Many Medications Safe While Breastfeeding, Pediatrician Panel Says

A new report from the American Academy of Pediatrics (AAP) finds that breastfeeding women can safely use many medications without harming their infants.

Experts from the AAP Committee on Drugs also noted that some doctors give moms inaccurate advice that they must quit nursing or stop taking certain medicines to keep their babies safe. From Reuters:

“Sometimes people are told that, because physicians may be worried about the risks the drug may pose … and aren’t necessarily thinking about the potential benefit of breastfeeding,” Dr. Hari Cheryl Sachs, the lead author on the report, said.

That benefit includes a lower risk of ear infections, asthma and sudden infant death syndrome, according to the U.S. Department of Health and Human Services.

Sachs said properties of the drug itself, whether it’s being used on a long- or short-term basis and the age and health of the infant all affect how safe it is to use medication while breastfeeding.

“It’s hard to make a blanket recommendation on what drugs are fine for the mother, because it’s going to depend on multiple factors,” Sachs, from the Pediatric and Maternal Health Team in the Food and Drug Administration’s Center for Drug Evaluation and Research, told Reuters Health.

If breastfeeding women have questions about specific medications, Sachs recommends that they talk with their doctors and check LactMed, a website run by the National Institutes of Health. Again from Reuters:

[LactMed] includes the most up-to-date scientific knowledge on how much of a given drug is passed to an infant during breastfeeding, its effects on babies and possible alternatives to consider.

In its report, published Monday in Pediatrics, the committee focused on a few classes of drugs, including antidepressants, narcotics and smoking cessation aids.

Limited information is available on the long-term effects of antidepressants on babies, it wrote, and because the drugs take a long time to break down, levels could build up in infants’ bodies.

“Caution is advised” for certain powerful painkillers such as codeine and hydrocodone—but others including morphine are considered safer when used at the lowest possible dose and for the shortest possible time, pediatricians said.

Nicotine replacement therapy, especially gum and lozenges, is typically considered safe to use during breastfeeding, according to the committee. However the FDA discourages the use of stop-smoking drugs such as varenicline, marketed in the U.S. as Chantix, among women who breastfeed.

The risk of exposure to any drug for babies needs to be weighed against the drug’s importance for the mother as well as the benefits of breastfeeding, researchers noted.

Image: Prescription medication via Shutterstock

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