Doctor insights on:
Is Diltiazem Safe For Women Who Are Pregnant Or Breastfeeding
Maybe not: As a general rule of thumb it is best to keep medication use to a minimum during pregnacy and lactation. Diltiazem was given a pregnancy category c rating because of potential problems in animal studies. When given to pregnant rabbits, mice, and rats, Diltiazem caused an increased risk of miscarriages and birth defects (especially skeletal problems). But animals are not always the same as humans. ...Read more
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
Yes: While i don't feel comfortable saying medications are "safe" during breastfeeding ("compatible" is better), based on limited data, the amounts of Diltiazem ingested by the infant are small and would not be expected to cause any adverse effects in breastfed infants. For any questions on medications and breastfeeding, lactmed is a great resource. ...Read more
yes: I couldn't find any data on what percentage, if any systemic absorption occurs with Diltiazem cream, however, oral Diltiazem (which obviously has systemic effects) is considered safe for lactating women. ...Read more
Uncertain: Although the use of dandelion root has been use in alternative therapy for years there are no definitive studies indicating safety. There are also no definitive medical benefits proven in the scientific literature. Some beleive it may help with milk production. Without good evidence of safety or known health benefits it would irresponsible to recommend it. ...Read more
Yes: This is usually used for seizures. There are associated birth defects with it. However, not taking the drug and risking a seizure while pregnant is also problematic for mother and baby. If you need to be on this medication then you should take extra Folic Acid and will need some extra vitamin K during the last month of the pregnancy. It is ok with breastfeeding. ...Read more
Depends: Isoniazid is a category c medication (not enough data to show baby harming risks in humans and/or limited studies to show baby harming risks in animals) and considered "possibly unsafe" in lactation/breastfeeding. The decision to use any medication must be informed and made after a careful evaluation of the risks and benefits. Only you and your doctor can answer this question. ...Read more
Bowl prep: Halflytely is not absorbed so it should be safe. ...Read more
See below: This agent i considered "possibly unsafe" during lactation. Animal studies also show adverse fetal effects, so the risks to mother must be weighed against the risks to the fetus. ...Read more
No: Erbitux is a class c medication for pregnancy, meaning it is not considered safe (generally because animal studies have shown adverse fetal effects). It is also considered unsafe for lactation because data suggests high risk of significant adverse effects. Obviously, it is only used in very serious illnesses, but pregnancy should then be avoided and formula feeding would likewise be recommended. ...Read more
Usually: I agree with dr. Crystal's reference, but come to a different conclusion. This is a risk-benefit decision must be made between yourself and your physician. The majority of the data indicate citalopram is likely safe is breastfeeding as well as pregnancy. A resource that puts this into context is: http://www.Womensmentalhealth.Org/specialty-clinics/psychiatric-disorders-during-pregnancy/. ...Read more
No: Ace inhibitors are not advised for use in treatment of hypertension during pregnancy due to their association with significant birth defects. Alternative medications that are safe in pregnancy should be used for treatment of preexisting hypertension during pregnancy. All treatment plans should be individualized between a woman, her ob/gyn, and possibly cardiologist and/or perinatologist. ...Read more
Dorzolamide (trusopt) is an eye drop used to treat glaucoma. Although there are no studies to support its safety in pregnancy, trusopt would be a reasonable choice. You can find more information about this subject on the glaucoma research foundation website:
http://www.Glaucoma.Org/treatment/glaucoma-and-pregnancy-1.Php. ...Read more
No, it is not safe:
Carbamazepine is considered a category d in pregnancy, it may be teratogenic or leads to developmental delay in the baby.
It is advised to be relapced with an other seizure medications during pregnancy.
During nursing babies it should be avoided as it may affects the blood counts in the baby. ...Read more
Discuss with your MD: Pregnancy cat. C. No teratogenic effects were observed in a study in mice receiving up to 20x the maximum recommended human dose but there are no adequate studies in pregnant women. In individual cases Levodopa crossed the human placental barrier, enters the fetus, and is metabolized. In a study of one nursing mother with pd, excretion of Levodopa in human breast milk was reported. Discuss with md. ...Read more
Prenatal Consult: This is a question that needs to be answered on a case-by-case basis. All meds have risks, but it is important to weigh the risks of going off them and benefits of staying on them verses the risks of taking the medication during pregnancy or nursing. Psychiatric conditions pose their own risks to a pregnancy, too. See a perinatal psychiatrist to help you with this risk-benefit analysis. ...Read more
The risks of invega/alternatives have to weighed against the benefits in a woman who is pregnant or breastfeeding. Its a difficult decision for parents.
This special section from the national institute of mental health website might help:
http://www.Nimh.Nih.Gov/health/publications/mental-health-medications/which-groups-have-special-needs-when-taking-psychiatric-medications.Shtml. ...Read more
Not recommended: This medication can cause problems in babies both before delivery and if you are breastfeeding. It can interfere with the babies normal heart pacing and lead to a too small baby. If you are taking this medication, talk to your doctor before you get pregnant. If you are already pregnant, call your doctor to discuss but don't come off until they say so. ...Read more
Depends: This medication suppresses your immune system. We don't have any good information on it in pregnancy. It really is a case of discussing with your doctor the risks and benefits. In breastfeeding, we don't have a lot of information but it is a pretty big molecule and probably doesn't end up in breast milk so we feel comfortable with women breastfeeding on this med. ...Read more
Breastfeeding is providing nutrition to an infant using breat milk either directly by infant latching and sucking on the nipple or by feeding via bottle with expressed breast milk (when baby has difficulty suckling). Breast milk is the best milk for any baby but ...Read more
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