Is It Safe to Use Econazole Nitrate Suppositories While Breastfeeding? - Pharmacology

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Is it safe to use Econazole Nitrate suppositories during breastfeeding?


Hello, pharmacist: May I ask if it is safe to use Everlight's Econazole Nitrate 150 mg suppository during breastfeeding? If it is safe to use, how long should I wait to breastfeed after using the suppository? Thank you!

Daisy, 20~29 year old female. Ask Date: 2016/04/15

Dr. Chen Yuemei reply Pharmacology


Hello: According to the evidence from the literature, the use of Econazole Nitrate suppositories is not recommended during breastfeeding.

Reply Date: 2016/04/15

More Info


When it comes to using Econazole Nitrate suppositories during breastfeeding, the consensus among medical professionals is that it is not recommended. Econazole Nitrate is an antifungal medication commonly used to treat various fungal infections, but its safety profile during lactation has not been well established.
The primary concern with using medications like Econazole Nitrate while breastfeeding is the potential for the drug to be excreted in breast milk and subsequently affect the nursing infant. Although the exact amount of Econazole that may transfer into breast milk is not well-documented, the general recommendation is to avoid using medications that are not deemed safe during this critical period.
If a breastfeeding mother finds it necessary to use Econazole Nitrate, it is advisable to consult with a healthcare provider for personalized guidance. They may suggest alternative treatments that are known to be safer for breastfeeding mothers. If the use of Econazole Nitrate is deemed essential, it is often recommended to wait a certain period after administration before breastfeeding again. This waiting period can vary, but a common guideline is to wait at least 4 to 6 hours after using the suppository before nursing. This allows some time for the medication to be absorbed and metabolized, potentially reducing the amount that could be present in breast milk.

In addition to the concerns regarding the medication itself, it is also important to consider the underlying condition being treated. If a mother is experiencing a fungal infection, it is crucial to address the issue promptly to ensure her health and well-being, which in turn affects her ability to care for her infant. Therefore, discussing all available treatment options with a healthcare provider is essential.

In conclusion, while Econazole Nitrate suppositories may be effective for treating fungal infections, their use during breastfeeding is not recommended due to potential risks to the infant. It is always best to consult with a healthcare professional before starting any new medication while breastfeeding to ensure both the mother's and the baby's safety. Alternative treatments that are known to be safe during lactation should be considered, and if the use of Econazole is unavoidable, appropriate timing and monitoring should be discussed with a healthcare provider.

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