Director of the garden, I am nursing, does taking this medicine have any effect?
This is a question that many [wet nurses] will ask.
What challenges do wet nurses face during lactation?
After the baby was born, the wet nurses’ bodies experienced drastic changes again: progesterone dropped sharply, uterus shrank rapidly, lochia was continuously discharged, and sweat was severe…
During this period, the following [minor situations] are also easy to harass:
- Acute mastitis, even suppurative infection; Dyspepsia; Constipation; Reproductive system infection; Oral infection; Upper respiratory tract infection; … …
It’s just normal, it’s just on mothers who don’t breastfeed-they should take medicine, take medicine, and treat-but considering the impact on the baby, the problem is somewhat complicated.
The medicine you take will enter the milk.
Almost all drugs will enter milk. There is no doubt about this, but the amount is different.
Generally speaking, the amount of milk entering seldom exceeds 1% ~ 2% of the intake, so there is usually no big problem.
However, some drugs are excreted more in milk, so special attention should be paid to them. After the following drugs enter the mother’s body, they are easier to enter the milk, thus bringing adverse effects to the newborn during lactation.
These include, but are not limited to:
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Hormones: cortisone, prednisolone, dexamethasone, etc.
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Antimetabolic drugs: methotrexate, 5-fluorouracil, cytarabine, etc.
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Bromide: potassium bromide, sodium bromide, tribromide tablets, etc.;
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Chloramphenicol: It is used to treat infectious diseases and is rarely used now.
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Ergot alkaloids: bromocriptine, ergonovine, ergot amine, etc.
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Isoniazid: Used to treat tuberculosis.
Usually, the instructions will be marked with the words “forbidden for breast-feeding women”.
Can you eat with less entry?
Of course not.
Some drugs, although not as much as those above, may still be harmful to infants and should be used with caution during lactation.
Such drugs include, but are not limited to:
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Sedatives: phenobarbital, benzodiazepine, diazepam, mainly found in [sleeping pills];
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Anticonvulsant drugs: such as phenytoin sodium and carbamazepine are equal;
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Antipsychotic drugs: chlorpromazine, perphenazine, haloperidol, clozapine;
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Aspirin: It has a wide range of uses, but it is not a [magic drug];
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Penicillin: penicillin, amoxicillin, ampicillin, oxacillin, etc.
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Sulfonamides: sulfadiazine, sulfamethoxazole, compound sulfamethoxazole, etc.
Usually, the instructions will be marked with the words “use with caution for breast-feeding women” and need to be taken after consulting a doctor.
Can I eat without the above label?
Even for those drugs that are not marked with the words “forbidden for lactating women (with caution)”, attention should be paid to the time interval between medication and lactation.
The drugs we take will gradually be discharged from the body over time. The time required for the drug concentration in the blood to drop to half of the maximum concentration is called “half-life”, which is used to measure the length of time for a drug to exert its efficacy.
Mammy can pay attention to the half-life of drugs provided in the instructions to adjust the best interval between medication and lactation.
For example, if the drug instructions say [peak value is reached 2 hours after taking, and half-life is 6 hours], then it is necessary to:
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Try to avoid lactation within 2 hours after taking it.
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It is better to adjust the lactation interval to 6 hours.
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After the next lactation, take the medicine again.
When the baby is just born, its stomach is small and it is easy to be hungry. It needs wet nurses to feed it once every hour or two. At this time, if it has to receive drug treatment, it may need to interrupt breast milk.