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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 folic acid with methotrexate in rheumatoid arthritis

20 February 2023Folic acid is used to reduce methotrexate associated adverse effects in people with rheumatoid arthritis. This page guides appropriate dosing.

Using folic acid and phenytoin safely

12 April 2024Folic acid interacts with phenytoin and can reduce phenytoin blood levels. Concomitant use is possible with careful management of the interaction.

Using emergency contraception during breastfeeding

10 October 2023A copper IUD or a single oral dose of levonorgestrel are preferred. Ulipristal may also be considered. Recommendations apply to full term and healthy infants.

Using domperidone for low milk supply

21 June 2024Domperidone can be used to treat low milk supply. However, this is only after thorough assessment and once non-medical interventions have been tried.

Using dental antibiotic prophylaxis for hydrocephalus shunts

13 December 2024Considerations for whether the risk of shunt infection from transient bacteraemia during invasive dental procedures warrants non-routine antibiotic prophylaxis.

Using contraception with enzyme-inducing medicines

13 February 2023Enzyme-inducing medicines reduce the effectiveness of certain contraceptives. Guidance on using contraception with these medicines is given.

Using codeine, dihydrocodeine or tramadol during breastfeeding

17 January 2023Tramadol and dihydrocodeine can be used while breastfeeding for pain control. Codeine should not be used . Advice applies to full term, healthy infants.

Using clopidogrel with proton pump inhibitors (PPIs)

22 May 2023Avoid the combined use of clopidogrel with omeprazole or esomeprazole due to a significant interaction. Other PPIs are considered safe with clopidogrel.

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.
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