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Doctors' Answers to "Frequently Asked Questions" - Breast Feeding
Related Women's Issues
Breast Feeding While on
Flagyl [posted 12/08/98]
Answer: It will pass through the breast milk. I would pump and discard the milk while you are taking Flagyl.
Breast Feeding While on Paxil or
Xanax [posted 11/11/98]
Answer: Both are passed into milk, no clear idea of the long term effect, but, short term effects would be probably most marked with Xanax(sedation etc). If you need to take these drugs, I would consider formula or a wet nurse.
Breast Feeding While on Flagyl [posted
Answer: Wouldn't be recommended, but, for a short time probably isn't a big deal.
Increasing Milk Production
Answer: I would not do this since it is potentially passed to your child. Better to augment with formula. An age old problem with no great cures.
Meds to Stop Milk Production
Answer: There are several drugs in this class, but, most have the same effects of nausea.
NSAIDS and Breast Feeding [posted
Answer: Usually not recommended to take any non-steroidal anti-inflammatory while breast feeding. The drug is passed to the child and can inhibit platelets causing bleeding.
Breast Feeding and Maxzide
Answer: This drug is clearly passed through breast milk. There is both the diuretic risk (with electrolyte abnormalities), as well as a mild folic acid antagonism. The drug information published by the company recommends stopping nursing if this drug is necessary while breast feeding. I'd stop the medication for the duration of breast feeding.
Breast Feeding [posted 7/17/98]
Answer: Diet pills are absolutely not recommended to any breast feeding mother.
Answer: There are mainly advantages. Bonding of mother to child, passage of immunoglobulins to the child helping fight infections(particularly the first 3 months), no allergic response, the right mix of calories, fat, etc., for humans, etc. Disadvantages are mainly transmission of certain infectious diseases(also passed prenatally), passage of medications and toxins to the child in the milk if the mother is taking or ingesting these substances. In general, most physicians are advocates for breast feeding if tolerated by the mother.
Breast Feeding and Medication
Answer: Breast milk concentrates several drugs including most of the benzodiazepines. Although there may he some differences, for clinical purposes these drugs are similar in their sedative ability and concentration in breast milk. Anxiety disorders are occasionally treated with beta- blockers, which are relatively safe and not addicting like the benzodiazepines. Other drugs like the SRI antidepressants are also used, but data on use in small children is lacking here.
Breast Feeding and Relafen
Answer: The risk of Relafen or any non-steroidal anti-inflammatory is that the
drug will be passed in the milk to the child. This drug inhibits platelets and may induce
bleeding. There are other potential problems in a newborn(especially the first week of
birth)-less so as they age.
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