Can Nursing Mothers Safely Use Salicylic Acid for Warts? - Dermatology

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Treatment of warts during breastfeeding?


Hello, Director.
I would like to inquire about the treatment of warts on my fingers while I am currently breastfeeding.
I am concerned about the possibility of transmitting the virus to my child.
I purchased a product called "Huang's Wart Remover," which contains salicylic acid.
Is it safe to apply this treatment while breastfeeding? Thank you.

Z, 20~29 year old female. Ask Date: 2021/05/25

Dr. Wu Yuxin reply Dermatology


Not recommended for use.

Reply Date: 2021/05/25

More Info


When it comes to the use of salicylic acid for treating warts in nursing mothers, it is essential to consider both the safety of the medication and the potential effects on the breastfeeding infant. Salicylic acid is a keratolytic agent commonly used in various topical treatments for skin conditions, including warts, acne, and psoriasis. It works by softening and shedding the outer layer of skin, which helps to remove warts effectively.

The primary concern for nursing mothers using salicylic acid is whether the active ingredient can be absorbed into the bloodstream and subsequently transferred into breast milk. According to available research, salicylic acid has low systemic absorption when applied topically, especially in small amounts and on localized areas of the skin. This means that the likelihood of significant amounts of salicylic acid entering the bloodstream and subsequently being excreted in breast milk is minimal.

However, while the risk is low, it is not entirely absent. The American Academy of Pediatrics classifies salicylic acid as a medication that should be used with caution during breastfeeding. The general recommendation is to use the lowest effective concentration and to apply it sparingly to minimize any potential exposure to the infant.
In your case, using a product like "Huang's Wart Remover," which contains salicylic acid, may be acceptable as long as you follow some precautions. Here are some recommendations:
1. Limit Application: Apply the salicylic acid only to the affected area and avoid large surface areas. This reduces the risk of systemic absorption.

2. Wash Hands After Use: After applying the treatment, wash your hands thoroughly to prevent any accidental transfer of the medication to your baby.

3. Monitor Your Baby: Keep an eye on your infant for any unusual symptoms or reactions, although the likelihood of adverse effects is low.

4. Consult Your Healthcare Provider: Before starting any new treatment, it is always best to consult with your healthcare provider or a dermatologist. They can provide personalized advice based on your specific situation and the severity of the warts.

5. Consider Alternative Treatments: If you are still concerned about using salicylic acid, discuss alternative treatments with your healthcare provider. Options such as cryotherapy (freezing the wart) or laser treatment may be considered, although these methods may also have their own risks and considerations.

In summary, while salicylic acid can be used by nursing mothers with caution, it is crucial to apply it judiciously and consult with a healthcare professional for tailored advice. Your health and the health of your baby are paramount, and ensuring that you make informed decisions regarding treatment is essential.

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