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Risankizumab and Breastfeeding

Risankizumab is a monoclonal antibody marketed under the brand name Skrizi™. It has a large molecular weight around 146,000 Da and therefore limited oral bioavailability. Due to its pharmacokinetics it is unlikely to enter milk and in the gut, it would be rapidly metabolized by proteases in the infant’s stomach and intestines. Mahadevan et al […]

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Vomiting in pregnancy whilst still breastfeeding

PDF of this information is available at: https://breastfeeding-and-medication.co.uk/wp-content/uploads/2023/02/hyperemesis-and-breastfeeding-feb-2023-.pdf See also The Management of Nausea and Vomiting in Pregnancy and Hyperemesis Gravidarum (Green‐top Guideline No. 69) – Nelson‐Piercy – 2024 – BJOG: An International Journal of Obstetrics & Gynaecology – Wiley Online Library The Management of Nausea and Vomiting in Pregnancy and Hyperemesis Gravidarum (Green-top Guideline […]

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Ashwagandha and Breastfeeding

Ashwagandha is an herb reputed to have numerous health benefits, including stress relief, improved sleep quality, enhanced physical performance, and cognitive function support. See https://patient.info/features/diet-and-nutrition/ashwagandha There appears to have been no research on use during breastfeeding and as such is generally not recommended during lactation. I am no expert or fan of herbal medicines I […]

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Topical Minoxidil and Breastfeeding

Minoxidil was originally designed as a blood pressure tablet, but it was found that a side effect was to promote hair growth. It is now marketed as a topical solution to promote hair growth under the brand name Regaine™ amongst others. It is applied twice daily to affected areas of the scalp. If topical minoxidil […]

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Semaglutide and Breastfeeding

Following the recommendation by NICE (March 2023) I looked at the evidence on semaglutide and breastfeeding. There are no current published reports, only theory from pharmacokietics. I have found the ZOE podcast interesting (no financial involvement) https://link.chtbl.com/s9cwxMzY And Margaret MCartnetny view in the BMJ https://www.bmj.com/content/380/bmj.p624.full see also Weight Loss in Lactation | InfantRisk Center July […]

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Depression and Breastfeeding

There have always been so many questions from mothers and professionals about the treatment of depression during breastfeeding. So many times mothers are TOLD to stop breastfeeding without discussion about what they want. We know that not reaching breastfeeding goals can increase the risk of depression. This factsheet is intended to dispel some of the […]

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Post partum Psychosis and Breastfeeding

I was asked to write this information particularly for those mothers who are looking at subsequent pregnancies and want to make decisions just in case. pdf https://breastfeeding-and-medication.co.uk/wp-content/uploads/2025/11/post-partum-psychosis-fact-2025.pdf For a detailed story of living with PPP I recommend reading Eve’s story https://www.mind.org.uk/information-support/your-stories/my-experience-of-postpartum-psychosis/ Description It appears that many women feel frustrated that their wishes to breastfeed are […]

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Retinoid beauty creams and breastfeeding

With the launch of a new beauty cream containing retinol advertised as reducing wrinkles, the questions about beauty products similar to it have increased. Or maybe we all just need something to cheer us up during Lockdown. There is no research on the use of topical retinols and the best information I have sourced is […]

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Sumatriptan and Breastfeeding

Sumatriptan is the most widely used triptan in breastfeeding because we have more evidence on its compatibility. See also Migraine treatment and Breastfeeding – Breastfeeding and Medication and training powerpoint on migraine prevention and treatment Migraine and breastfeeding powerpoint – Migraine and breastfeeding powerpoint – Breastfeeding and Medication In 1996 Wojnar et al concluded that […]

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Threadworm, mebendazole and breastfeeding

It has been suggested that up to 40% of children get threadworms at some stage. The whole family needs to be treated, even the breastfeeding mother. The joys of being a mum! Factsheet pdf available here: https://breastfeeding-and-medication.co.uk/wp-content/uploads/2023/01/threadworms-and-breastfeeding-.pdf Symptoms of threadworms Threadworms are very common in toddlers and primary school age children who can sadly infect […]

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