Tweet
I am having my wisdom teeth removed next week...UGH. Anyway, they will be giving me the following medications: ketamine, versed, propafol, decadron, fentanyl, and zofran. Post-op he said he will give ibuprofen and percocet for pain. I am exclusively breastfeeding my 4 month old and was told by the oral surgeon that I should stop for about 4 days post surgery and just "pump and dump" I am very concerned that with that much time off it will be hard to get back into it and I am not yet ready to stop breastfeeding if I can help it! Any advice? thank you in advance!
-
-
Dear Dominique,
The medications that you will be given during the actual surgery have short half-lives (time it takes for half of the medication to be eliminated from the body). Since your infant is younger than 6 months, waiting 8 to 12 hours would allow approximately 85 percent of the doses of these medications to be eliminated from your breastmilk. If you are nervous about these medications, waiting 24 hours should eliminate 100 percent of the medications from your breastmilk. After surgery, ibuprofen is the ideal analgesic during breastfeeding as less than one percent of your dose enters the milk. Waiting two hours from your dose would eliminate most risk. Percocet is a combination medication containing acetaminophen (Tylenol) and oxycodone. You should not exceed 3000 mg per 24 hours of the acetaminophen and not more than 40 mg per 24 hours of the oxycodone. On your medication bottle, it should say either 5, 7.5 or 10 // 325 or 500. The 5-10 mg is the amount of oxycodone and the 325-500 is the amount of acetaminophen in each tablet. So be aware of how much you are taking daily. The time the medication is highest in your breastmilk is one to two hours after your dose so breastfeed first then take your dose. The half-life of oxycodone is three to six hours. Your infant should be monitored for sedation. If you notice your infant being sedated, wait longer from the time you take your dose to breastfeed again. Hope this information is helpful.
Sincerely,
Cindy Pride, MSN, CPNP
TTUHSC InfantRisk Center
Comment