Page 222 - COMMUNITY PHARMACY PRACTICE
P. 222

02/04/2024

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MORE ABOUT LACTATION:

Ibuprofen, naproxen sod as well as
  diclofenac

¨ are considered compatible with breast
   feeding.

Acetaminophen (Tylenol and other brands) is
the safest medication for relieving pain and
fever, since only a tiny amount enters the breast
milk.

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                                                                                                                                   449

    ANALGESICS AND LACTATING PATIENTS:

    • Short-term maternal administration of most NSAIDs, apart
      from aspirin in doses above 150 mg/d, is considered to
      be of low risk to the breastfed infant. Because of the
      theoretical risk of the Reye syndrome, the British
      National Formulary states that ASA should be avoided
      when breastfeeding.

    • The United States FDA-approved product information has
      a “………………..stating that ketorolac is
      contraindicated in nursing mothers because of the
      potential adverse effects of prostaglandin-inhibiting drugs
      on neonates.

    • Narcotic analgesics (Codeine, Demerol, and morphine)
      are safe to take while breastfeeding, yet they should be
      used with caution.

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