Drugs in breastfeeding

Question 1

Factors influencing risk of adverse effects on baby

Answer 1

Dose timing
Toxicity
Oral bioavailability
Breast milk volume
Infant dose
Age of infant

Question 2

Decision making for medications used in breastfeeding

Answer 2

Choose drugs w/ published data
Route of administration
Infant risks
Feed baby just before medicine
Express if required
Monitor for ADR

Question 3

Contraindicated drugs in breastfeeding

Answer 3

Lithium
Anticancer drugs
Oral retinoids
Amiodarone
Gold salts