Granberry,
Flagyl is rated an L2-limited data-probably compatible. The amount that transfers into breast milk is 12.6-13.5% of your dose. "Although, the relative infant dose via milk is moderately high depending on the dose and timing, it is still pertinent to remember that metronidazole is commonly used in premature neonates, infants, and children at much higher therapeutic dosages than those attained in milk. Thus far, virtually no adverse effects have been reported." (Medications and Mothers' Milk database, Dr Thomas Hale, PhD). We think it is ok to continue nursing as long as your infant is not symptomatic. Monitor for dry mouth, vomiting, diarrhea, urine may turn brown, rash and thrush.
Sandra Lovato R.N.
InfantRisk Center
806-352-2519
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