Medication Safety for Breastfeeding Moms: What You Need to Know - Pharmacology

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Medications for Breastfeeding Mothers


Hello, I am a mother who had a cesarean section 5 months ago.
My baby was born 3 months premature and is currently 2 months adjusted age.
I have been breastfeeding, but I recently had my menstrual period with very heavy bleeding.
I visited the doctor, who administered a hemostatic injection and prescribed the following medications: 1.
EYZU 0.625 mg 2.
POTARLON 500 mg 3.
SUPERGEL 4.
WEIZAIN.
I only took one packet and the bleeding stopped.
Should I continue taking the medication? Is it safe to breastfeed while on these medications? Additionally, two days later, I returned to the doctor who administered an iron infusion, and since I have a history of anemia, I need to take iron supplements periodically.
Can I take the iron supplements while breastfeeding?

ELIE, 20~29 year old female. Ask Date: 2011/10/25

Dr. Chen Shuzi reply Pharmacology


Hello: Here are the responses to the related questions regarding the mentioned medications:
1.
EYZU 0.625mg
Active Ingredient: Conjugated Estrogens
Indications: Menopausal symptoms, ovarian insufficiency, ovarian dysfunction, dysfunctional uterine bleeding, and pelvic inflammatory disease (Please follow the physician's instructions regarding the duration of treatment!)
2.
POTARLON 500mg
Active Ingredient: Mefenamic Acid 500mg
Indications: Neuralgia, joint pain, dental pain, dysmenorrhea, headache, postpartum pain.

Pregnancy Category: C.
This medication is not recommended for breastfeeding mothers (although not recommended, it may still be used if necessary!)
3.
SUPERGEL
Active Ingredients: Aluminum Hydroxide Gel 200 mg, Magnesium Hydroxide 200 mg, Simethicone 20 mg
Indications: Antacid for neutralizing stomach acid.
4.
WEIZAIN
Active Ingredients: Aluminum Magnesium Silicate 244 mg, Oxethazaine 5 mg
Indications: Antacid that suppresses gastric acid secretion.
5.
Iron Supplements: According to Dr.
Sears, a well-known pediatrician in the United States, the iron in breast milk has a particularly high bioavailability, with infants able to absorb approximately 50-75% of the iron from breast milk.
In contrast, iron from other sources, such as formula and iron-fortified cereals, is only about 4-10% bioavailable.
Therefore, it is evident that breastfeeding mothers should adequately supplement with iron to provide iron to their infants through breast milk, which is the best approach.

Reply Date: 2011/10/25

More Info


When it comes to medication safety for breastfeeding mothers, especially after a cesarean section and with a premature baby, there are several important considerations to keep in mind. Your situation involves the use of multiple medications, and it’s crucial to understand their implications for both your health and your baby's well-being.

Firstly, regarding the medications you've been prescribed: EYZU (which contains conjugated estrogens), POTARLON (a combination of paracetamol and other ingredients), SUPERGEL (likely a topical gel), and WEIZAIN (which may be a traditional Chinese medicine), it’s essential to consult your healthcare provider about their safety during breastfeeding. Generally, many medications can be safely taken while breastfeeding, but it depends on the specific drug and its effects on both the mother and the infant.

1. EYZU (Conjugated Estrogens): Estrogens can pass into breast milk, and while they are often used for various conditions, their use during breastfeeding is usually approached with caution. It’s best to discuss with your doctor whether continuing this medication is necessary, especially since you mentioned heavy bleeding that has since resolved.

2. POTARLON: Paracetamol is generally considered safe during breastfeeding, but it’s always good to confirm with your healthcare provider, especially regarding the dosage and duration of use.

3. SUPERGEL: If this is a topical medication, it is less likely to affect your breast milk. However, you should still check with your doctor to ensure that its ingredients are safe for breastfeeding.

4. WEIZAIN: If this is a traditional remedy, its safety can vary widely based on its ingredients. It’s crucial to discuss this with your healthcare provider to ensure it doesn’t contain any harmful substances for breastfeeding.

Regarding your question about continuing to take these medications after the bleeding has stopped, it’s advisable to follow your doctor’s guidance. If the bleeding has resolved and you feel stable, your doctor may recommend discontinuing some or all of the medications.

As for your concern about taking iron supplements while breastfeeding, iron is generally safe and often necessary for mothers who have anemia. Iron does not significantly affect breast milk composition, and it is important for your recovery and health. However, it’s best to take it under the supervision of your healthcare provider, especially since you have a history of anemia.

In summary, while many medications can be safely used during breastfeeding, it is crucial to communicate openly with your healthcare provider about all medications you are taking. They can provide personalized advice based on your specific health needs and the medications involved. Regular check-ups and monitoring your health, along with your baby's development, are essential during this period. Always prioritize your health and well-being, as it directly impacts your ability to care for your newborn.

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