Can You Use Tetracycline Ointment While Breastfeeding? - Pediatrics

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Is it safe to use anti-inflammatory and antibacterial ointments while breastfeeding?


Hello, doctor.
I have a skin tear and inflammation in my ear, and I've been applying Tetracycline ointment three times a day.
Is it safe to breastfeed while using this medication? Also, my baby has been experiencing one or two episodes of chills every day; is this normal? Thank you!

Ding Ding, 20~29 year old female. Ask Date: 2014/05/05

Dr. Xiao Kaiwen reply Pediatrics


The amount of medication absorbed through the skin by the mother and subsequently excreted in breast milk, if not applied directly to the nipple, is likely to be minimal and should not cause any adverse effects.
Regarding the infant's tremors, it would be important to consider the baby's age (how old is the baby?), whether there are any accompanying symptoms (such as a vacant stare), and the duration of the tremors, among other factors, for a comprehensive assessment.

Reply Date: 2014/05/05

More Info


When it comes to using Tetracycline ointment while breastfeeding, it is essential to consider both the safety of the medication for the nursing mother and the potential effects on the infant. Tetracycline is a broad-spectrum antibiotic that is generally used to treat various bacterial infections. However, its use during breastfeeding requires careful consideration.

Tetracycline can be excreted in breast milk, and while the amounts are typically low, there is still a potential risk for the nursing infant. The primary concern with tetracycline is its association with staining of teeth and potential effects on bone growth in young children. Therefore, while occasional use may not pose significant risks, it is advisable to consult with your healthcare provider before using Tetracycline ointment while breastfeeding. They can provide personalized advice based on your specific situation, including the severity of your condition and the health of your baby.

In terms of the frequency of application, applying Tetracycline ointment three times a day is common for treating localized infections. However, it is crucial to ensure that the ointment does not come into direct contact with the breast or nipple area, as this could lead to ingestion by the infant during breastfeeding. If you need to apply the ointment near the breast, it is advisable to wash the area thoroughly before breastfeeding to minimize any potential exposure.

Regarding your second question about your baby experiencing chills, it is essential to monitor the situation closely. Occasional chills in infants can occur for various reasons, including a response to temperature changes or minor infections. However, if your baby is experiencing chills frequently or if there are accompanying symptoms such as fever, irritability, or changes in feeding patterns, it is crucial to seek medical attention. A healthcare professional can evaluate your baby's condition and determine if further investigation or treatment is necessary.

In summary, while Tetracycline ointment can be used during breastfeeding, it is essential to consult with your healthcare provider to ensure it is safe for both you and your baby. Additionally, keep an eye on your baby's health, and do not hesitate to seek medical advice if you have concerns about their symptoms. Your health and your baby's well-being are of utmost importance, and professional guidance can help navigate these concerns effectively.

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