Women who are breast-feeding have to take medicine to cure their babies and worry about the effects of drugs through breast milk on the health of their babies. Many mothers choose to temporarily stop breastfeeding during the drug use period. However, there are many risks to being unable to breastfeed, so there are a few things to consider.
Does a little lactose make breastfeeding more dangerous than using bottle? Hardly worrying. In other words, being cautious means continuing to breastfeed, not switching to bottle-feeding. It should be noted that stopping breastfeeding for 1 week can cause a baby to permanently stop breastfeeding because the baby refuses to breastfeed.
Breastfeeding when the mother takes medicine, how to see? Most of the drugs a mother takes are in milk, but usually only in very small amounts. Although a very few medications can cause problems in even very small amounts in children, most do not. When mothers need to breastfeed, they need to consult a physician to be replaced with a safe drug, not need to stop breastfeeding.
Why are most of the drugs taken by mothers in milk in very small amounts? Because the drug concentration in the mother’s blood is usually only in micrograms, even nanograms (one millionth or one-billionth of a gram) while the mother takes the drug at a dose of milligrams (one-thousandth of a gram) or gram. What’s more, not everything that is in the mother’s blood can pass through the milk. Only drugs that do not bind to proteins in the mother’s blood can pass into the milk. Many drugs are almost completely bound to proteins in the mother’s blood, so the baby does not receive the same amount of the drug as the mother’s dose but is always much lower.
How is the drug considered safe?
For the most part, the drug is safe if the following criteria are met:
The drug is usually only used for children: The amount of medicine through milk is much less than when the baby is taking it directly.
Medications are considered safe during pregnancy: This is not always true, because during pregnancy, the mother’s body prevents the fetus from receiving the medication. Therefore, in theory, toxin accumulation could occur during breastfeeding rather than during pregnancy (although this rarely happens).
The drug is not absorbed in the stomach or intestines: These drugs include many injectable drugs, but not all. For example, gentamycin (and many other drugs of the antibiotic line), heparin, interferon, local anesthetic, omperazole …
Drugs are not excreted in breast milk: Some drugs are just too large to pass through breast milk, for example heparin, interferon, insulin.
What medications are considered safe while breastfeeding? Some commonly used medications are considered safe while breastfeeding, including:
Acetaminophen (tylenol, tempra), alcohol (in reasonable amounts), aspirin (common dose, for a short time). Mostly, antiepileptic drugs, antihypertensive drugs, tetracycline, codeine, nonsteroidal anti-inflammatory drugs (such as ibuprofen), prednisone, thyroxin, warfarin, antidepressants, metronidazole (flagyl) …
Topical medications, inhalers (such as asthma medications) or eye drops and nose drops are all nearly safe while breastfeeding.
Local or local anesthetic for the mother is not absorbed into the baby’s stomach and is safe. Medications used in general anesthesia for the mother only pass into breast milk in very small amounts (like other drugs) and are very difficult to affect the baby. These drugs have a very short half-life and are quickly eliminated from the mother’s body. The mother can breastfeed her baby right after awake.
Maternal immunization (vaccination or injection) does not require stopping breastfeeding. On the contrary, the immunization of the mother also helps the child to develop immunity if the substance in the vaccine enters the milk. In fact, most vaccines do not pass into milk.
X-rays or scans (modern imaging-based diagnostic methods): Conventional x-rays do not require a mother to stop breastfeeding even with a contrast agent (eg, pyelography with intravenous drug). The reason is that the drug does not pass into milk and does not absorb it even if it does. The same goes for CT scan (computed tomography) and MRI scan (magnetic resonance resonance) without stopping breastfeeding even with a second attempt.
What about the method of radiation diagnosis? When mothers need a diagnostic method using radioactive isotopes (to have pictures of damage to the lungs, lymphatic system, and bones), technetium should be used because this radioactive material has a half-life of 6 hours. That means that after 12 hours, 75% of the technetium was eliminated and the concentration in the milk was very low.
After radioactive exploration, mothers are able to breastfeed, only wait 12 hours (with technetium). Examination of the thyroid gland for radioactive material is different because radioactive iodine is concentrated in milk, absorbed by the child and will travel to the child’s thyroid and then remain there for a long time. This is obviously worrying, but fortunately this kind of probe is not very often necessary for a mother to breastfeed.