Can Nursing Mothers Safely Take Deworming Medications? - Family Medicine

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Is it safe to take antiparasitic medication while breastfeeding?


Hello, Doctor Lin.
I have a small question.
I am currently breastfeeding (my baby is three months old), but I have discovered that I have pinworms.
In this situation, will taking antiparasitic medication affect my breast milk, and will it have any impact on my baby? Thank you!

Xiao Huo, 30~39 year old female. Ask Date: 2005/08/02

Dr. Lin Mingxing reply Family Medicine


Dear Dr.
Lin Ming-Hsing, Director of the Department of Family Medicine at Tainan Hospital, Ministry of Health and Welfare:
Currently, pharmacology has not yet established the tolerance of newborns to anthelmintic dosages.
It is recommended that you consider temporarily suspending breastfeeding for three to four days when taking anthelmintics (single dose).
The Department of Family Medicine at Tainan Hospital wishes you good health and all the best!

Reply Date: 2005/08/02

More Info


When it comes to nursing mothers taking deworming medications, it's essential to consider both the safety of the medication for the mother and its potential effects on the breastfed infant. Deworming medications, such as mebendazole and albendazole, are commonly used to treat parasitic infections, including pinworms (Enterobius vermicularis), which is what you seem to be experiencing.

1. Safety of Deworming Medications During Lactation: Most deworming medications are considered safe for nursing mothers. For instance, mebendazole and albendazole are generally regarded as having low risk for breastfeeding mothers. Studies have shown that these medications have minimal transfer into breast milk, and the amounts that could potentially reach the infant are usually negligible. Therefore, the risk of adverse effects in the breastfeeding infant is low.

2. Impact on Breast Milk: The concentration of deworming medications in breast milk is typically very low. For example, mebendazole has been found to have minimal excretion in breast milk, and the American Academy of Pediatrics classifies it as compatible with breastfeeding. Similarly, albendazole is also considered safe, although it is recommended to consult with a healthcare provider regarding its use during lactation.

3. Recommendations for Treatment: If you are diagnosed with a pinworm infection, it is advisable to treat it promptly, as pinworms can cause discomfort and may lead to further complications if left untreated. It is essential to follow your healthcare provider's recommendations regarding the specific deworming medication and dosage.

4. Timing of Medication and Breastfeeding: If you are concerned about the timing of medication and breastfeeding, you may consider taking the medication right after a breastfeeding session. This way, you can allow some time before the next feeding, which may help reduce any potential exposure to the infant.

5. Consulting Healthcare Providers: Always consult with your healthcare provider before starting any medication while breastfeeding. They can provide personalized advice based on your health history and the specific medication prescribed. If you have any concerns about the effects of the medication on your baby, your healthcare provider can help you weigh the risks and benefits.

6. Monitoring Your Baby: After taking the medication, monitor your baby for any unusual symptoms, although the likelihood of adverse effects is low. If you notice any changes in your baby's behavior, feeding patterns, or overall health, contact your pediatrician for guidance.

In conclusion, nursing mothers can generally take deworming medications with minimal risk to their infants. However, it is crucial to consult with a healthcare provider for personalized advice and to ensure that the chosen medication is appropriate for your situation. Taking care of your health is vital not only for you but also for your baby's well-being.

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