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Ainara:

I would not suggest Depakote (Valproic acid). We've known for a long time that it probably causes spina bifida, now new evidence shows a dramatic drop in IQ in infants exposed during...

Ainara:

Valtrex is just a pro-drug that is rapidly metabolized to acyclovir. Below are data on the transfer of acyclovir to milk, which is low. Only about 1.5% of the dose of acyclovir reaches...

Giddygoth:

I simply can't answer your questions accurately. Its all relative to how bad the lesions are, and how much of these drugs are absorbed. The one thing to remember about steroids and...

Elsie:

If the infant has been exposed to this during pregnancy, then the risk to the infant after delivery is lessened, and the amount in milk may actually reduce withdrawal symptoms.
...

Giddygoth:

I'd suggest caution with Clobex, but Topicort sounds fine, as it is virtually unabsorbed topically. The three hour wait is probably not required, but its not a bad idea either....

Sara:

First, very little paroxetine gets to the infant via milk. And there is no question, that the risks of maternal depression are far worse than the negligible risk of this much paroxetine. ...

Sugarmy3:

Without a package insert or something, there is no way to tell what else this Lanolin GRX has in it. Sounds as though there is 38% of something else. I perused the internet, but could...

Rachel:

Sulfasalazine is not an ideal product to use in a breastfeeding mothers. More than 5 cases of bloody diarrhea have been reported in breastfeeding infants, so it is not an ideal candidate,...

Beth:

Vaginal products are considered low-dose 'local' therapy, not systemic therapy. Oral estrogen products indeed produce significant plasma levels and have the "potential" to suppress...

Betsy:

Rifaximin is virtually unabsorbed in adults( < 0.04%), and probably similarly in infants. I'm not sure that it is necessary for this mom to discontinue breastfeeding while taking an...

Albliu:

Yes, the only complication to using sulfamethoxazole/trimethoprim in a mother with a breastfeeding infant is a syndrome G6PD, or elevated bilirubin levels. The elevated bilirubin...

dflohr:

No data that I know of. I would be concerned however, and would wait for a few hours after the pain returns for it to dissipate. I'd say at least 4 hours AFTER the pain has returned. ...

Eleighhaynie:

I do not prefer Celexa too much as I've had calls about somnolence in the infant. Its active metabolite, Lexapro, has been studied and the levels are modest to low, but the...

Pat:

The only one I know of is the ABM protocol, but it has been taken down for update. Other than this, my table on page 1196 of my 2012 book should have most if not all of the current...

Glorick:

Sorry, but the evidence is a bit weak for this drug. I still do not know that it is safe to use in breastfeeding mothers.

Tom Hale Ph.d.

Nomidee:

There is no way to know for sure if any generic product is bioequivalent to the trade name product, short of doing bioequivalency studies. And I'm sure the various generic companies are...

guava27:

As you stated, we don't know anything about their use in breastfeeding mothers and I'd suggest caution. I think I'd opt for more conventional therapy that we know works, such as...

MKStone:

Another good choice might be Lexapro, which is the active metabolite of Celexa. It costs more, but probably has fewer side effects on the infant. Levels transferred are about 5-8% of...

Randi1986:

I agree that it is relatively safe. About 2-6% of the maternal dose gets to the infant and this is not generally enough to cause problems in an infant. One thing you could do is...

lorirn:

I'd agree that it would probably be Ok to start the infant back on breastmilk, with Tramadol and gabapentin. Just observe closely for sedation and apnea. Also, insist that the doses be...