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Monthly Archives: February 2020

Naproxen and Breastfeeding

Naproxen is frequently used as an anti inflammatory and to add pain relief for instance after surgery. However, there seems to be concern about prescribing it for the breastfeeding mother. I hope this information helps.

Naproxen and Breastfeeding factsheet

If it was useful maybe you need to buy the book?

High Dose Vitamin D Supplements and Breastfeeding

The question as to the compatibility of high dose vitamin d supplements in the breastfeeding mother is a frequently asked question. We appear to monitor levels more frequently than we did in the past but research is difficult to source. I hope this information helps.

High dose vitamin d supplement for breastfeeding mothers factsheet

Pharmacokinetics and Passage of Drugs into Breastmilk

This is a set of slides I use in many of my current presentations. It also forms the backbone of most decision making. I hope it helps increase your education. If you wish please email me wendy@breastfeeding-and-medication.co.uk

Pharmacokinetics of the passage of drugs into breastmilk training powerpoint

If you found this useful, maybe you need to buy the book – a good investment !

Oral Terbinafine and breastfeeding

Some mothers develop fungal nail infections in pregnancy and delay treatment. When breastfeeding, topical treatments are preferable. I am asked at least once a week about oral terbinafine – hard to answer with little research. Hope this information helps with shared decision making.

Oral terbinafine and breastfeeding factsheet

email wendy@breastfeeding-and-medication.co.uk

Nausea and Breastfeeding

One of the more frequently asked questions recently relates to nausea and even vomiting when breastfeeding. It may be due to norovirus, pregnancy (see https://breastfeeding-and-medication.co.uk/thoughts/suffering-from-morning-sickness-and-still-breastfeeding ) or to stop nausea from medication e.g morphine.

I hope this factsheet provides some options. The information is taken from my book Breastfeeding and Medication which provides more details and references. Maybe you need to buy a copy?

Nausea and Breastfeeding

Anxiety and breastfeeding – need to take a drug to relieve symptoms

I was very proud to have co written a fact sheet for BfN on anxiety and breastfeeding which affects so many new mothers. Beth is a CBT therapist and approached the treatment with non pharmacological methods available via IAPT and IESO (although with a waiting list sadly for most).

I looked at the relief of symptoms with long-term treatments such as SSRI drugs e.g. sertraline, citalopram, fluoxetine and paroxetine. Mothers may also be helped with propranolol to relieve palpitations and racing heart.

Recently there have been more requests from mothers with anxiety or post traumatic stress to take benzodiazepine to reduce symptoms or to treat a panic attack. Occasional use might be acceptable with monitoring of the baby for drowsiness and effective feeding. However, regular use is not encouraged – particularly of diazepam – because of its long half life and potential to accumulate in breastmilk and the baby, but also because this family of drugs is addictive with as little as 28 days treatment.

I have written this factsheet to provide as much information as possible on the use of anxiolytics diazepam, loprazolam and alparazolam during breastfeeding.

anxiolytics and breastfeeding factsheet

The information is taken from Breastfeeding and Medication which includes full references . Please consider buying the book if this information is useful