Breastfeeding & Drugs: What is the effect of a medication on the infant?

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Breastfeeding and Drugs Topics
Table of Contents
Pre module evaluation
Prescription and Over the Counter Medications
Case Study 28
Contraception
Case Study 29
Herbs
Galactogogues
Antidepressants
Illicit Drugs
Alcohol
Smoking
Post module evaluation
References

The answers to the following questions can help you determine the effect on the infant of a drug that does reach the infant via the breast milk.
  1. Is the medicine routinely given to infants of this age? If so, then it is probably safe to give it to the mother.

  2. Is the medication absorbed when given orally? If the medication is not absorbed by the gastrointestinal tract (eg: Heparin), it is safe to prescribe it for the breastfeeding mother.

  3. Can the infant excrete the medication? A few medications like sulfa drugs in the newborn (which displace bilirubin binding) or chloramphenicol (not metabolized by the newborn's liver) can have decreased excretion. As the infant gets older this becomes less of a problem.


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