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Anaesthesia and pain

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Using strong opioid analgesics during breastfeeding

26 May 2023Morphine is the strong opioid analgesic of choice for treating pain in breastfeeding. Recommendations apply to full term and healthy infants only.

Hydromorphone: informing intrathecal risk assessment

11 August 2022Hydromorphone products vary in their licensed status and other characteristics which affects their suitability for intrathecal administration

Using NSAIDS during breastfeeding

2 February 2024Ibuprofen or diclofenac are the non-steroidal anti-inflammatory drugs (NSAID) of choice. Recommendations apply to full term and healthy infants.

Using gabapentin or pregabalin during breastfeeding

1 March 2022Gabapentin or pregabalin can be taken during breastfeeding and with infant monitoring. Recommendations apply to full term and healthy infants only.

Switching between morphine and other opioids in palliative care

1 April 2025Switching between oral morphine and other oral opioids requires care and thoughtful application of a stepped process.

Morphine: informing intrathecal risk assessment

11 August 2022Morphine sulfate products vary in their licensed status and other characteristics which affects their suitability for intrathecal administration

Phenol: informing intrathecal risk assessment

11 August 2022Phenol products vary in their licensed status and other characteristics which affects their suitability for intrathecal administration

Lidocaine: informing intrathecal risk assessment

11 August 2022Lidocaine products vary in their licensed status and other characteristics which affects their suitability for intrathecal administration

Levobupivacaine: informing intrathecal risk assessment

11 August 2022Levobupivacaine products vary in their licensed status and other characteristics which affects their suitability for intrathecal administration

Using paracetamol during breastfeeding

21 November 2023Paracetamol is one of the analgesics of choice for treating mild to moderate pain during breastfeeding. Recommendations apply to full term and healthy infants.