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  1. Thread: Breastfeeding

    by cpride
    Replies
    1
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    26

    Dear jfaosa, There are many medications used...

    Dear jfaosa,

    There are many medications used for migraine headaches. We need to know the specific name of the medication, and your dose before being able to give you correct information. You may...
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    Dear leedy, Budesonide and Formoterol fumarate...

    Dear leedy,

    Budesonide and Formoterol fumarate (Symbicort) is a drug combination product of an anti-inflammatory (budesonide) agent along with a bronchodilator (formoterol). It is FDA approved for...
  3. Dear Kay, Betel nut is not recommended for use...

    Dear Kay,

    Betel nut is not recommended for use during lactation as it is a central nervous system stimulant and has cholinergic effects. There has been a case report of neonatal withdrawal with a...
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    Dear beantown347, Pantoprazole (Protonix) is a...

    Dear beantown347,

    Pantoprazole (Protonix) is a proton-pump inhibitor similar to omeprazole (Prilosec). Levels in milk were very low and were undetectable after 4 hours. Pantoprazole is unstable at...
  5. Thread: Astelin

    by cpride
    Replies
    1
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    32

    Dear KHenryBFPC, Azelastine (Astelin) is an...

    Dear KHenryBFPC,

    Azelastine (Astelin) is an antihistamine for oral, intranasal and ophthalmic administration. No data are available on the transfer of azelastine into human milk. The doses used...
  6. Thread: Benadryl

    by cpride
    Replies
    1
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    57

    Dear hffla, Diphenhydramine (Benadryl) is...

    Dear hffla,

    Diphenhydramine (Benadryl) is probably safe to use during breastfeeding as minimal amounts enter breastmilk. The half life (time it takes for half of the medication to be metabolized)...
  7. Thread: Fioricet

    by cpride
    Replies
    2
    Views
    1,378

    Dear mamatothree, We have no data on the...

    Dear mamatothree,

    We have no data on the transfer of butalbital into human milk, although transfer is likely due to its pharmacokinetic profile. Butalbital is probably okay to use during...
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    Dear wiclc, Lisinopril is a typical...

    Dear wiclc,

    Lisinopril is a typical long-acting ACE inhibitor used as an antihypertensive. We have no data on lisinopril transfer into milk. Other ACE inhibitors such as enalapril are probably...
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    Dear molsandmeg, Because fenugreek studies do...

    Dear molsandmeg,

    Because fenugreek studies do not show efficacy in increasing prolactin levels or milk production, Dr Hale's opinion is that it would not be worth the risk for this mother.
    ...
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    Dear kellykat3, Please call the InfantRisk...

    Dear kellykat3,

    Please call the InfantRisk Center at 806-352-2519. We are open Monday through Friday, 8 to 5, CDT. To be able to give specific advice on how much and how often Norco may be used...
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    41

    Dear Mollyscarb, Rexall Stress formula...

    Dear Mollyscarb,

    Rexall Stress formula multivitamins apparently include a variety of vitamin formulations. There is a prenatal vitamin on their website so the information I am giving below is...
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    Dear RKZK, Imipramine levels in breastmilk are...

    Dear RKZK,

    Imipramine levels in breastmilk are minimal and therefore, appears to be compatible with breastfeeding. The first two hours after you take your dose is when imipramine is highest in...
  13. Dear kathykuhn, I spoke with Dr. Hale about...

    Dear kathykuhn,

    I spoke with Dr. Hale about the reference by Dr VerLee et al. I was unable to find that reference in PubMed. I did find a reference in Micromedix that the heart rate was increased...
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    79

    Dear Reyvenisis, Only minimal amounts of...

    Dear Reyvenisis,

    Only minimal amounts of methylphenidate (Ritalin) enter breastmilk and you are on a low dose of 10 mg daily. The time the medication would be highest in your breastmilk would be...
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    Breastfeeding & Ritalin

    Posted by Reyvenisis,

    Hi,
    Before I got pregnant I was taking 10mg of methylphenid as needed. Usually I took this when taking while in class, studying, homework or other unrelated activities...
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    Dear mbithid, Domperidone is not FDA approved...

    Dear mbithid,

    Domperidone is not FDA approved in the United States; and therefore, we do not have access to any drug to drug interactions. You may want to contact your local pharmacist. They may...
  17. Dear Lauralynne, We do not have data on...

    Dear Lauralynne,

    We do not have data on pramlintide acetate (Symlin), but it is a large peptide and thus unlikely to enter milk in clinically relevant amounts. Based on this kinetic information,...
  18. Replies
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    2,438

    Dear Heidi, I spoke with Dr. Hale about your...

    Dear Heidi,

    I spoke with Dr. Hale about your question. He stated that within one to two weeks the cannibus should be out of the mother's fat tissue. The infant may remain positive due to his/her...
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    Dear midwifemichelle, Please let your client...

    Dear midwifemichelle,

    Please let your client know how much we appreciate her willingness to donate breastmilk to further our understanding of medications used during lactation. Dr. Hale is...
  20. Thread: Xanax

    by cpride
    Replies
    4
    Views
    1,470

    Dear Emetophobic, Alprazolam (Xanax) is...

    Dear Emetophobic,

    Alprazolam (Xanax) is probably safe to use during breastfeeding when used short-term, intermittently, and low dose after the first week of life. Observe your infant for sedation,...
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