On the first day after completing the postpartum confinement, I experienced sudden hearing loss, possibly related to medication issues?
After completing the postpartum confinement, I experienced sudden hearing loss on the first day.
The doctor prescribed the following medications:
1.
Prednisolone 25 mg, 30 tablets
2.
Ceretal 1 tablet, 6 tablets
3.
Pentoxifylline
4.
Cimetidine 1 tablet, 6 tablets
These medications are for a three-day supply.
After taking these medications, can I continue breastfeeding? Which of these medications is safe, or are they all unsafe? Thank you for the response from pharmacist Hou Fang-Min, a concerned mother.
Chen Xiao Ya, 30~39 year old female. Ask Date: 2011/07/23
Dr. Hou Fangmin reply Pharmacology
Dear anxious mother,
As a fellow mother, I can empathize with your concerns.
The medication you are using is for the treatment of sudden sensorineural hearing loss.
This condition requires high doses of corticosteroids and vasodilators.
These four medications are safe for breastfeeding and are specifically aimed at treating your symptoms.
Overall, the medications are considered safe, but cimetidine, which is a gastric medication, may cause mild dizziness.
It is advisable to avoid driving or operating hazardous machinery while using it.
Patients with liver or kidney issues should exercise particular caution.
With appropriate treatment over time, the recovery rate for sudden sensorineural hearing loss is quite high.
Wishing you good health.
Goodbye!
Reply Date: 2011/07/23
More Info
When it comes to postpartum sudden hearing loss and the safety of medications for breastfeeding mothers, it is crucial to evaluate each medication's potential effects on breast milk and the infant. Below is a detailed analysis of the medications you mentioned, along with general considerations for breastfeeding while on medication.
1. Prednisolone: This is a corticosteroid used to reduce inflammation. Prednisolone is generally considered safe for breastfeeding mothers. It does pass into breast milk, but the levels are low, and it is unlikely to cause harm to the infant when used at standard doses. However, it is always advisable to use the lowest effective dose for the shortest duration necessary.
2. Ceretal (Cetrizine): This is an antihistamine commonly used for allergies. It is also considered safe during breastfeeding. Only a small amount of cetirizine passes into breast milk, and it is unlikely to affect the breastfeeding infant adversely. However, some infants may be more sensitive to antihistamines, so monitoring for any unusual behavior or sedation in the baby is recommended.
3. Pentoxifylline: This medication is used to improve blood flow and is generally considered safe during breastfeeding. Limited data suggest that it does not pose significant risks to nursing infants. However, as with any medication, it is essential to monitor the infant for any side effects.
4. Euclidan (likely referring to a medication containing a combination of ingredients): Without specific details on the active ingredients, it is challenging to provide a definitive safety assessment. Generally, it is best to consult with a healthcare provider regarding the safety of this medication during breastfeeding.
5. Cimetidine: This is a histamine H2-receptor antagonist used to treat conditions like acid reflux. Cimetidine is also considered safe for breastfeeding mothers. It is excreted in breast milk, but the amounts are typically low and unlikely to cause harm to the infant.
In summary, among the medications listed, prednisolone, cetirizine, pentoxifylline, and cimetidine are generally considered safe for breastfeeding mothers. However, it is essential to consult with your healthcare provider or a pharmacist for personalized advice, especially regarding the specific formulation of Euclidan.
Additional Considerations:
- Monitoring the Infant: While these medications are generally safe, it is crucial to monitor your baby for any signs of unusual behavior, sedation, or other side effects. If you notice anything concerning, contact your pediatrician.
- Timing of Doses: If you are concerned about the transfer of medication through breast milk, consider timing your doses right after breastfeeding. This way, the concentration of the medication in your milk will be lower when the baby feeds next.
- Consulting Healthcare Providers: Always keep an open line of communication with your healthcare providers. They can provide the most accurate and tailored advice based on your specific situation and the medications you are taking.
In conclusion, while the medications prescribed for your sudden hearing loss are generally considered safe for breastfeeding, it is always best to consult with your healthcare provider for personalized advice and to ensure the well-being of both you and your baby.
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