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Author Archives: Wendy Jones
Nipple eczema (dermatitis) and breastfeeding
pdf https://breastfeeding-and-medication.co.uk/wp-content/uploads/2024/11/eczema-dermatitis-and-breastfeeding.pdf We have known for many years that many women give up breastfeeding in the first 6 weeks with unresolved nipple pain and damage. There is currently discussion about the treatment of thrush during breastfeeding and that many cases may be wrongly diagnosed and be caused by dermatitis (eczema). CKS How should I diagnose […]
If a healthcare professional tells you to stop breastfeeding to take a medication….
I’m going to prescribe drug x but I’m afraid it means you need to stop breastfeeding. Does this sound familiar. It seems to come up frequently on social media platforms but is it true? In 2008 I was part of the guideline development group for maternal and infant nutrition PH11 https://www.nice.org.uk/Guidance/PH11. It includes a recommendation […]
Ivabradine and Breastfeeding
Recently there have been several questions on the use of Ivabradine in breastfeeding mothers with Postural tachycardia syndrome (POTS ) and I confess I know little about this condition so am simply compiling the information from other sources. https://www.nhs.uk/conditions/postural-tachycardia-syndrome/ “Ivabradine is a hyperpolarization-activated cyclic nucleotide-gated channel blocker indicated to reduce the risk of hospitalization for […]
Tattoo and Breastfeeding
A tattoo involves injecting an ink into the dermis of the skin. Worldwide 10-20% of the population is tattooed (https://pubmed.ncbi.nlm.nih.gov/34605159/) but there is little research on the effects of the inks. The most common reactions are allergies particularly to red ink and infections (https://pubmed.ncbi.nlm.nih.gov/34969030/). Most of the ink stays fixed in the area to which […]
Cannabis and Breastfeeding
Cannabis use on a regular basis by breastfeeding mothers concerns me. Cannabis has a long half life (25-57 hours) and it takes 5 times this to be removed from milk. THC crosses the blood brain barrier and it is known to accumulate in body fats. Although it is highly protein bound and subject to first […]
Ustekinumab (Stelara ™) and Breastfeeding
Ustekinumab is a disease modifying, biological drug used to treat psoriatic arthritis, plaque psoriasis, Crohns disease, and ulcerative colitis. It is given by sub cutaneous injection. It has a molecular weight 149,000, poor oral bioavailability and milk plasma ratio 0.001 – 0.027 Ustekinumab is a recombinant human monoclonal TNF antibody that binds specifically to TNF- […]
Adalimumab (Humira™) and Breastfeeding
Adalimumab is a disease modifying, biological drug used to treat rheumatoid arthritis, psoriatic arthritis, Crohns disease, ulcerative colitis and Hidradenitis suppurativa. It is given by sub cutaneous injection. It has a molecular weight 148,000. Poor oral bioavailability and relative infant dose 0.12% ( well below 10% regarded as compatible). Adalimumab is a recombinant human monoclonal […]
Raised cholesterol and breastfeeding
When I was working as an independent pharmacist prescriber my main role was to look at primary prevention of cardio vascular disease – identifying factors which raised the risk of people to have a heart attack or stroke in the next 10 years. I used an online calculator using various data like BMI, smoking status, […]
Scleratherpy and Breastfeeding
Another question not frequently asked but something I have been meaning to write for ages. Hope it helps for those who need to have this procedure. Scleratherapy and Breastfeeding Factsheet Sclerotherapy is a means of treating varicose veins. Varicose veins are swollen and enlarged veins that usually occur on the legs and feet. They may […]
Pharmacological methods of weaning versus conservative weaning
I have recently written an article for ELACTA on a subject that causes so many problems. Just this week I received this question ” I have a 30 week prem baby, I didnt want to braestfeed so they gave me a single dose of cabergoline and the baby is having donor breastmilk. I’ve changed my […]