Medications During Breastfeeding: Safety of Common Prescriptions - Obstetrics and Gynecology

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Medications during lactation?


Hello, doctor.
I am a new mother of four months.
I had my wisdom teeth extracted the other day, and the doctor prescribed the following medications for me.
I would like to know if it is safe to breastfeed while taking these medications: 1.
Amoxicillin 500mg 2.
Lysozyme 3.
Epilon 4.
Ibuprofen 400mg.
Will these medications have any effects on my baby? Thank you.

Claire Chang, 30~39 year old female. Ask Date: 2020/03/15

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it generally does not have an impact.
Wishing you good health.

Reply Date: 2020/03/15

More Info


When it comes to medications during breastfeeding, it is crucial to consider the safety of the drugs prescribed and their potential effects on the infant. As a new mother, your concern about the medications you were prescribed following your wisdom tooth extraction is completely valid. Let’s break down the medications you mentioned and their implications for breastfeeding.

1. Amoxicillin 500mg: Amoxicillin is a commonly prescribed antibiotic that is generally considered safe for breastfeeding mothers. It passes into breast milk in small amounts, but it is unlikely to cause any adverse effects in a nursing infant. The American Academy of Pediatrics classifies it as a medication that is usually compatible with breastfeeding. However, it is always advisable to monitor your baby for any signs of diarrhea or rash, which could indicate an allergic reaction or gastrointestinal disturbance.

2. Lysozyme: This is an enzyme that has antibacterial properties and is often used in various formulations, including those for oral health. There is limited data on the effects of lysozyme during breastfeeding, but it is generally considered safe. Since it is a naturally occurring enzyme in human tears and saliva, it is unlikely to pose a risk to your baby.

3. Epilon: This medication is not as commonly known, and its safety during breastfeeding may depend on its specific formulation and active ingredients. If Epilon contains any substances that are contraindicated during breastfeeding, it would be important to consult your healthcare provider for personalized advice. Always check with your doctor or pharmacist regarding the specific components of this medication.

4. Ibuprofen 400mg: Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID) that is also considered safe for use during breastfeeding. It is excreted in breast milk in very low concentrations, and it is unlikely to affect a nursing infant adversely. It is often recommended for pain relief and inflammation, and many healthcare providers suggest it as a suitable option for breastfeeding mothers.

In summary, the medications you have been prescribed—Amoxicillin, Lysozyme, and Ibuprofen—are generally considered safe for breastfeeding mothers. However, it is essential to remain vigilant and observe your infant for any unusual symptoms, especially when introducing any new medication. If you have any concerns about the specific medication Epilon, or if you notice any changes in your baby’s behavior or health, it is best to consult your healthcare provider for further guidance.

Additionally, it is always a good practice to inform your healthcare provider about your breastfeeding status when receiving prescriptions. This allows them to consider the safest options for you and your baby. If you have any lingering concerns or questions about your medications or breastfeeding, don’t hesitate to reach out to your doctor or a lactation consultant for support. Your health and your baby's health are of utmost importance, and seeking professional advice is always a wise choice.

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