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Tricyclics to other antidepressants: switching in adults

17 February 2023Suggested methods for switching safely between tricyclics or to other antidepressants. Switches requiring additional specialist support are highlighted.

Treating urinary disorders during breastfeeding

21 March 2023Oxybutynin is preferred for urinary disorders during breastfeeding. Recommendations apply to full term and healthy infants only.

Treating rectal and anal disorders during breastfeeding

19 March 2024Rectal and anal topical preparations for haemorrhoids and anal fissures are compatible with breastfeeding. Recommendations apply to full term, healthy infants.

Treating opioid dependence during breastfeeding

1 August 2023Methadone is the preferred choice of treatment for opioid dependence during breastfeeding. Recommendations apply to full term and healthy infants only.

Treating nausea during breastfeeding

26 March 2024Some anti-emetics can be used with caution during breastfeeding, depending on the clinical situation. Recommendations apply to full term, healthy infants.

Treating lice during breastfeeding

31 May 2024Wet combing, dimeticone, malathion or permethrin can be used during breastfeeding; choice will depend on the indication. Other treatments can be considered.

Treating insomnia during breastfeeding

8 March 2024Zopiclone and zolpidem are preferred for the short-term management of insomnia during breastfeeding. Recommendations apply to full term and healthy infants.

Treating impetigo topically during breastfeeding

21 March 2024Fusidic acid, hydrogen peroxide or mupirocin can be used topically during breastfeeding. Recommendations apply to full term and healthy infants.

Treating herpes virus infections during breastfeeding

12 January 2024Aciclovir or valaciclovir can be used during breastfeeding. Recommendations apply to full term and healthy infants.

Treating heartburn and dyspepsia during breastfeeding

5 March 2024Antacids, alginates, H2-receptor antagonists or proton pump inhibitors can be used during breastfeeding. Recommendations are for full term and healthy infants.