What Antibiotics Are Safe While Breastfeeding?

by | Last updated on January 24, 2024

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The use of most antibiotics is considered compatible with breast feeding.

Penicillins, aminopenicillins

What antibiotics are not safe while breastfeeding?

The only potential side effect in infants whose mothers are breast-feeding and taking antibiotics such as

penicillins

, cephalosporins, macrolides, and aminoglycosides are changes in their intestinal flora (bacteria that are normally present in the intestines).

How long do antibiotics stay in breastmilk?

Drug Levels

Maternal Levels. After a single 1 gram oral dose of amoxicillin in 6 women, peak milk amoxicillin levels occurred

4 to 5 hours

after the dose. Average milk levels were 0.69 mg/L (range 0.46 to 0.88 mg/L) at 4 hours and 0.81 mg/L (range 0.39 to 1.3 mg/L) at 5 hours after the dose.

Can you breastfeed while on antibiotics?

Can you safely take antibiotics while breastfeeding? In most cases,

antibiotics are safe for breastfeeding parents and their babies

. “Antibiotics are one of the most common medications mothers are prescribed, and all pass in some degree into milk,” explains the Academy of American Pediatrics (AAP).

Is it OK to take amoxicillin while breastfeeding?


Amoxicillin can be taken by adults

, including pregnant and breastfeeding women. Amoxicillin can be taken by children.

Can antibiotics make breastfed baby sick?

Most

antibiotics can produce excessively loose motions in the baby

, with the appearance of diarrhoea. Some infants appear more unsettled with tummy aches or colic. These effects are not clinically significant and do not require treatment. The value of continued breastfeeding outweighs the temporary inconvenience.

How long do you have to wait to breastfeed after taking medication?

Try not to breastfeed for

1 to 2 hours after

taking the dose to minimise the amount in your breastmilk.

Which antihistamine is considered safe for a woman who plans to breastfeed?


Zyrtec (cetirizine) is

the preferred antihistamine when breastfeeding. Other antihistamines are also considered safe but do not have as much research to support this. These include Allegra Claritin, and Xyzal. Antihistamines such as Zatador are available as eye drops, which help itchy, watery eyes.

Can you pass an infection through breast milk?

If you have a cold or flu, fever, diarrhoea and vomiting, or mastitis, keep breastfeeding as normal.

Your baby won’t catch the illness through your breast milk

– in fact, it will contain antibodies to reduce her risk of getting the same bug. “Not only is it safe, breastfeeding while sick is a good idea.

Can you breastfeed while taking metronidazole 500mg?

Low-dose oral metronidazole, 200-400 mg three times daily, produces milk levels only slightly lower than corresponding levels in maternal plasma (76 to 99%). However,

doses up to 500 mg three times daily for a 7 to 10 day course are considered to be compatible with breastfeeding

.

What medications to avoid while breastfeeding?

Breastfeeding women should avoid

aspirin and products containing aspirin

(this includes Pepto Bismal taken for an upset stomach), as well as products containing naproxen (Aleve). In contrast, acetominophen (Tylenol) and ibuprofin (Motrin, Advil) are not known to have any negative effects on nursing babies.

Can you breastfeed while taking penicillin?


Penicillins pass into the breast milk

. Even though only small amounts may pass into breast milk, allergic reactions, diarrhea, fungus infections, and skin rash may occur in nursing babies.

How long does amoxicillin stay in your system?

Metabolism and Excretion

The half-life of amoxicillin is 61.3 minutes. Approximately 60% of an orally administered dose of amoxicillin is excreted in the urine within

6 to 8 hours

. Detectable serum levels are observed up to 8 hours after an orally administered dose of amoxicillin.

Can you take a steroid while breastfeeding?

High-dose steroids (more than 40 mg) are rarely necessary long term and so

can be used in breastfeeding

. The BNF states that “ Prednisolone appears in small amounts in breast milk but maternal doses of up to 40 mg daily are unlikely to cause systemic effects in the infant.”

Can amoxicillin treat mastitis?

If you are going to take an antibiotic, you need to take the right one. Amoxicillin, plain penicillin and some other antibiotics used frequently for

mastitis do not kill the bacterium that

almost always causes mastitis (Staphylococcus aureus).

Can I take amoxicillin and clavulanate potassium while breastfeeding?


Amoxicillin-clavulanic acid is acceptable in nursing mothers

.

James Park
Author
James Park
Dr. James Park is a medical doctor and health expert with a focus on disease prevention and wellness. He has written several publications on nutrition and fitness, and has been featured in various health magazines. Dr. Park's evidence-based approach to health will help you make informed decisions about your well-being.