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Author Archives: Wendy Jones
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 […]
Raynaud’s and Breastfeeding
Raynaud’s phenomenon affects up to 10% of otherwise healthy women aged 21-50 years of age. It is 9 times more common in women than men. Yet many doctors are unaware that Raynaud’s can affect breastfeeding. It produces deep pain after feeds with a mother often automatically covering her nipples or massaging them to restore the […]
Steroid injections and Breastfeeding
PDF https://breastfeeding-and-medication.co.uk/wp-content/uploads/2024/06/steroid-injection-and-breastfeeding.pdf Steroid injections, are anti-inflammatory medicines used to treat a range of conditions such as joint pain, arthritis, and sciatica. If you’re having an injection to relieve pain, it will usually also contain local anaesthetic. This provides immediate pain relief that lasts up to a few hours. They can be given in several different […]
Local anaesthetics and Breastfeeding
PDF https://breastfeeding-and-medication.co.uk/wp-content/uploads/2024/06/local-anaesthetic-and-breastfeeding.pdf Local anaesthetics are quite widely used in society from repairing the damaged perineum in childbirth to tooth fillings and extractions as well as biopsies of the breast. I find it fascinating that women are still advised to interrupt breastfeeding for a period after the injection. If you think about this from a common […]