Safety in Breastfeeding

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Safety in Breastfeeding

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Using nirmatrelvir and ritonavir (Paxlovid) in practice

30 June 2023Support for prescribing decisions in people on interacting medicines, those with swallowing difficulties, renal impairment, or who are pregnant or breastfeeding

Using nitrofurantoin during breastfeeding

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

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.

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 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 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.

Using penicillin antibiotics during breastfeeding

16 February 2024All penicillin antibiotics can be used during breastfeeding with precautionary infant monitoring. Recommendations apply to full term, healthy infants.

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 tetracycline antibiotics during breastfeeding

28 March 2024Tetracycline is the medicine of choice if a tetracycline is clinically necessary. Recommendations apply to full term and healthy infants.

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.

SPS - Specialist Pharmacy Service

NHS