inflammatory drugs and paracetamol (acetaminophen) are used safely.
- aspirin can cause a rash and even cause infant bleeding.
- limit the use of antihistamines for long periods of time. These anti-allergic drugs can cause crying, sleep problems, fussiness, excessive sleepiness in infants. Antihistamines have an effect on the amount of milk the body produces and lower the supply.
- carefully observes the baby for changes or side effects when first taking medication to see the side effects. Side effects that indicate that the drug affects the baby are breathing difficulties, rashes and other questionable changes that occur after the treatment is started by the mother.
- many other young people are at home and storing off-the-counter medicines out of their reach is a safe practice.
Other substances or chemicals have been evaluated regarding their safe use during pregnancy. Hair dye or solution used for 'permanent' does not qualify for breast milk. No negative reports using oral and breastfeeding antihastamines were found. Some of the older antihistamines used by nursing mothers can cause sleepiness in infants. This may be a concern if babies skip feeding by sleep instead of breastfeeding.
References
External links
- La Leche League International
- US clinical trials related to breastfeeding
Source of the article : Wikipedia