Safety in Breastfeeding

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Safety in Breastfeeding

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Using antiplatelet medicines during breastfeeding

7 July 2023Antiplatelets can be used with caution in breastfeeding. Avoid exposure to aspirin if infant has a fever. Recommendations apply to full term, healthy infants.

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 beta-blockers during breastfeeding

2 June 2023Labetalol, metoprolol or propranolol are the beta-blockers of choice during breastfeeding. Recommendations apply to full term and healthy infants only.

Using calcium-channel blockers during breastfeeding

2 June 2023Nifedipine and verapamil are the calcium-channel blockers of choice during breastfeeding. Recommendations apply to full term and healthy infants only.

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 angiotensin-II receptor antagonists during breastfeeding

11 May 2023Very limited data suggest breastmilk levels are likely to be low, but other medicine classes are preferred. Recommendations apply to full term, healthy infants.

Using lipid-lowering medicines during breastfeeding

21 April 2023Rosuvastatin, pravastatin and atorvastatin are preferred; simvastatin and ezetimibe can also be used. Recommendations apply to full term and healthy infants.

Using ACE inhibitors during breastfeeding

28 March 2023Enalapril is the angiotensin converting enzyme (ACE) inhibitor of choice during breastfeeding. Recommendations apply to full term and healthy infants only.

Treating urinary disorders during breastfeeding

21 March 2023Oxybutynin is preferred for urinary disorders during breastfeeding. Recommendations apply to full term and healthy infants only.

Using antidiabetic medicines during breastfeeding

2 February 2023Insulin or metformin are the preferred choices during breastfeeding. Recommendations apply to full term and healthy infants only.

SPS - Specialist Pharmacy Service

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