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Using SSRI antidepressants during breastfeeding

13 January 2023Paroxetine and sertraline are the Selective Serotonin Reuptake Inhibitors (SSRIs) of choice. Recommendations apply to full term and healthy infants only.

Using chloramphenicol during breastfeeding

16 June 2022Topical chloramphenicol can be used with caution and monitoring. Systemic chloramphenicol is not recommended. Advice applies 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.

Using antihistamines during breastfeeding

27 January 2022Guidance on continuing or initiating commonly used antihistamines whilst breastfeeding. Recommendations apply to full term and healthy infants only.

Nirmatrelvir + ritonavir (Paxlovid)

Using oral anticoagulants during breastfeeding

2 November 2021Thromboembolic disease management whilst breastfeeding is challenging. Warfarin is the preferred choice. Guidance on using DOACs is also provided.

Breastfeeding with COVID-19 infection

12 October 2021It is recommended that breastfeeding should continue if the mother has COVID-19 infection

Using Tocilizumab or Sarilumab for hospitalised patients with COVID-19 who are breastfeeding

12 October 2021Tocilizumab and sarilumab can be used off-label to treat hospitalised patients with COVID-19. Breastfeeding can continue if these treatments are required.

Safety in Lactation: Bromocriptine and other dopaminergic drugs

29 September 2021These dopaminergic drugs are used for the treatment of specific pituitary and prolactin-mediated disorders, including galactorrhoea, hyperprolactinaemia and prolactinomas. They are also used to suppress…

Safety in Lactation: Non-beta lactam antibiotics and antibacterials

8 September 2021To be used in conjunction with individual drug entries for specific information and guidance. Aminoglycosides Only small or negligible amounts of aminoglycosides are found in…

SPS - Specialist Pharmacy Service

NHS

Safety in Breastfeeding