Maybe, some of the breastfeeding moms ask, can you take antibiotics while breastfeeding?
And then, how can I find out what antibiotics are good to take while breastfeeding?
You wanna know what antibiotic you can take while breastfeeding. You know antibiotics are given to treat the infection. There are so many different types of infections, and specifically, there is an antibiotic developed for each type of infection.
I recommend talking to your doctor. They will decide if you do indeed have an infection, and based on that, they’ll decide if treatment is necessary. They will talk to you about what types of antibiotics would be best, as well as taking into consideration the fact that you are breastfeeding.
Antibiotics In Pregnancy and Nursing
Let’s see what are all the antibiotics we can prescribe in pregnancy. And lactation prescribing antibiotics in pregnant patients is a special consideration. Because we should consider the effects of these antibiotics not just on mother but also on to the fetus.
An antibiotic should not be prescribed during the first trimester and to be more specific we should not prescribe antibiotics between 18 to 60 days of pregnancy.
This is because during this time period the embryo is very much susceptible or vulnerable to various territorial occasions, and now moving on to various FDA categories of antibiotics.
Let’s see what are all the antibiotics falling into different FDA pregnancy categories. So starting with drug category we have no antibiotics under this category. It means no antibiotic is absolutely safe for the mother as well as fetus.
Then we have drug category B which includes the following group of antibiotics insulins cephalosporins. Then we have various macro lights such as erythromycin or a jet promising and we have metronidazole so pencil encephalo sprains Airy throw or a Jethro myosin and metronidazole do come under pregnancy category B.
Then various drugs falling under drug category C are fluoroquinolone such as ciprofloxacin clarithromycin which is another macro light. And we have various sulfur drugs such as Epsom, so all these ciprofloxacin and sulfur drugs come under pregnancy category C.
And then various drugs falling under category D are aminoglycosides and tetracyclines terminal excites, include neomycin kanamycin gentamicin etcetera and various group of tetracycline drugs.
These are various antibiotics falling under various have dear pregnancy categories and please note that there is a major difference between category D and category X. So category D drugs are those drugs which demonstrate clear-cut effects on the fetus.
Either in animal or human studies, however, we can prescribe. These category D drugs to the patient when the benefits outweigh the risk. However in the case of category X no matter what benefit we derive from that particular drug which is in category X.
We should not prescribe these drugs to pregnant patients because the risks always outweigh benefits when we prescribe category X. So category X drugs should be absolutely contraindicated in pregnancy and also during lactation.
Now let’s see various antibiotics that can be prescribed during pregnancy as well as during lactation. So for convenience have divided the antibiotics depending upon the groups they belong to the first two antibiotics amoxicillin and pencil in VK belong to pencil in the group and the next four antibiotics edit through myosin clarithromycin Heathrow and clindamycin belong to macrolides.
And we have ciprofloxacin belonging to fluoroquinolone group and then we have metronidazole and tetracyclines. Amoxicillin now let’s see what are all the FDA categories they belong to amongst belongs to category b. Penciling also belongs to category B as discussed previously era throw myosin also belongs to category B. Then we have clarithromycin which belongs to category C, and we have azithromycin and clindamycin belonging to category B.
Then ciprofloxacin of fluoroquinolone which belongs to category C and again we have metronidazole belonging to category B, and tetracyclines category D so most of the dots belong to B category except clarithromycin C, and ciprofloxacin C belonging to category C. And then we have tetracycline belonging to category D.
Let’s see whether they can be given during pregnancy or not so amoxicillin and pencil in VK can be safely administered during pregnancy and erythromycin. It’s available in three forms base form succinate form an extra late form so base form and succinate form can be administered safely in pregnancy, but esta late form should not be prescribed during pregnancy.
Because it causes hepatotoxicity to elaborate this escalade form causes swelling of cells lining biliary canaliculi within the liver causing color status and jaundice thereby leading to hepatotoxicity. So a split form of erythromycin should be avoided in pregnancy and other forms such as bass and suction.
It can be safely given during pregnancy clarithromycin as the drugs belong to category C. Just remember those drugs which belong to category B can be given during pregnancy and those drugs which belong to category C should not be given during pregnancy.
It’s better to find an alternative drug so clarithromycin, as it belongs to category C, should not be prescribed during pregnancy, and a Jethro medicine and clean amazing as it belongs to category B can be prescribed safely during pregnancy and ciprofloxacin again the same role as it belongs to C category.
It should not be prescribed and metronidazole can be prescribed. However, it should not be prescribed during the first trimester as there is a chance for fetal damage so that’s an exception there and tetracyclines category D should not be prescribed during pregnancy that’s very important.
So this is about various drugs whether they can be prescribed during pregnancy or not. Most importantly of all the drugs if you observe pencil ins are found to be the safest. It’s always better to go for broad-spectrum antibiotics such as pencil in during pregnancy.
Now let’s see various antibiotics that can be prescribed safely during nursing or breastfeeding, so M ox and penciling can be safely administered during nursing. Also and even arrow myosin can be safely administered during nursing and clarithromycin.
There is no data available regarding its safety in nursing patients, so it’s better to switch onto an alternative drug instead of going for clarithromycin during breastfeeding and azithromycin the same.
There is no adequate data available, no studies available to support its safety or efficacy in nursing women. Then we have clindamycin the problem with clindamycin ciprofloxacin and metronidazole these three drugs are.
They diffuse passively into human milk and as a result of which the drug concentration can reach greater levels in human milk as well as in babies who feed on that milk. While prescribing the following drugs ciprofloxacin clindamycin a metronidazole it’s better to either find an alternative drug or if we feel that the benefits will outweigh the risk if we prescribe this drug.
We should advise the mother not to the best feed head child so that there won’t be an increase in the concentration of these drugs in the child while prescribing kanamycin. We should make sure that we advise the patient not to breastfeed her child temporarily and also while prescribing ciprofloxacin the rule applies, and while prescribing metronidazole it’s particularly given that.
When we treat a patient with metronidazole, then we should ask the mother not to breastfeed for a duration of 12 to 24 hours after which the concentration of metronidazole in human milk decreases. The mother can go ahead and breastfeed her child and tetracyclines as they belong to category D should not be prescribed either during pregnancy or during nursing to summarize.
We have different antibiotics belong different F day categories as a rule of thumb any antibiotic belonging to category B can be safely administered in pregnancy and nursing except clarithromycin ciprofloxacin and tetracyclines which belong to category C and D respectively and of all these antibiotics pencil ins are relatively safe and can be administered during pregnancy.
If you observe there is another exception here the escalate form of erythromycin should be avoided during pregnancy. As it is associated with hepatotoxicity and regarding the role of clarithromycin azithromycin and clindamycin and also ciprofloxacin in nursing no adequate data is available or studies have proved.
These drugs have the tendency to diffuse passively into human milk thereby entering into a child, so we should either discontinue. This drug finds an alternative drug or advises the mother to discontinue breastfeeding for a shorter duration of time which is around 12 to 24 hours in case of uses of metronidazole so this is the overview of various antibiotics in pregnancy and nursing.
This is really confusing, but this article can slightly answer your questions about whether it can you take antibiotics while breastfeeding.