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BFing and medication waiting 24 hours

suh5969suh5969
in Breastfeeding

I was given a medicine (emergency situation for my eye) that the dr. is "unsure" if is safe or not for breastfeeding.  The pedi suggestion is not to BF for 24 hours.  I asked if I need to pump to get rid of the milk and she said no need.  She said only pump if I felt to full.  I never knew this!  Anyone else not have to pump and dump?

DD really only BF morning and night.  DH put her to bed with a bottle with a little struggle. 

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Re: BFing and medication waiting 24 hours

  • marrymemylovemarrymemylove member
    Probably won't hurt your supply because your baby's over 1 year anyway. For mums with newborns this would be painful and/or kill their supply.
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  • mominatrixmominatrix member

    not to second guess your doctor, but what is the medication.

     

    I have a copy of the #1 reference book of medications for breastfeeding moms, Medications and Mothers' Milk, by Hale... most doctors don't have copies of it (it's super specific to breastfeeding, I have it for some volunteer work I do)... 

    Many docs will recommend not nursing or pumping and dumping out of an overabundance of caution.

    If you want me to, I can look up the name of the medication and type in the Hale description and recommendations... often, Hale will have different recommendations than doctors who don't have access to all these studies, etc...

    Just respond to this post with the name of the med if you want me to do this...

     

    The Girl is 5. The Boy is 2. The Dog is 1.

    imageimage

    I am the 99%.
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  • suh5969suh5969

    It is tropicamide.  Someone gave me Dr. Hale's website and I did see a post about it. He didn't think it would be a problem but suggested waiting 8 hours and it should be fine.  Is it in the book?

    Also, on the mechanics of BF do you need to pump? 

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  • mominatrixmominatrix member

    Tropicamide is L3 (Moderately Safe); there are no controlled studies in breastfeeding women, however, the risk of untoward effects to a breastfed infant is possible; or, controlled studies show only minimal non-threatening adverse effects. Drugs should be given only if the potential benefit justifies the potential risk to the infant.

    here's the review:

    Tropicamide is used as a short-acting pupil dialator in diagnostic procedures. It is an antimuscarinic agent which produces competitive antagonism of the actions of acetylcholine, thus preventing the sphincter muscle of the iris and the muscle of the ciliary body from responding to chlorinergic stimulation. It is unlikely that systemic levels in adults will be sufficient to produce clinically relevant levels in milk. Infants, however, should be observed for anticholinergic effects (dry mouth, mydriasis, sedation, tachycardia). A brief waiting period of 3-4 hours would eliminate most risks.

    The Girl is 5. The Boy is 2. The Dog is 1.

    imageimage

    I am the 99%.
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  • suh5969suh5969
    TY!
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