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Lactose in medication and lactose intolerance

Over the years I have had many questions from  mothers about the lactose content of their medication and how this might affect their CMPA babies by passage through breastmilk. If a breastfeeding mother is taking a tablet which contains lactose it is unlikely to affect the levels of lactose in her milk and therefore produce […]

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H Pylori and Breastfeeding

Helicobacter pylori (H. pylori) infection is one of the most common causes of peptic ulcer disease, with 95% of duodenal and 70–80% of gastric ulcers associated with it. Treatment aims to eradicate H. pylori with a relatively short course of 2 high dose antibiotics together with a proton pump inhibitor (PPI) drug such as such […]

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Oral Morphine and Breastfeeding

Morphine is an opioid analgesic (painkiller) prescribed when paracetamol and ibuprofen provide inadequate pain relief. Other opioid painkillers include codeine (not recommended in breastfeeding but see https://breastfeeding-and-medication.co.uk/fact-sheet/accidental-dose-of-codeine-when-breastfeeding ), dihydrocodeine ( see https://breastfeeding-and-medication.co.uk/fact-sheet/dihydrocodeine-and-breastfeeding) , oxycodone ( see  https://breastfeeding-and-medication.co.uk/fact-sheet/oxycodone-and-breastfeeding) and Tramadol (see https://breastfeeding-and-medication.co.uk/fact-sheet/tramadol-and-breastfeeding) See also  https://breastfeeding-and-medication.co.uk/fact-sheet/pain-relief-when-breastfeeding. All of these drugs can cause constipation so should be prescribed […]

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Tramadol and Breastfeeding

Tramadol is an opioid analgesic (painkiller) prescribed when paracetamol and ibuprofen provide inadequate pain relief. Other opioid painkillers include codeine (not recommended in breastfeeding but see https://breastfeeding-and-medication.co.uk/fact-sheet/accidental-dose-of-codeine-when-breastfeeding ), dihydrocodeine ( see https://breastfeeding-and-medication.co.uk/fact-sheet/dihydrocodeine-and-breastfeeding) , oxycodone ( see Oxycodone and Breastfeeding – Breastfeeding and Medication)  and morphine  ( https://breastfeeding-and-medication.co.uk/fact-sheet/pain-relief-when-breastfeeding). All of these drugs can cause constipation so […]

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Oxycodone and Breastfeeding

Oxycodone is an opioid analgesic (painkiller) prescribed when paracetamol and ibuprofen provide inadequate pain relief. Other opioid painkillers include codeine (not recommended in breastfeeding but see https://breastfeeding-and-medication.co.uk/fact-sheet/accidental-dose-of-codeine-when-breastfeeding ), dihydrocodeine ( see https://breastfeeding-and-medication.co.uk/fact-sheet/dihydrocodeine-and-breastfeeding) , tramadol and morphine  . ( https://breastfeeding-and-medication.co.uk/fact-sheet/pain-relief-when-breastfeeding). All of these drugs can cause constipation so should be prescribed with a suitable laxative ( […]

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Folic Acid and Breastfeeding

Folic acid is a water-soluble vitamin of the B group. It is found naturally in green vegetables, legumes and citric fruits. It is actively secreted in breast milk with concentration higher in mature milk compared to colostrum (Cooperman JM, Dweck HS, Newman LJ, Garbarino C, Lopez R. The folate in human milk. Am J Clin […]

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Vaccinations in Pregnancy and Breastfeeding

as written for Maternity and Midwifery Forum Vaccinations in pregnancy and breastfeeding – Maternity & Midwifery Forum The long-term impact of the use of thalidomide for nausea in the 1960’s continues to be in the minds of many pregnant women and their families. They fear exposing their growing baby to anything from foods to medicines […]

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Rheumatoid Arthritis and Breastfeeding

I’m really saddened that so many mothers are recommended to stop breastfeeding in order to be treated with medication. There is some evidence that breastfeeding in itself protects the mother I hope that this factsheet provides some alternatives. The information is taken from Breastfeeding and Chronic Medical Conditions – https://tinyurl.com/mbbebe8x RA and Breastfeeding Factsheet “Recovering […]

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Xonvea™ (Doxylamine/pyridoxine) and breastfeeding

Doxylamine/pyridoxine (Xonvea™, Cariban™) This is the only licensed drug treatment for nausea and vomiting of pregnancy. It contains a combination of the antihistamine doxylamine and the vitamin pyridoxine. It became available in England in 2018. It has been widely used for pregnancy sickness in the US and Canada and studies have shown no link with […]

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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 […]

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