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…
Medications used to treat gastrointestinal symptoms are often prescribed during breastfeeding. However, there is little information describing the transfer into human milk for many of these drugs. Some of the gastrointestinal agents can be administrated during breastfeeding: antacids, sulcrafate, Helicobacter…
Second-generation antihistamines which have practically no sedative effect are compatible during breastfeeding. First-generation antihistamines with sedating action should be reserved during breastfeeding for special conditions. Should adverse effects such as restlessness or mild sedation occur, the consequences are to be…