4.13.1 Alternative remedies and phytotherapeutics Experience Numerous surveys in the literature report widespread use of alternative remedies with no knowledge of the risks. The interest in, and experimentation with, alternative remedies has increased in the last decades. Just as in…
Some of the most commonly used medications for the treatment of dermatological diseases can be safely used during lactation. However, Vitamin A derivatives/retinoids such as isotretinoin used in acne, or acitretin used in psoriasis, as well as tar preparations, should…
The hormone and hormone antagonists prescribed during lactation have such a wide variety of substances that a summary would do no justification to the different issues dealt with here. 4.11.1 Pituitary and hypothalamic hormones Experience There are only a few…
Systemic auto-immune diseases commonly affect women during childbearing years. The control of maternal disease activity during pregnancy and lactation is imperative. With azathioprine, selective immune suppressants, some monoclonal antibodies or interferons, many breastfeeding mothers have sustained periods of disease quiescence…
4.9.1 Introduction Psychiatric diseases frequently affect women of reproductive age and particularly during postpartum period. In the case of monotherapy, most psychopharmaceuticals are acceptable during lactation period. However, some drugs have more reassuring data than others. Therefore, careful selection should…
4.8.1 Introduction All antiepileptics pass into the milk, albeit in differing amounts. Babies who are breastfed during maternal antiepileptic treatment apparently develop just as well as those who are not breastfed. At least, that is what was reported in one…
Treatment with anticoagulants (heparin and derivatives), as well as with thrombin- and factor Xa-inhibitors, is acceptable during breastfeeding. Except for low dose acetylsalicylic acid, all other thrombocyte aggregation inhibitors should be used during lactation only if other alternatives are lacking.…
There are cardiovascular drugs and diuretics that can be used during pregnancy and lactation. The decision to continue these medications during lactation depends on many factors. Some of these factors include the well-being of the mother, the blood/milk barrier, the…
4.5.1 Maternal immunization A woman who has not received all the recommended immunizations before or during pregnancy may be immunized in the postpartum period even though she is breastfeeding. The presence of live viruses in the milk does not present…
With many antibiotics, a breastfed child receives less than 1% of the weight-related therapeutic dose when the mother is being treated. Thus only minimal concentrations – and in no case, bacteria-inhibiting concentrations – are achieved in the infant’s plasma. The…