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farmaci e allattamento: medicine e visite sconsigliate

Medicines and breastfeeding: Medicines and visits not recommended

New mothers often face the need to take medication. The combination of “medicines and lactation” requires a thorough understanding to ensure the safety of the newborn.

What medications should I not take while breastfeeding?

When it comes to medication and breastfeeding, caution is a must.
During lactation, it is important to pay attention to the drugs taken, because many substances can pass into breast milk and affect the baby.

Some medications are known to be risky and are generally avoided while breastfeeding. Here are the ones that are often discouraged:

  • Antibiotics: Some antibiotics, such as tetracyclines and sulfonamides, can affect the baby’s intestinal flora or interfere with the baby’s metabolism.
  • Antidepressants: many antidepressants pass into milk, but some are considered safer than others. It is important to consult a doctor for a case-by-case assessment.
  • Antineoplastic drugs: these drugs are used to treat cancer and can be very harmful to infants.
  • Radiopharmaceuticals: radioactive substances used for certain types of diagnostic tests or treatments may pass into breast milk and should be avoided.
  • Drugs for the thyroid gland: some antithyroid drugs can affect the thyroid function of the newborn.
  • Sedatives and hypnotics: Medications such as benzodiazepines can cause drowsiness or breathing problems in the newborn.
  • Drugs that affect blood clotting: anticoagulants such as warfarin can be transmitted through breast milk.
  • Some drugs for the treatment of epilepsy: while some are considered relatively safe, others may have side effects on the child.
  • Drugs for high blood pressure: some antihypertensives can be excreted in breast milk and affect the child’s blood pressure.

    Before taking any medicine, it is essential to consult your doctor to make sure that it is safe while breastfeeding.

What drugs are allowed?

Some medications are generally considered safe to take, but it is always essential to consult a doctor or pharmacist before starting any drug treatment. Here are some examples of drugs often considered compatible with breastfeeding:

  • Paracetamol: commonly used for pain and fever.
  • Ibuprofen: a non-steroidal anti-inflammatory used for pain, inflammation and fever.
  • Some antibiotics, like penicillin and amoxicillin.
  • Antihistamines: Some first-generation antihistamines that are not sedative, such as
  • loratadine and cetirizine, are generally considered safe.
  • Asthma inhalers: like salbutamol.
  • Drugs for the thyroid gland: levo-thyroxine for hypothyroidism is considered safe.
  • Progestin contraceptives: like mini-pills or implants.

    In addition, the compatibility of a drug with lactation can depend on various factors, including the dose, the frequency of administration, the health of the child and the amount of milk that the child is consuming. It is always advisable to confront your doctor.

How long to wait to breastfeed after taking a drug?

The waiting time to breastfeed after taking a drug varies depending on the type of medicine. Some medications only take a few hours before you can resume breastfeeding, while others may need to wait longer. It is essential to follow the directions of your doctor or pharmacist.

Can all mothers breastfeed?
Most mothers can breastfeed, but there are some conditions and situations when breastfeeding may be difficult or not recommended. Here are some examples:

Physical breast problems: Some women may have breast or nipple shape difficulties that make breastfeeding more difficult, although often with the right support and techniques you can overcome these difficulties.

Medical conditions of the mother: Some health conditions, such as HIV infection or the use of certain medications, may make breastfeeding not recommended for the safety of the child.

Breast surgery: Breast surgery can affect the ability to breastfeed, depending on the type of procedure and how it was performed.

Hormonal problems: conditions such as insufficient production of prolactin or other hormonal dysfunctions can affect milk production.

Psychological conditions: problems such as postpartum depression can affect the ability or desire to breastfeed.

Children with sucking difficulties: Some infants have difficulty sucking effectively due to conditions such as short lingual frenulum (anchored tongue) or other congenital abnormalities.

Low milk intake: Some women may experience insufficient milk production for various reasons, including physical factors and stress.

In many cases, with the appropriate support, even mothers who encounter obstacles can continue to breastfeed successfully.

Medicines and Breastfeeding: Medical visits not recommended when breastfeeding
While breastfeeding, some medical procedures, such as those that require radiological treatment with contrast agents, may be discouraged. It is important to plan ahead and discuss all options with your doctor.

We want to emphasize the importance of reliable support during breastfeeding, especially when it comes to drugs. At Mamashy, we constantly support you by offering you useful products that you can use while breastfeeding. Click here and have a look!

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