Safety in Breastfeeding

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Safety in Breastfeeding

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Using oral or parenteral corticosteroids during breastfeeding

17 July 2023Corticosteroids can be used during breastfeeding. Use the lowest dose and duration possible. Recommendations apply to full term, healthy infants only.

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.

Using angiotensin-II receptor antagonists during breastfeeding

11 May 2023Very limited data suggest breastmilk levels are likely to be low, but other medicine classes are preferred. Recommendations apply to full term, healthy infants.

Using ACE inhibitors during breastfeeding

28 March 2023Enalapril is the angiotensin converting enzyme (ACE) inhibitor of choice during breastfeeding. Recommendations apply to full term and healthy infants only.

Using calcium-channel blockers during breastfeeding

2 June 2023Nifedipine and verapamil are the calcium-channel blockers of choice during breastfeeding. Recommendations apply to full term and healthy infants only.

Using oseltamivir and zanamivir during breastfeeding

12 October 2023Oseltamivir and zanamivir can be used during breastfeeding when clinically indicated. Recommendations apply to full term, healthy infants only.

Using tricyclic antidepressants during breastfeeding

31 January 2023Imipramine and nortriptyline are the tricyclic antidepressants of choice. Recommendations apply to full term and healthy infants only.

Information resources for advice on medicines and breastfeeding

4 December 2020SPS and other resources can help pharmacy professionals give advice on use of medicines during breastfeeding

Questions to ask when giving advice on medicines and breastfeeding

4 December 2020Information should be gathered on both the mother and the infant. Questions are provided to help determine clinical details

Using vaccines during breastfeeding

26 October 2023All vaccinations, including live vaccines, can be given during breastfeeding. The only exception is yellow fever vaccine which is not recommended.

SPS - Specialist Pharmacy Service

NHS