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Auteur Philip O. Anderson |
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This column discusses medications that affect lactation when given postpartum. The previous column discussed medications that affect the establishment of lactation when given before or during delivery. Additional details and literature reference[...]Article : texte imprimé
Information on general anesthesia and breastfeeding is incomplete, and often of poor quality, but some generalizations can be made. General anesthesia might delay lactation postoperatively somewhat, but nursing right before anesthesia might redu[...]Article : texte imprimé
Most drugs used to treat IBS are acceptable to use during breastfeeding. Although several medications used in IBS have no information on use in nursing mothers, they appear to pose low risk to the breastfed infant. Dicyclomine and eluxadoline sh[...]Article : texte imprimé
Herbal medication use during breastfeeding has not been well studied, but a few cases of adverse reactions in breastfed infants have been reported. Herbals can adversely affect the nursing mother in several ways, including direct adverse effects[...]Article : texte imprimé
The LactMed database contains information on drugs to which breastfeeding mothers may be exposed, and the possible adverse effects of those medications in the nursing infant. LactMed is written under contract with the Specialized Information Ser[...]Article : document cartographique imprimé
Clinicians involved with breastfeeding have probably heard the generalization that most drugs are compatible with breastfeeding except for cancer chemotherapy and radioactive agents. In fact, as with most broad generalizations, this statement is[...]Article : texte imprimé
Constipation is not uncommon in nursing mothers, especially in the immediate postpartum period wherein some constipation is the result of prescribed opioids. A wide variety of products are available to prevent and treat constipation, ranging fro[...]NouveautéArticle : texte imprimé
Lidocaine and bupivacaine have extensive documented use in nursing mothers and are the preferred injectable local anesthetics during breastfeeding. Topical anesthetics known to cause systemic toxicity after oral ingestion, such as benzocaine, co[...]Article : texte imprimé
No routine vaccines are contraindicated in nursing mothers. Yellow fever vaccine should not be given to mothers who are breastfeeding an infantArticle : texte imprimé
For information on the use and safety of drugs in nursing mothers, the answers you get also depend on where you look for the answers. Several studies have compared the information provided in different sources. A 2007 article found wide variatio[...]Article : texte imprimé
It is feasible for migraineurs to breastfeed. If nondrug alternatives are ineffective, several prophylactic drugs such as certain anticonvulsants, beta-blockers, and onabotulinumtoxinA are safe for the breastfed infant. Although the new injectab[...]Article : texte imprimé
The conventional model of drug passage into breastmilk states that large molecules such as maternal immunoglobulins can pass into colostrum because spaces between mammary epithelial cells are open. Then, these pores begin to close at the onset o[...]Article : texte imprimé
Overall, several generalizations can be made: (1) most mothers receiving mAbs have unmeasurable or extremely low levels of the mAb in their breast milk; (2) about half of the mAb will be digested in the infant's tract; (3) negligible amounts of [...]Article : texte imprimé
The passage of food-borne toxins into breast milk is poorly documented, but appears to be possible and quite dangerous with some maternal poisonings. It is safest to assume that all of the most deadly toxins can potentially be transmitted to the[...]