List of factsheets available on Breastfeeding and Medication

I have for a long time been intending to compile a list of all the factsheets available on Breastfeeding-and-Medication.co.uk. A miserable, wet day has prompted me to get on with it.

So here is the list :

If you search for any word on the title the factsheet page should appear

List of factsheets Breastfeeding and Medication

If you use them a lot maybe you need the books

Books to buy

Do you want to buy a copy of one of my books? They are all available on Amazon which is probably easiest. Or direct from the publishers Routledge, Pinter and Martin, or Praeclarus Press. I’m not going to available as much in the future to answer questions so maybe now is the time to buy the books so you have answers 24/7 365 days a year.

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The truth about Breastfeeding and Medication

A podcast recorded with Boobingit and pharmacist Sarah Robinson

https://boobingit.com/the-truth-about-breastfeeding-medication-with-sarah-robinson-and-dr-wendy-jones

Migraine treatment and Breastfeeding

Another chapter from my book Breastfeeding and Chronic Medical Conditions today on the treatment of migraines which affect so many people. Migraines are miserable, when you have to continue to deal with a baby or toddler or older child and cant go and sleep in darkened room they can break the best. This factsheet goes through some of the treatments for breastfeeding including sumatriptan. Hope it helps. Maybe time to buy the very reasonably priced book available from Amazon ? https://www.amazon.co.uk/Breastfeeding-Chronic-Medical-Conditions-Wendy/dp/B08HTG6LBK/ref=sr_1_1?dchild=1&keywords=breastfeeding+and+chronic+medical&qid=1622820951&sr=8-1

Treatment of migraines and breastfeeding factsheet

Donating breastmilk and taking medication

I am very proud to support all the breastmilk banks in the UK who provide milk to mothers of neonates. I was intensely grateful just over a year ago when my youngest grand daughter was born early, weighing just 3 and a half pounds. My daughter had fed 2 other children and like me is passionate about exclusive breastfeeding. However, she was exhausted trying to pump and stimulate her supply for our little wee scrap to keep her blood sugars up. She was given the gift of a small volume of donated breastmilk which took the pressure off for a few hours to allow her to sleep. Of course this was all during the height of the pandemic and she was seperated from her husband and children. She described it this way: ” It was if the donor mums were holding both of us safe, they were feeding my baby for just a few hours whilst I regained my strength. I can never thank those mums enough for that relatively small amount of milk (24ml), which was worth so, so much to me. By the following morning I had enough milk to provide the supplements through the NG tube

Milk from donating mothers has to be free of medication which might affect the health of the tiny, vulnerable pre-term. I have drawn up this list but it seems to change regularly . Thank you to every mum who makes the precious donation of breastmilk

https://ukamb.org/medication-and-donating-breastmilk-2/

Fluoxetine and Breastfeeding

In the final of the sheets on antidepressant / anti anxiety SSRIs is fluoxetine. It is often looked on as the least compatible with breastfeeding because of its long half life and greater passage into milk. However, it is often used in pregnancy because there are a significant number of studies https://www.medicinesinpregnancy.org/Medicine–pregnancy/Fluoxetine/. What is perhaps less well known is that if a mother has taken it throughout pregnancy the baby MAY be very drowsy in the first few days after delivery as it withdraws from the higher levels achieved through placental transfer.

My recommendation for any mother taking fluoxetine during pregnancy and wishing to breastfeed is to learn hand expression in preparation https://www.unicef.org.uk/babyfriendly/baby-friendly-resources/breastfeeding-resources/hand-expression-video/ and to maybe discuss antenatal expression of colostrum with the midwife, just in case the baby is sleepy and taking time to latch effectively. Colostrum can raise blood sugars in very small amounts. (This is really helpful info for the red flags of low sugar and in my opinion explains everything well https://www.guysandstthomas.nhs.uk/resources/patient-information/maternity/protecting-your-baby-from-low-blood-glucose.pdf)

So you can breastfeed after delivery if you have taken fluoxetine but you may need a little help and support. Seek this antenatally so you are well prepared.

I would also add that if fluoxetine has been the SSRI that you have used and found effective in the past, then that would make it the first choice in breastfeeding. Some babies are colicky, some are drowsy, some vomit, some have loose diarrhoea – but we cant tell in advance.

I remember the very first study I looked at on fluoxetine some 25 or more years ago that the mother and the baby’s paediatrician thought the baby hadnt changed behaviour when exposed to fluoxetine via his mother’s breastmilk. The baby’s father (also a paediatrician) perceived it as more irritable and on that anecdotal basis back then it was said that fluoxetine made babies irritable. I cant find the report any more but if we had been able to see into the family unit we may have seen a dad trying to help his partner whilst working and feeling stressed himself. Who knows?

I hope this information is useful to anyone taking fluoxetine whilst breastfeeding

Fluoxetine and breastfeeding factsheet

Progesterone Pessaries and Breastfeeding

A question which is coming up very frequently just now is the use of cyclogest pessaries in pregnacy for mums who are still,breastfeeding. So to save me keep typing ( and to help you, of course) here is the information.

Progesterone pessaries and breastfeeding factsheet

St John’s Wort and Breastfeeding

Sadly the incidence of post natal depression and anxiety has increased and even doubled during the pandemic http://New mothers twice as likely to have post-natal depression in lockdown and we know that many find it hard to go to see their doctor or fear that they will be told to stop breastfeeding to take medication. Some prefer a more natural, herbal remedy and will purchase St John’s Wort. This is the information on the compatibility of hypericum with breastfeeding. If you want to discuss your medication and suitability please email me on wendy@breastfeeding-and-medication.co.uk .

St John’s Wort and breastfeeding factsheet

Rheumatoid Arthritis and Breastfeeding

I’m really saddened that so many mothers are recommended to stop breastfeeding in order to be treated with medication. There is some evidence that breastfeeding in itself protects the mother

I hope that this factsheet provides some alternatives. The information is taken from Breastfeeding and Chronic Medical Conditions – price reduced so worth buying a copy on Amazon

RA and Breastfeeding Factsheet

Migraine prophylaxis and breastfeeding

So many people now seem to have regular migraines which are debilitating and make life with babies and children a nightmare.

Preventive treatment may be appropriate if the mother suffers at least two attacks a month, an increasing frequency of headaches, suffers significant disability despite suitable treatment for migraine attacks or cannot take suitable treatment for migraine attacks.

  • Beta-blockers e.g., propranolol are effective.
  • Tricyclic antidepressants e.g., amitriptyline 
  • Topiramate
  • Pizotifen
  • Botox
  • Riboflavin

all of which are safe in breastfeeding. More information in the factsheet

Migraine prophylaxis and breastfeeding factsheet

References are available by emailing me wendy@breastfeeding-and-medication.co.uk or can be found in Breastfeeding and Medication

Agnus Castus and Breastfeeding

I am not going to pretend that I am an expert on complimentary medicine but I am frequently asked about Agnus Castus for fertility and menstrual issues so am including this information based on the LactMed entry

Agnus Castus and Breastfeeding Fact Sheet

You Tube

I’ve have been adding presentations on YouTube so that they are available for professional CPD whenever you are free and also to help families where the written word is less accessible. Forgive my my tech skills arent perfect ( but I’m learning) . More videos to come. If there is one you would like to request mail me wendy@breastfeeding-and-medication.co.uk

Breastfeeding and Medication You Tube https://www.youtube.com/channel/UCxvkXp8oV-zMqcpWTsnULow