Medication Safety for Breastfeeding Moms with Gastroenteritis - Pediatrics

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Regarding medication issues for breastfeeding mothers with gastroenteritis?


Hello Doctor: I am a new mother, and when my baby was one week old, I developed gastroenteritis.
I went to a nearby clinic to see a doctor.
I am currently breastfeeding my baby with a combination of breast milk (due to insufficient supply) and formula.
I informed the doctor about my situation, and he prescribed medication for me, stating that I could continue breastfeeding.
I diligently completed the three-day course of medication and continued to breastfeed normally.
However, I later felt uneasy, so I looked up the medications online, and the results are as follows:
1.
BENTYL (active ingredient: DICYCLOMINE) - This medication is a peripheral anticholinergic agent.
Regarding pregnancy and lactation: 1.
It is best for pregnant women to take this medication only with a doctor's consent.
2.
Breastfeeding is not recommended while taking this medication.
2.
IMODIUM (active ingredient: LOPERAMIDE) - This medication is an antidiarrheal agent.
Regarding pregnancy and lactation: During the first trimester of pregnancy, this medication should be used cautiously and according to a doctor's instructions.
Additionally, it is not recommended for breastfeeding women.
3.
KBT - No information available.
After reading this information, I am very worried and unsure of the potential effects on my baby.
Could you please help me understand what I should do now? Should I take my baby to see a doctor, or are there any relevant tests that need to be done? Thank you in advance for your response!

Danxin de mama, 20~29 year old female. Ask Date: 2006/05/16

Dr. Pei Rensheng reply Pediatrics


Hello:
1.
BENTYL: It inhibits gastrointestinal motility and is classified as a pregnancy safety category B medication.

2.
IMODIUM: It also inhibits gastrointestinal motility, with a stronger effect than BENTYL, and is classified as a pregnancy safety category B medication.

3.
KBT: It is an antidiarrheal medication and is classified as a pregnancy safety category C medication.

The pregnancy safety categories are classified as A, B, C, D, and X, with X being the most dangerous and absolutely contraindicated for use in pregnant and breastfeeding women, while A is the safest.
Most medications are classified as category B.
I recommend that BENTYL and IMODIUM can be used, while KBT should be postponed.
Thank you!
Sincerely,
Pediatrician Dr.
Pei Ren-Sheng

Reply Date: 2006/05/16

More Info


As a new mother dealing with gastroenteritis, it's understandable to have concerns about the medications you've been prescribed and their potential effects on your breastfeeding baby. Let's break down the medications you've mentioned and their implications for breastfeeding.

1. Dicyclomine (Bentyl): This medication is an anticholinergic used to treat gastrointestinal issues, including irritable bowel syndrome. While it can be effective for managing symptoms, it is generally advised that breastfeeding mothers avoid it. The reason is that dicyclomine can pass into breast milk and may cause adverse effects in infants, such as sedation or respiratory issues. If you have taken this medication, it's crucial to monitor your baby for any unusual symptoms, such as excessive sleepiness or difficulty breathing. If you notice any concerning signs, seek medical attention immediately.

2. Loperamide (Imodium): This is an over-the-counter medication used to treat diarrhea. While it is generally considered safe for use during breastfeeding, it is recommended to use it with caution. Loperamide does pass into breast milk, but the amounts are typically low and unlikely to cause harm. However, it’s best to consult your healthcare provider before continuing this medication, especially if you have concerns about your baby's health.

3. KBT: Since there is no information available regarding this medication, it's essential to consult your healthcare provider for guidance. If this medication was prescribed, you should discuss its safety during breastfeeding with your doctor.

Given your situation, here are some steps you can take:
- Consult Your Healthcare Provider: It's crucial to discuss your concerns with the doctor who prescribed these medications. They can provide personalized advice based on your specific health situation and the medications involved.

- Monitor Your Baby: Keep an eye on your baby's behavior and health. If you notice any changes, such as unusual lethargy, irritability, or feeding difficulties, contact your pediatrician.

- Consider Alternatives: If you are still experiencing symptoms of gastroenteritis, ask your healthcare provider about alternative treatments that are safer for breastfeeding mothers. There may be other options that can help alleviate your symptoms without posing a risk to your baby.

- Stay Hydrated: Gastroenteritis can lead to dehydration, so ensure you are drinking plenty of fluids. Staying hydrated is essential for both your recovery and maintaining milk supply.

- Breastfeeding Support: If you are concerned about your milk supply due to your illness, consider reaching out to a lactation consultant for support. They can provide tips on maintaining breastfeeding while managing your health.

In summary, while some medications may be safe during breastfeeding, others can pose risks to your baby. It's essential to communicate openly with your healthcare provider about your concerns and to monitor your baby's health closely. If you have any doubts or if your baby's health changes, do not hesitate to seek medical advice. Your health and your baby's well-being are paramount, and there are often safe alternatives available.

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