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Breastfeeding Q&As on the SPS website

Last updated: March 09, 2020

Evidence-based summaries about the safety of various medicines in breastfeeding have been written by the UK Drugs in Lactation Advisory Service (UKDILAS) and are available via the following links on the SPS website:

Gastrointestinal 

✦  Glyceryl trinitrate topical for anal fissure
✦  H2-receptor antagonists
✦  Proton pump inhibitors

Cardiovascular 

✦  Antiplatelet medicines

Respiratory 

✦  Antihistamines

Central Nervous System 

✦  Antidepressants – complementary therapies (inc. St John's wort)
✦  Antidepressants – reboxetine, venlafaxine, duloxetine, mirtazapine, agomelatine and MAOIs
✦  Antidepressants – SSRIs
✦  Antidepressants – Tricyclics
✦  Antipsychotics – atypical
✦  Antipsychotics – first generation
✦  Gabapentin and pregabalin
✦  Lamotrigine
✦  Triptans

Infection

✦  Chloramphenicol
✦  Fluconazole (oral)
✦  Lice (head)
✦  Lice (pubic)
✦  Malaria prophylaxis
✦  Metronidazole
✦  Oseltamivir and zanamivir
✦  Penicillins and cephalosporins

Endocrine

✦  Emergency contraception
✦  Mifepristone, misoprostol or gemeprost for termination of pregnancy 
✦  Inadequate lactation (treatment of)

Pain

✦  Ibuprofen
✦  Paracetamol
✦  Weak opioids – codeine, dihydrocodeine, tramadol

Others

✦  Arachis oil
✦  Azathioprine
✦  Herbal medicines
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