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Pylera while breastfeeding

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  • Pylera while breastfeeding

    My patient has to undergo a H.Pylori eradication treatment with Pylera (bismuth subcitrate potassium, metronidazole and tetracycline hydrochloride) (1 capsule 12 times per day) and esomepraloze (20mg twice a day) . She breastfeeds an 11 mont old son. I would be most greatfull for detailed explenation, I will be soon talking with the patient and her doctor about the planned therapy.
    Best Regards,
    Karolina Morze

  • #2
    Karolina Morze,

    Pylera treatment is usually 3 capsules 4 times a day for 10 days. Each capsule includes 140 mg of bismuth subcitrate potassium, 125 mg of metronidazole, and a smaller capsule inside containing 125 mg of tetracycline. All of these doses are ok for short term use. We recommend mom wait 2-3 hours after a dose to nurse, and to monitor her infant for vomiting, diarrhea, rash, thrush, dry mouth and it may turn the urine brown, but that part is harmless. So as long as the infant is not symptomatic mom can continue to nurse.

    Sandra Lovato R.N.
    InfantRisk Center