Northern California Babies

Anyone take valium while bfing?

I have to have a procedure done and I was given valium to take.  I was told it does transfer to breastmilk.  When I asked the Pharmacist when I picked up my prescription and he didn't know how long it took till I would be able to bf again.  He said 2 days then a week, don't you know anything?!  Anyways, I'm putting an email into my doc but want to know if anyone has experience with this.

Re: Anyone take valium while bfing?

  • Didn't take any, but a quack dentist perscribed it for me because he wanted me to have 4 root canals at the same time, so before de-muddling my head and getting a second opinion I got the valium and asked my peditrician.  He said that I should avoid BFing for...8 or 10 hours after, but then it was fine.  And that the valium in the BM left over from 4 or 5 hours would have the same effect on them as us, nothing too bad.
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  • Valium is classified as L3 (moderately safe) for short term and L4 (possibly hazardous) for long term use.

    Here's what it says on Kellymom

    Triazolam (Halcion) and diazepam (valium) are used as oral pre-operative sedatives, often taken one hour prior to a procedure with a sip of water. If a patient is breastfeeding, the oral sedative of choice would be triazolam with a half life of 1.5-5.5 hours compared to diazepam's half life of 43 hours. Some pediatric concerns of poor suckling, lethargy and sedation have been reported with Valium. The milk to plasma ratio with Valium has been reported to be as high as 2.8. 

    ...

    The  IV medications listed above have a very short half life and the milk to plasma ratio is low for most of these drugs, except Valium and Morphine.  The half lives of these drugs are quite long and the milk to plasma ratio is somewhat higher than the other drugs listed.  Some references suggest using caution with these drugs, and some do not. My advice is to use caution when using these drugs with the breastfeeding mother, or even better, chose a more appropriate alternative besides diazepam or morphine.


     

  • Tom Hale, who wrote Medications and Mother's Milk, says 4 hours is enough for a single dose, 5-10 mg (in a response specifically about dental use).

     https://neonatal.ttuhsc.edu/discus/messages/56/7971.html

     

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