Medication Safety During Breastfeeding: A Guide for New Mothers - Obstetrics and Gynecology

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Medication consultation during breastfeeding?


Hello, doctor.
May I ask if it is safe to take the following medications while breastfeeding? Thank you.
CEPHALEXIN CAPSULES, POTARLON TABLETS 500MG, BIGACON FILM COATED, FUSIDIC ACID CREAM 20.

Ling, 20~29 year old female. Ask Date: 2016/07/30

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, these medications have no adverse effects and can be continued.
Wishing you good health.

Reply Date: 2016/07/30

More Info


When it comes to medication safety during breastfeeding, it is crucial for new mothers to be well-informed about the potential effects of various medications on both themselves and their infants. The medications you mentioned—Cephalexin capsules, Potarlon tablets, Bigacon film-coated tablets, and Fusidic Acid cream—each have different safety profiles during lactation.

1. Cephalexin Capsules: Cephalexin is a type of antibiotic that is generally considered safe for breastfeeding mothers. Studies have shown that only a small amount of the drug is excreted in breast milk, and it is unlikely to cause any adverse effects in breastfed infants. It is often prescribed to treat bacterial infections, and if a mother needs to take it, she can usually continue breastfeeding without concern.

2. Potarlon Tablets: The active ingredients in Potarlon tablets can vary, but if it contains a common over-the-counter medication like paracetamol (acetaminophen) or ibuprofen, these are typically safe for breastfeeding mothers. However, if Potarlon contains a different active ingredient, it is essential to check specific lactation safety data. Always consult with a healthcare provider or pharmacist for the most accurate information regarding the specific formulation.

3. Bigacon Film-Coated Tablets: Similar to Potarlon, the safety of Bigacon tablets during breastfeeding depends on their active ingredients. If they contain medications that are known to be safe during lactation, then they can be used. If you are unsure about the specific components, it is best to consult a healthcare professional.

4. Fusidic Acid Cream: Fusidic acid is a topical antibiotic used to treat skin infections. When applied topically, the absorption into the bloodstream is minimal, and thus the amount that could potentially enter breast milk is negligible. Therefore, it is generally considered safe to use while breastfeeding.


General Guidelines for Medication Use During Breastfeeding:
- Timing: If you are concerned about the timing of medication and breastfeeding, one strategy is to take the medication right after breastfeeding. This way, the concentration of the drug in your milk will be lower during the next feeding.
- Consult Healthcare Providers: Always discuss any medications you are considering with your healthcare provider. They can provide guidance based on the specific medications and your health needs.

- Monitor Your Baby: If you do take medication while breastfeeding, keep an eye on your baby for any unusual symptoms or reactions. If you notice anything concerning, contact your pediatrician.

- Use Resources: There are several resources available, such as the LactMed database, which provides information on the safety of various medications during breastfeeding. This can be a helpful tool for mothers looking for specific information.

In conclusion, while many medications can be safely used during breastfeeding, it is essential to evaluate each medication on a case-by-case basis. The medications you mentioned generally have a favorable safety profile for breastfeeding mothers, but always consult with a healthcare professional for personalized advice. Your health and the health of your baby are paramount, and informed decisions can help ensure both are maintained during this critical time.

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