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Safety in Breastfeeding
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Using oral anticoagulants during breastfeeding
2 November 2021
·
Thromboembolic disease management whilst breastfeeding is challenging. Warfarin is the preferred choice. Guidance on using DOACs is also provided.
Using nitrofurantoin during breastfeeding
6 February 2024
·
Nitrofurantoin can be used during breastfeeding. Recommendations apply to full term and healthy infants.
Using nirmatrelvir and ritonavir (Paxlovid) in practice
30 June 2023
·
Support for prescribing decisions in people on interacting medicines, those with swallowing difficulties, renal impairment, or who are pregnant or breastfeeding
Using metronidazole during breastfeeding
22 December 2023
·
Metronidazole can be used during breastfeeding for most usual treatment courses. Recommendations apply to full term, healthy infants.
Using macrolide antibiotics during breastfeeding
21 March 2024
·
Azithromycin, clarithromycin or erythromycin can be used with precautionary infant monitoring. Recommendations apply to full term, healthy infants.
Using lipid-lowering medicines during breastfeeding
21 April 2023
·
Rosuvastatin, pravastatin and atorvastatin are preferred; simvastatin and ezetimibe can also be used. Recommendations apply to full term and healthy infants.
Using laxatives during breastfeeding
24 October 2023
·
Any laxative can be used during breastfeeding although prucalopride should be used with caution. Recommendations apply to full term and healthy infants.
Using inhaled or topical corticosteroids during breastfeeding
17 July 2023
·
All topical and inhaled corticosteroids can be used while breastfeeding; there is no preferred choice. Recommendations apply to full term, healthy infants only.
Using heparins during breastfeeding
19 January 2024
·
Low molecular weight heparin and unfractionated heparin can be used during breastfeeding. Recommendations apply to full term, healthy infants only.
Using gastrointestinal antispasmodics during breastfeeding
8 March 2024
·
Hyoscine butylbromide, propantheline or peppermint oil are preferred choices during breastfeeding. Recommendations apply to full term and healthy infants.
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