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Topirimate in pregnancy and breastfeeding
In July 2022 MHRA issued new guidance on the use of topirimate in women of childbearing age both in the treatment of epilepsy and prevention of migraine https://www.gov.uk/drug-safety-update/topiramate-topamax-start-of-safety-review-triggered-by-a-study-reporting-an-increased-risk-of-neurodevelopmental-disabilities-in-children-with-prenatal-exposure#:~:text=Topiramate%20and%20current%20pregnancy%20prevention%20requirements,-Before%20the%20initiation&text=For%20migraine%20prophylaxis%2C%20topiramate%20is,a%20patient%20who%20is%20pregnant. The new safety review was triggered by a large observational study ( Bjørk M et al 2022) reporting that prenatal exposure to topiramate is associated with an […]
Buscopan (Hyoscine) and Breastfeeding
Buscopan is compatible with breastfeeding Hyoscine which is most frequent referred to by mothers under the trade name of Buscopan ™. It is used to resolve smooth muscle spasm often in irritable bowel syndrome. It can also help bladder 0cramps and period pain. The BNF states that the amount in breastmilk is too small to […]
Rescue Remedy and Breastfeeding
Many people like to take Rescue Remedy when they are anxious or more frequently, I have found, when taking a driving test or exam. There are no research studies that I am aware of. However, the Rescue Remedy site is quite reassuring. “The Rescue Remedy® formula contains a carefully selected blend of five flower remedies and […]
Omeprazole and Breastfeeding
Omeprazole is compatible with breastfeeding Omeprazole (Losec™) is a proton pump inhibitor used to block acid secretion for a variety of reasons including: Reflux Oesaphagitis To protect the stomach against drugs like ibuprofen or prednisolone The capsules contain gastro-resistant granules, the tablets are also gastro-resistant so that very little of the drug can pass into […]
Narcolepsy and Breastfeeding
This is a topic on which I confess I had no knowledge. I havent had many queries over the years but most were focussed on asking about modenafil. So a question this week prompted me to do some more research and add it into a factsheet. Hope it helps wendy@breastfeeding-and-breastfeeding.co.uk Factsheet narcolepsy and breastfeeding https://breastfeeding-and-medication.co.uk/wp-content/uploads/2022/07/narcolepsy.pdf
Fexofenadine and Breastfeeding
Fexofenadine can be used as an antihistamine during lactation if other antihistamines e.g., cetirizine and loratadine are not effective although studies are limited Fexofenadine is being asked about frequently this year when symptoms of hayfever seem worse than usual. It can be bought over the counter (but the leaflet will say don’t take if breastfeeding […]
Acne and breastfeeding
Acne affects 95% around 95% of people between the ages of 11 and 30 years to some extent. It usually disappears in the mid-20s but 3% of people still have symptoms beyond 35 years. It most commonly develops on the face but 50% of sufferers have lesions on their backs and 15% on their chest […]
Monkeypox and breastfeeding
I sincerely hope this information is never needed but as of 6 june 2022 this is the recommendation on pregnancy and breastfeeding when a mother is suspected/proven to have monkeypox. This data is taken from the paper as below RCOG 6 June 2022 New paper provides best practice for managing monkeypox in pregnancy (and breastfeeding) […]
Breastfeeding for Professionals – CPD
Back long ago before books and training material, let alone the website, I wrote a training pack for professionals with support from Roberta Roulstone from Peterborough Hospital. She inspired me to share my knowledge and changed my life. Another person who helped with the IT was Sarah Saunby a very great friend who I miss […]
Prescribing during breastfeeding for midwives
I had been asked to talk to midwives for an update today but sadly due to timing wasnt bale to do so. But having saved the day I decided to record the talk anyway Happy to answer any questions wendy@breastfeeding-and-medication.co.uk This is the handout of the presentation https://breastfeeding-and-medication.co.uk/wp-content/uploads/2022/05/Prescribing-during-breastfeeding-midwives-2022.pdf and the link to the YouTube video […]