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Safety in Breastfeeding

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Using oral anticoagulants during breastfeeding

2 November 2021Warfarin is the preferred choice during breastfeeding; rivaroxaban or dabigatran may also be used. Recommendations apply to full term and healthy infants.

Using nitrofurantoin during breastfeeding

6 February 2024Nitrofurantoin can be used during breastfeeding. Recommendations apply to full term and healthy infants.

Using metronidazole during breastfeeding

22 December 2023Metronidazole can be used during breastfeeding for most usual treatment courses. Recommendations apply to full term, healthy infants.

Using macrolide antibiotics during breastfeeding

21 March 2024Azithromycin, clarithromycin or erythromycin can be used with precautionary infant monitoring. Recommendations apply to full term, healthy infants.

Using lipid-lowering medicines during breastfeeding

21 April 2023Rosuvastatin, pravastatin and atorvastatin are preferred; simvastatin and ezetimibe can also be used. Recommendations apply to full term and healthy infants.

Using laxatives during breastfeeding

24 October 2023Any laxative can be used during breastfeeding although prucalopride should be used with caution. Recommendations apply to full term and healthy infants.

Using inhaled or topical corticosteroids during breastfeeding

17 July 2023All topical and inhaled corticosteroids can be used while breastfeeding; there is no preferred choice. Recommendations apply to full term, healthy infants only.

Using heparins during breastfeeding

19 January 2024Low molecular weight heparin and unfractionated heparin can be used during breastfeeding. Recommendations apply to full term, healthy infants only.

Using gastrointestinal antispasmodics during breastfeeding

8 March 2024Hyoscine butylbromide, propantheline or peppermint oil are preferred choices during breastfeeding. 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.